TN 2 (08-15)
DI 28090.060 Rationale Content – Non-severe Impairment(s)
A. Discussion of non-severe impairment(s) in the rationale
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 is severe.
DI 22001.001 Severe/Non-Severe Impairment(s)
DI 24505.001 Individual Must Have a Medically Determinable Severe Impairment
DI 24505.005 Evaluation of Medical Impairments that are Not Severe
DI 25220.005 Determining If a Child Has a Severe Impairment(s)