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Social Security disability for dialysis: Blue Book listing 106.03

Listing 106.03 is the SSA Blue Book criteria SSA uses for dialysis childhood 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

106.03

Children (Part B)

Body system

106.00

Genitourinary disorders (children)

Subsections

0

No lettered criteria

Step in evaluation

3 of 5

Listing match approves the claim

SSA listing text and criteria

Chronic kidney disease , with chronic hemodialysis or peritoneal dialysis (see 106.00C1 ). 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 106.03. Last synced 2026-05-04.

Where claims under 106.03 usually fail

A frequent denial pattern is having dialysis described without the accompanying evidence that documents signs, symptoms, and laboratory findings of chronic kidney disease, such as serum creatinine or serum albumin levels. Another pitfall is missing treatment records that show response to treatment over time, because evidence generally needs to cover at least a 90-day period unless a fully favorable determination can be made without it. Some claims stall when dialysis type is unclear in the records, even though the listing requires chronic hemodialysis or chronic peritoneal dialysis. Also, if kidney function is discussed only in vague terms, the needed lab evidence may be incomplete even though tests like serum creatinine can document kidney function.

Medical evidence that strengthens this claim

Collect medical reports that document the child?s chronic kidney disease through signs, symptoms, and laboratory findings, including serum creatinine or serum albumin levels. Include treatment records that show chronic hemodialysis or chronic peritoneal dialysis and document the child?s response to treatment. If available, include eGFR findings, since eGFR can be considered when evaluating CKD under 106.05. If a kidney or bone biopsy was done, include a copy of the pathology report; if the pathology report cannot be obtained, SSA accepts a statement from an acceptable medical source verifying the biopsy was performed and describing the results.

What happens if your records do not meet this listing

If the evidence does not support chronic kidney disease with chronic hemodialysis or chronic peritoneal dialysis, approval may still be possible under other CKD-related childhood genitourinary listings in this same body system. In general terms, step-by-step evaluation considers whether the child?s medical evidence supports a different CKD severity criterion, then whether the overall functional limits are consistent with disability under the childhood framework (including medical-vocational considerations used in the disability process). Many claims that miss a specific dialysis-focused listing are evaluated instead under a different CKD listing with different thresholds.

Work activity and the SGA gate for this condition

For SSDI claims involving work activity, the key gate is whether the person can perform substantial work activity despite the condition. Chronic kidney disease requiring chronic hemodialysis or chronic peritoneal dialysis often means regular, ongoing treatment and significant medical management, which can make sustained work difficult, but the specific impact is determined from the medical evidence in the case. If approved, continued eligibility works through the usual SSDI post-approval rules for trial work and extended period of eligibility, based on the person?s work activity rather than the presence of a specific dialysis schedule alone.

Listing 106.03 FAQ

Questions that come up repeatedly for chronic kidney disease , with chronic hemodialysis or peritoneal dialysis disability claims.