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Social Security disability for chronic kidney disease: Blue Book listing 106.09

Listing 106.09 is the SSA Blue Book criteria SSA uses for chronic kidney disease 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

106.09

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

Complications of chronic kidney disease (see 106.00C5 ) requiring at least three hospitalizations within a consecutive 12-month period and occurring at least 30 days apart. Each hospitalization must last at least 48 hours, including hours in a hospital emergency department immediately before the hospitalization. Back to Top Support Contact us Find an office Forms Publications Report fraud Languages Español Other languages Plain language Services for Employers & businesses Government agencies Other groups Representatives About Careers Chief actuary data Communications Financial reports Initiatives Research & policy Social Security Administration SSA.gov An official website of the Social Security Administration

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 106.09. Last synced 2026-05-04.

Where claims under 106.09 usually fail

One common failure mode is having fewer than three hospitalizations in a consecutive 12-month period. Another is hospital stays that are under 48 hours, including the emergency department time immediately before the hospitalization, which is required to be counted. A third pitfall is timing, where hospitalizations happen less than 30 days apart. A fourth pitfall is mixing up a single long hospitalization or closely spaced admissions with the required separate hospitalizations that meet the interval and duration rules.

Medical evidence that strengthens this claim

Hospital records are central because the criteria depend on hospitalization frequency (three in a consecutive 12-month period), duration (at least 48 hours including time in the emergency department immediately before the hospitalization), and spacing (at least 30 days apart). The medical evidence package for chronic kidney disease also needs to document signs, symptoms, and laboratory findings of CKD using clinical examination reports and treatment records, plus laboratory findings such as serum creatinine and serum albumin levels. Evidence generally needs to cover at least a 90-day period unless a fully favorable determination can be made without it. If available, documentation of chronic hemodialysis or peritoneal dialysis may also be relevant when evaluating genitourinary disorders resulting in chronic kidney disease, but the hospitalization pattern remains the core requirement for 106.09.

What happens if your records do not meet this listing

If the hospitalization requirements for 106.09 are not met, step 4 and step 5 can still allow approval through a different path. After considering the child's residual functional capacity, SSA may evaluate how the child's limitations affect functioning, using the medical record to determine whether the overall severity meets the criteria in other listings. Even when one specific listing like 106.09 does not fit, other listings in the same genitourinary childhood set can apply when the evidence shows the required medical findings and functional impact.

Work activity and the SGA gate for this condition

To qualify under this listing, the child's complications of chronic kidney disease must require at least three hospitalizations within a consecutive 12-month period, each lasting at least 48 hours (including emergency department hours immediately before the hospitalization) and occurring at least 30 days apart. A child's work activity generally does not follow the adult SGA framework in the same way as adult claims, so the adult "substantial gainful activity" concept is not the deciding factor described here for 106.09.

Listing 106.09 FAQ

Questions that come up repeatedly for complications of chronic kidney disease disability claims.