Effective Dates: 09/25/2020 - Present Previous | Next

TN 22 (09-20)

DI 22510.106 CE Report Content Guidelines for Genitourinary Disorders

Use the following guidelines to provide minimum content for CE reports for adult claimants with genitourinary disorders. Each Disability Determination Services (DDS) will notify medical sources of any additional requirements.

A. General guidelines for CE report content for adult genitourinary disorders

The CE report guidelines for adult genitourinary disorders in this section are in addition to the general CE report content guidelines in DI 22510.100.

B. Report content specific to genitourinary disorders

The CE provider will use the specific requirements below to complete the CE report for a genitourinary disorder.

1. Current medical history

The CE provider will describe and discuss, as appropriate:

a. Frequency of any renal dialysis, as well as the date of first dialysis;

b. Fatigue;

c. Dyspnea;

d. Motor weakness and/or sensory abnormalities;

e. Loss of appetite; and

f. Dates and results of relevant diagnostic procedures, such as imaging studies, renal biopsy, and clinical laboratory tests.

2. Physical examination

The CE provider will describe and discuss, as appropriate:

a. Renal osteodystrophy;

b. Ascites or anasarca;

c. Pleural effusions;

d. Type and location of any edema; and

e. Any signs of cardiac involvement.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0422510106
DI 22510.106 - CE Report Content Guidelines for Genitourinary Disorders - 09/25/2020
Batch run: 09/25/2020
Rev:09/25/2020