Listing code
6.05
Adult (Part A)
Body system
6.00
Genitourinary disorders
Subsections
2
Lettered criteria paths
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Chronic kidney disease , with impairment of kidney function, with A and B:
Subsection A
Reduced glomerular filtration evidenced by one of the following laboratory findings documented on at least two occasions at least 90 days apart during a consecutive 12-month period: Serum creatinine of 4 mg/dL or greater; or Creatinine clearance of 20 ml/min. or less; or Estimated glomerular filtration rate (eGFR) of 20 ml/min/1.73m2 or less. AND
Subsection B
One of the following: Renal osteodystrophy (see 6.00C3 ) with severe bone pain and imaging studies documenting bone abnormalities, such as osteitis fibrosa, osteomalacia, or pathologic fractures; or Peripheral neuropathy (see 6.00C4 ); or Fluid overload syndrome (see 6.00C5 ) documented by one of the following: Diastolic hypertension greater than or equal to diastolic blood pressure of 110 mm Hg despite at least 90 consecutive days of prescribed therapy, documented by at least two measurements of diastolic blood pressure at least 90 days apart during a consecutive 12-month period; or Signs of vascular congestion or anasarca (see 6.00C6 ) despite at least 90 consecutive days of prescribed therapy, documented on at least two occasions at least 90 days apart during a consecutive 12-month period; or Anorexia with weight loss (see 6.00C7 ) determined by body mass index (BMI) of 18.0 or less, calculated on at least two occasions at least 90 days apart during a consecutive 12-month period. Back to Top
Source: SSA Blue Book listing 6.05. Last synced 2026-05-04.
Where claims under 6.05 usually fail
One failure mode is missing the subsection A timing pattern, because subsection A requires reduced glomerular filtration evidenced by the qualifying lab threshold on at least two occasions at least 90 days apart during a consecutive 12-month period. Another failure mode is using eGFR or creatinine information that does not reach the specific cutoffs, or not showing them repeatedly at the required interval. A third failure mode is reaching a complication category in subsection B but not meeting that category's stated proof, such as fluid overload syndrome without the required 90 consecutive days of prescribed therapy plus the required blood pressure or congestion/anasarca evidence on at least two occasions at least 90 days apart. A fourth failure mode is assuming that any bone or nerve issue qualifies, even though subsection B is specific about renal osteodystrophy with severe bone pain and imaging bone abnormalities, or peripheral neuropathy referenced through 6.00C4.
Medical evidence that strengthens this claim
For subsection A (6.05A), collect lab documentation that shows reduced glomerular filtration, using one of the allowed measures: serum creatinine of 4 mg/dL or greater, creatinine clearance of 20 ml/min or less, or eGFR of 20 ml/min/1.73m2 or less. The documentation needs to show the qualifying result on at least two occasions at least 90 days apart during a consecutive 12-month period. For subsection B, the documentation must match the exact complication: for renal osteodystrophy, include severe bone pain plus imaging studies documenting bone abnormalities such as osteitis fibrosa, osteomalacia, or pathologic fractures; for peripheral neuropathy, include evidence consistent with peripheral neuropathy; for fluid overload syndrome, include the required persistence on at least 90 consecutive days of prescribed therapy and provide either diastolic hypertension at least 110 mm Hg despite therapy with at least two diastolic blood pressure measurements at least 90 days apart, or signs of vascular congestion or anasarca on at least two occasions at least 90 days apart; for anorexia with BMI
What happens if your records do not meet this listing
When 6.05 is not met, SSA moves to later steps that evaluate how the medical impairments affect the ability to work. The medical evidence is used to assess residual functional capacity (RFC), then work capacity is considered using the applicable rules for the claimant's vocational profile. Many cases that fail to meet the exact lab thresholds or the exact subsection B complication still progress if the overall record supports functional limits from CKD-related problems, rather than requiring the listing's specific A and B criteria to be met.
Work activity and the SGA gate for this condition
To get SSDI under this listing, work activity limits still matter at the start: if doing substantial work at SGA levels, benefits generally cannot be paid. The listing is focused on documented reduced glomerular filtration (6.05A) plus one specified complication in 6.05B, so work ability is evaluated in light of those same medical findings when a claim is decided. If approved, the usual SSDI trial work period and then extended period of eligibility apply under the standard program rules. The SGA dollar threshold is not included here because SSA rules set it and it changes over time.
Listing 6.05 FAQ
Questions that come up repeatedly for chronic kidney disease , with impairment of kidney function, with a and b disability claims.