Listing code
105.06
Children (Part B)
Body system
105.00
Digestive system (children)
Subsections
2
Lettered criteria paths
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Inflammatory bowel disease (IBD) (see 105.00D ) documented by endoscopy, biopsy, imaging, or operative findings and demonstrated by A or B:
Subsection A
Obstruction of stenotic areas (not adhesions) in the small intestine or colon with proximal dilatation, confirmed by imaging or in surgery, requiring two hospitalizations for intestinal decompression or for surgery, within a consecutive 12-month period and at least 60 days apart. OR
Subsection B
Two of the following occurring within a consecutive 12-month period and at least 60 days apart: 1. Anemia with hemoglobin less than 10.0 g/dL, present on at least two evaluations at least 60 days apart; or 2. Serum albumin of 3.0 g/dL or less, present on at least two evaluations at least 60 days apart; or 3. Clinically documented tender abdominal mass palpable on physical examination with abdominal pain or cramping; or 4. Perianal disease with a draining abscess or fistula; or 5. Need for supplemental daily enteral nutrition via a gastrostomy, duodenostomy, or jejunostomy, or daily parenteral nutrition via a central venous catheter (see 105.10 for children who have not attained age 3). Back to Top
- Anemia with hemoglobin less than 10.0 g/dL, present on at least two evaluations at least 60 days apart; or
- Serum albumin of 3.0 g/dL or less, present on at least two evaluations at least 60 days apart; or
- Clinically documented tender abdominal mass palpable on physical examination with abdominal pain or cramping; or
- Perianal disease with a draining abscess or fistula; or
- Need for supplemental daily enteral nutrition via a gastrostomy, duodenostomy, or jejunostomy, or daily parenteral nutrition via a central venous catheter (see 105.10 for children who have not attained age 3). Back to Top
Source: SSA Blue Book listing 105.06. Last synced 2026-05-04.
Where claims under 105.06 usually fail
One failure mode is meeting the diagnosis of IBD but not matching the lettered criteria A or B, since the criteria require specific complications, not just symptoms. Another pitfall is for subsection A, where obstruction must be in stenotic areas (not adhesions) in the small intestine or colon with proximal dilatation confirmed by imaging or surgery, and it also requires two hospitalizations within a consecutive 12-month period that are at least 60 days apart. For subsection B, a common miss is listing fewer than two of the numbered features, or having them too close together instead of at least 60 days apart within a consecutive 12-month period. A further pitfall is lab timing: anemia (hemoglobin less than 10.0 g/dL) and low albumin must each be shown on at least two evaluations at least 60 days apart.
Medical evidence that strengthens this claim
Evidence should show IBD documented by endoscopy, biopsy, imaging, or operative findings. For subsection A, documentation needs imaging or surgical confirmation of obstruction of stenotic areas (not adhesions) in the small intestine or colon with proximal dilatation, plus proof of two hospitalizations for intestinal decompression or surgery within a consecutive 12-month period and at least 60 days apart. For subsection B, documentation should include objective lab reports showing anemia with hemoglobin less than 10.0 g/dL on at least two evaluations at least 60 days apart, and or serum albumin of 3.0 g/dL or less on at least two evaluations at least 60 days apart. Also include physical exam notes that describe a clinically documented tender abdominal mass palpable with abdominal pain or cramping, notes of perianal disease with a draining abscess or fistula, and records supporting supplemental daily enteral nutrition via gastrostomy, duodenostomy, or jejunostomy, or daily parenteral nutrition via a central venous catheter (with the caveat that 105.10 is referenced for children who had
What happens if your records do not meet this listing
If the specific criteria in A or B do not all match, approval may still be possible through later steps that evaluate how the digestive disorder affects day-to-day functioning. The process looks at the child's overall residual functional capacity in light of the medical evidence, not only whether the lettered criteria are met. Even when a listing is missed, the record can still support a finding of disability if the documented functional limitations are severe enough based on how the condition operates in real life.
Work activity and the SGA gate for this condition
This listing is for children under 18 (Part B). In the first step of a disability claim for children, work activity generally is not part of the same way it is for adults, so the focus becomes whether the child has severe functional limitations consistent with the medical findings for IBD. If the case is approved, continued eligibility depends on meeting SSA rules over time, but the listing itself centers on specific severity features such as stenotic obstruction with proximal dilatation requiring two decompression/surgery hospitalizations at least 60 days apart, or two or more subsection B complications within a consecutive 12-month period at least 60 days apart.
Listing 105.06 FAQ
Questions that come up repeatedly for inflammatory bowel disease (ibd) disability claims.