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Social Security disability for intestinal failure: Blue Book listing 5.07

Listing 5.07 is the SSA Blue Book criteria SSA uses for intestinal failure disability claims. Meeting it at step 3 of the disability evaluation approves the claim without further analysis of past work or other jobs in the national economy. This page covers what SSA looks for, the medical evidence the criteria require, and what happens if your records don't quite match.

Listing code

5.07

Adult (Part A)

Body system

5.00

Digestive system

Subsections

0

No lettered criteria

Step in evaluation

3 of 5

Listing match approves the claim

SSA listing text and criteria

Intestinal failure (see 5.00E ) due to short bowel syndrome, chronic motility disorders, or extensive small bowel mucosal disease, resulting in dependence on daily parenteral nutrition via a central venous catheter for at least 12 months.

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 5.07. Last synced 2026-05-04.

Where claims under 5.07 usually fail

A frequent failure mode is missing the cause component, because the listing requires intestinal failure due specifically to short bowel syndrome, chronic motility disorders, or extensive small bowel mucosal disease. Another common miss is treating nutrition needs as temporary, because the listing requires dependence on daily parenteral nutrition via a central venous catheter for at least 12 months. Some people submit information about digestive problems and weight loss but do not provide evidence that parenteral nutrition is given daily through a central venous catheter. Others provide documentation of central line access but do not establish that the dependence is for parenteral nutrition and not for a different purpose.

Medical evidence that strengthens this claim

Strong medical evidence includes records showing the existence and severity of the digestive disorder (medical history and physical exam findings), plus operative reports when relevant. Documentation should also include diagnostic procedure results, such as imaging and endoscopy, when those tests are used to support the underlying intestinal failure cause. For the central requirement, evidence should clearly show dependence on daily parenteral nutrition through a central venous catheter and that this dependence has lasted at least 12 months. Clinical laboratory and pathology results can also matter when they are part of establishing the severity of the digestive disorder.

What happens if your records do not meet this listing

If the 12-month daily parenteral nutrition through a central venous catheter requirement is not met, the claim typically cannot be decided under listing 5.07. In many cases, SSA then looks at the overall impact of the digestive disorder on day-to-day functioning using residual functional capacity (RFC), rather than stopping at the diagnosis label. If the limitations still prevent work, approval can still occur under the broader disability assessment even when the specific listing requirement is not matched. For detailed functional decisions, SSA also considers whether work capacity is inconsistent with sustained activity, which can matter for many claimants.

Work activity and the SGA gate for this condition

For SSDI, the work-activity gate applies at the start of the claim: if the person is doing substantial work activity, the claim can be denied regardless of the diagnosis. Once the person is past that step, listing 5.07 focuses on intestinal failure due to short bowel syndrome, chronic motility disorders, or extensive small bowel mucosal disease, with dependence on daily parenteral nutrition via a central venous catheter for at least 12 months. If approved, work activity is then handled under SSA rules for people receiving disability benefits, including trial work and eligibility protection through an extended period of eligibility. Because this listing centers on ongoing daily parenteral nutrition for at least 12 months, many people with this level of medical dependence have limits that make sustained work difficult, but the exact outcome depends on the full medical and functional record

Listing 5.07 FAQ

Questions that come up repeatedly for intestinal failure disability claims.