What this listing is about
For recurrent vertigo disorders (often Ménière’s) with tinnitus and progressive hearing loss, SSA requires both objective vestibular testing abnormalities and audiometric hearing loss. eCFR
Exact text (SSA)
“2.07 Disturbance of labyrinthine-vestibular function (including Meniere’s disease), characterized by a history of frequent attacks of balance disturbance, tinnitus, and progressive loss of hearing. With both A and B:
A. Disturbed function of vestibular labyrinth demonstrated by caloric or other vestibular tests; and
B. Hearing loss established by audiometry.” eCFR
Checklist
- Clinical history: frequent vertiginous attacks, tinnitus, progressive hearing loss.
- Abnormal vestibular testing (e.g., caloric test, ENG/VNG, rotary chair).
- Audiometry documenting hearing loss (see also 2.10/2.11 standards). Social Security
Proof tips & testing
- Make sure otoneurologic records describe frequency, severity, duration of attacks; differentiate true rotary vertigo from nonspecific “dizziness.”
- Include audiograms (air/bone thresholds, word recognition) near in time to vestibular testing.
- Rule out middle-ear confounders with otoscopic and tympanometric findings. Social Security
Definitions: ENG/VNG = electronystagmography/videonystagmography; caloric testing stimulates each labyrinth to assess asymmetry.
Source & currency: 2.07 (eCFR); Blue Book 2.00C. eCFR Social Security