Listing code
6.04
Adult (Part A)
Body system
6.00
Genitourinary disorders
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 6.00C2 ). 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 6.04. Last synced 2026-05-04.
Where claims under 6.04 usually fail
Missing the timeline is a common problem: this listing is considered for 1 year following the transplant, and then the evaluation shifts to residual impairment (see 6.00C2). Another pitfall is relying on transplant paperwork without CKD-related medical evidence such as clinical exam reports, treatment records, and kidney-function lab findings. A third issue is having evidence gaps, since evidence is generally needed for at least 90 days unless a fully favorable determination can be made without that. A fourth problem is not showing response to treatment when treatment records are available, since the evidence should document how the person responded.
Medical evidence that strengthens this claim
Strong documentation includes clinical examination reports and treatment records, plus laboratory findings that document kidney function (such as serum creatinine levels and/or other labs the medical evidence includes). The evidence should also document signs and symptoms of CKD and how treatment worked for the person. For transplant-related claims under 6.04, include medical records showing the kidney transplant itself so SSA can apply the 1-year transplant consideration correctly.
What happens if your records do not meet this listing
Steps 4 and 5 generally account for people who do not meet a specific listing description but still have serious limits from the medical condition. In that process, residual functional limitations from the kidney disease and treatment are evaluated as part of the overall assessment (residual impairment is the focus after the transplant year in this listing's framework). For older claimants, the medical limits and how they affect the ability to do work are weighed along with age and work-related factors.
Work activity and the SGA gate for this condition
At the start of an SSDI claim, SSA considers whether ongoing work activity is substantial under their rules. For kidney transplant cases, this listing focuses on CKD with a kidney transplant during the 1 year following the transplant. After that 1-year period, SSA evaluates the residual impairment rather than automatically using the transplant-only framing. The criteria emphasize that CKD evaluation is based on documented signs, symptoms, and laboratory findings over time (generally at least 90 days, unless a fully favorable determination can be made without it).
Listing 6.04 FAQ
Questions that come up repeatedly for chronic kidney disease, with kidney transplant disability claims.