In some cases, you may need to make more than one assessment to reflect varying levels
of severity throughout the period covered.
EXAMPLE: From the POD of 10/1/2016 to the established onset date (EOD) of 12/1/2016, the claimant
had a medium residual functional capacity (RFC) due to poorly controlled blood pressure
and reduced renal function. On 12/1/2016, the claimant had a stroke. By March 2017,
the claimant’s right lower extremity had 4/5 strength. He required a hand held assistive
device to walk for even short distances. Based on the objective medical and clinical
findings, a sedentary RFC applied from 12/1/2016 to the date of adjudication.
Claims requiring multiple evaluations typically involve a material change in the claimant’s
medical condition during the period adjudicated. For example:
Severity lessens materially over the period evaluated;
Severity worsens materially over the period evaluated; or
Successive unrelated impairments.
IMPORTANT: In initial claims, never combine successive, unrelated severe impairments each lasting
less than 12 months to meet the 12 month duration period, see DI 25505.030.