Listing code
4.10
Adult (Part A)
Body system
4.00
Cardiovascular system
Subsections
0
No lettered criteria
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Aneurysm of aorta or major branches , due to any cause (e.g., atherosclerosis, cystic medial necrosis, Marfan syndrome, trauma), demonstrated by appropriate medically acceptable imaging, with dissection not controlled by prescribed treatment (see 4.00H6 ). Back to Top
This listing has no lettered subsections. The diagnosis itself, supported by the medical evidence described in the body-system overview, is what SSA evaluates.
Source: SSA Blue Book listing 4.10. Last synced 2026-05-04.
Where claims under 4.10 usually fail
One pitfall is stopping at an aneurysm diagnosis without proving it with appropriate medically acceptable imaging. Another pitfall is focusing only on the cause (for example, Marfan syndrome or trauma) while missing the specific requirement that dissection is not controlled by prescribed treatment. A third pitfall is assuming that "treated" automatically means "controlled," since the listing focuses on lack of control despite prescribed treatment. A fourth pitfall is mixing up where the aneurysm is located, since the listing is limited to the aorta or major branches.
Medical evidence that strengthens this claim
The key documentation is appropriate medically acceptable imaging that demonstrates an aneurysm of the aorta or major branches. The record also needs evidence tied to the dissection, specifically that it is not controlled by prescribed treatment. Because the listing does not break down the kinds of imaging or what "not controlled" looks like, the safest approach is to submit the imaging report and the treating-care documentation that describes the prescribed treatment and the continued lack of control of the dissection.
What happens if your records do not meet this listing
If the aneurysm is documented by imaging but the dissection is controlled with prescribed treatment, this listing may not fit. If dissection is not shown or not part of the documented picture, the criteria for this specific listing are not met. In that situation, the case can still be evaluated under other cardiovascular listings or under a functional assessment pathway that looks at what you can still do in work after considering the medical evidence and treatment response.
Work activity and the SGA gate for this condition
For an SSDI claim, work activity is generally evaluated under the SGA rules at the start of the claim. If ongoing work rises to the level of SGA, the claim may not proceed based on substantial gainful activity even if the medical picture is serious. After approval, eligibility rules for continued benefits follow the standard SSDI work rules (trial work period and then extended period of eligibility). For this specific condition, the criteria emphasize an aortic or major-branch aneurysm demonstrated by imaging and dissection that is not controlled by prescribed treatment, which typically signals major cardiovascular instability that can interfere with sustained work.
Listing 4.10 FAQ
Questions that come up repeatedly for aneurysm of aorta or major branches , due to any cause (e.g., atherosclerosis, cystic medial necrosis, marfan syndrome, trauma), demonstrated by appropriate medically acceptable imaging, with dissection not controlled by prescribed treatment disability claims.