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Social Security disability for kidney transplant: Blue Book listing 106.04

Listing 106.04 is the SSA Blue Book criteria SSA uses for kidney transplant 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

106.04

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 kidney transplant. Consider under a disability for 1 year following the transplant; thereafter, evaluate the residual impairment (see 106.00C2 ). 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 106.04. Last synced 2026-05-04.

Where claims under 106.04 usually fail

Submitting transplant records without medical evidence that documents the child has CKD signs, symptoms, and laboratory findings. Assuming imaging or a single lab number is enough without showing the overall CKD picture SSA looks for, including response to treatment. Missing the timing rule: applying 106.04 when the transplant was more than 1 year ago, when SSA instead evaluates residual impairment under 106.00C2. Not having enough coverage of medical evidence over time, since evidence generally needs to cover at least 90 days unless SSA can make a fully favorable determination without it.

Medical evidence that strengthens this claim

Medical evidence should document CKD signs, symptoms, and laboratory findings, such as serum creatinine or serum albumin levels, and ideally includes kidney function measures like eGFR if present. Treatment records and documentation of the child's response to treatment are part of what SSA looks at. Use clinical examination reports that capture the CKD condition over time, and ensure the file generally covers at least 90 days unless a fully favorable determination can be made without that timeframe. If biopsy information is relevant to the medical record, include the copy of the pathology report, or if it cannot be obtained, a statement from an acceptable medical source verifying the biopsy was done and describing the results.

What happens if your records do not meet this listing

This listing has a specific timing structure. SSA considers it for 1 year following the transplant; if the transplant is older than 1 year, SSA evaluates the residual impairment instead using 106.00C2. If the record does not support CKD with the needed lab findings and response-to-treatment documentation, SSA may not be able to evaluate under 106.04 and will use the evidence available under the general CKD evidence expectations for genitourinary disorders.

Work activity and the SGA gate for this condition

For SSDI (Part A) the SGA work activity question matters for adults, but this listing is for children under 18 (Part B). For 106.04, the core functional evaluation window is time-limited: SSA considers the child under this listing for 1 year following the kidney transplant, then evaluates the residual impairment after that under 106.00C2. The medical evidence still needs to document CKD signs, symptoms, and laboratory findings, such as serum creatinine or serum albumin, and include treatment records showing response to treatment.

Listing 106.04 FAQ

Questions that come up repeatedly for chronic kidney disease , with kidney transplant disability claims.