Overview and objective
This listing targets malabsorption so severe that parenteral nutrition (PN/TPN) is required to sustain life and is associated with serious complications (infection, thrombosis, hepatobiliary disease, etc.).
Exact text
5.07 Intestinal failure, due to any cause, requiring parenteral nutrition delivered by a central venous catheter, with one of the following complications:
- Line sepsis requiring hospitalization for intravenous antibiotics, on at least 2 occasions at least 60 days apart within a 6-month period; or
- Thrombosis of a central venous catheter requiring medical intervention (for example, thrombolysis or line replacement); or
- Hepatobiliary disease associated with long-term parenteral nutrition (for example, cholestasis, steatosis, or cholelithiasis) requiring medical or surgical intervention; or
- Metabolic bone disease associated with long-term parenteral nutrition (for example, osteomalacia or osteoporosis) documented by appropriate imaging or laboratory findings.
Checklist of elements
- Central-line PN/TPN is required.
- Show one serious complication: recurrent line sepsis with hospital IV antibiotics (2×, 60+ days apart), catheter thrombosis, hepatobiliary disease due to PN, or metabolic bone disease due to PN.
Tips & recommended evidence
- Orders and infusion logs showing PN/TPN, catheter type (tunneled, port, PICC), start date, frequency.
- Complications: Blood culture results, sepsis notes, interventional radiology reports for line replacement or thrombolysis, hepatology notes documenting cholestasis/steatosis and interventions, DEXA or imaging for metabolic bone disease with related labs (vitamin D, PTH, calcium, phosphorus).
- Keep a complications timeline (dates, interventions, readmissions).
Under Listing 5.07, a Social Security Disability Lawyer can help compile parenteral nutrition orders, central venous catheter records, infusion logs, and hospitalization notes to establish medically documented intestinal failure requiring long-term TPN. Evidence of recurrent line sepsis requiring IV antibiotics, catheter thrombosis with intervention, hepatobiliary disease related to parenteral nutrition, or metabolic bone disease confirmed by imaging or labs is critical to meeting SSA’s strict criteria. A clear timeline of complications, interventions, and hospital admissions is essential to demonstrate listing-level severity and support a Step 3 disability finding without vocational analysis.