Exact text
6.03 Chronic kidney disease, with chronic hemodialysis or peritoneal dialysis (see 6.00C1).
What you must show
- Ongoing hemodialysis or peritoneal dialysis.
- Dialysis has lasted or is expected to last for a continuous 12 months.
- Supporting evidence from an acceptable medical source describing the CKD, dialysis modality, and expectation of ongoing dialysis.
Proof tips
- Get a nephrologist letter stating modality (HD vs. PD), start date, frequency (e.g., “3× weekly”), and the medical expectation of ≥ 12 months. SSA expressly accepts this.
- Include dialysis unit flow sheets, treatment logs, and access records (AV fistula/graft creation, PD catheter).
- If disability predates dialysis initiation (e.g., months of eGFR ≤ 20 with fluid overload), develop those records to help with onset. SSA recognizes onset may precede dialysis.
Under Listing 6.03, a Social Security Disability Lawyer can help organize nephrology records, dialysis treatment logs, and access documentation into SSA-compliant evidence showing chronic hemodialysis or peritoneal dialysis lasting or expected to last at least 12 continuous months. By clearly establishing treatment frequency, modality, and medical necessity through nephrologist statements and dialysis unit records, the case can meet the listing criteria for chronic kidney disease and support a finding of disability at Step 3, avoiding the need for vocational analysis. Properly structured medical proof is critical in demonstrating that the severity of kidney failure functionally meets the requirements set by the Social Security Administration.