Does the SSA Use a Rating System When Assessing Disabilities? 

Many people applying for Social Security Disability (SSD) may have heard of disability ratings and assume the Social Security Administration (SSA) uses that kind of system. In reality, the SSA approaches benefits differently than the Department of Veterans Affairs (VA) does.

The SSA does not assign percentage-based disability ratings. Our Social Security Disability attorneys can advise you on whether you qualify for SSDI and/or SSI benefits, and file necessary appeals.

SSD Is Not Based on Disability Ratings

Some disability programs, like the VA, use rating systems that assign percentages to a person’s medical condition. Under those systems, a higher percentage typically results in greater benefits.

SSD works differently. The SSA does not determine whether a person is 10%, 50%, or 100% disabled. Instead, the agency evaluates whether a medical condition prevents the applicant from performing substantial work activities on a sustained basis.

This means that a person with a serious diagnosis may not qualify if the evidence shows he or she can still perform substantial work. The central question is whether the applicant’s medical condition prevents him or her from engaging in substantial gainful activity

How the SSA Evaluates Disabilities

The SSA follows a specific process to determine whether an applicant qualifies for SSDI or SSI benefits. Understanding how this process works can be helpful for anyone pursuing a claim.

Reviewing Medical Evidence

Every SSD claim starts with a review of medical records. The SSA examines everything from diagnostic tests to hospital records to understand the extent of an applicant’s condition. The agency looks for evidence showing the nature of the impairment, how long it has lasted, and how it affects the applicant’s ability to work.

Comparing Conditions to SSA Standards

Some conditions are more likely than others to be accepted. The SSA maintains a list of medical conditions and criteria known as the Listing of Impairments, and having one of these conditions alone could be enough to meet the medical requirements. However, a diagnosis by itself is not sufficient. The medical evidence must match the specific criteria for the listing, such as a particular test results, imaging, or documented functional limitations. That said, there are other options for conditions that aren’t on this list.

Evaluating Limitations

When a condition does not meet a listing, the SSA evaluates the applicant’s functional abilities to determine if it prevents them from maintaining gainful employment. This involves reviewing limitations such as a person’s ability to stand, walk, lift, or concentrate at work.

Biographical Details

Medical evidence is important, but it is not the only factor the SSA considers. The agency also reviews other factors, including the applicant’s age, prior work experience, and education. If their background allows them to easily transition to a new career that is less physically demanding, it might prevent that person from qualifying for benefits.

Talk to an Attorney to Learn More About How the SSA Assesses Disabilities

If you’re unable to work due to a disability, you might be eligible for SSDI or SSI benefits. While there isn’t an SSD ratings system that you’ll need to satisfy, there are still strict eligibility requirements. Call Berger and Green today to determine if you meet them.