For Title II and adult Title XVI cases, an impairment is not severe if it has no more
than a minimal effect on an individual's physical or mental ability(ies) to do basic
work activities. For a Title XVI child case, an impairment is not severe if it is
a slight abnormality or a combination of slight abnormalities that causes no more
than minimal functional limitations.
It is possible that several non-severe impairments could combine to produce a severe
impairment. You must consider the combined effect of all the individual's impairments
in determining whether the impairment(s) are severe. The adjudicative team will assess
the impact of the combination of those impairments on the person's ability to function,
rather than assess separately the contribution of each impairment to the restriction
of his or her activity as if each impairment existed alone. When there is a combination
of non-severe impairments, the rationale must show consideration the impact of the
combination of those impairments on the person's ability to function.
If the impairment(s) when considered singly or in combination is determined to be
non-severe, the rationale will state this. For a rationale example, see DI 28090.300D or DI 28090.300Q.
NOTE: The concept of a non-severe impairment(s) does not apply if it has been determined
at an earlier step in the continuing disability review (CDR) evaluation process that
the current impairment(s) impose a significant restriction on the ability to perform
basic work activities. In this case, the rationale must state that the impairment