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Social Security disability for hemophilia: Blue Book listing 7.08

Listing 7.08 is the SSA Blue Book criteria SSA uses for hemophilia 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

7.08

Adult (Part A)

Body system

7.00

Hematological disorders

Subsections

0

No lettered criteria

Step in evaluation

3 of 5

Listing match approves the claim

SSA listing text and criteria

Disorders of thrombosis and hemostasis , including hemophilia and thrombocytopenia (see 7.00D ), with complications requiring at least three hospitalizations within a 12 month period and occurring at least 30 days apart prior to adjudication. Each hospitalization must last at least 48 hours, which can include hours in the hospital emergency department or comprehensive hemophilia treatment center immediately before the hospitalization (see 7.00D2 ). 7.09 Polycythemia vera (with erythrocytosis, splenomegaly, and leukocytosis or thrombocytosis) . Evaluate the resulting impairment under the criteria for the affected body system. -->

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 7.08. Last synced 2026-05-04.

Where claims under 7.08 usually fail

One pitfall is missing the 'at least three hospitalizations within a 12 month period' requirement. Another pitfall is getting fewer than three stays, or having the stays too close together (less than 30 days apart). Another common failure is when a hospitalization is under 48 hours and not counted under the allowed emergency department or comprehensive hemophilia treatment center time immediately before a hospitalization. A further pitfall is having a diagnosis mentioned in records without the needed definitive laboratory test documentation or a physician report that ties the diagnosis to appropriate diagnostic analysis and provides the results.

Medical evidence that strengthens this claim

SSA needs evidence showing a hematological disorder, which means a laboratory report of a definitive test that establishes the disorder and is signed by a physician. Alternatively, SSA can use an unsigned definitive laboratory report plus a physician report stating the disorder, or a persuasive physician report when no laboratory report is available, as long as the report explains how diagnosis was confirmed by appropriate laboratory analysis or other diagnostic method(s) and includes the results or a clear explanation consistent with clinical practice. For the 7.08 complications requirement, documentation needs hospital records showing at least three hospitalizations within 12 months, that each hospitalization lasted at least 48 hours (including allowed emergency department or comprehensive hemophilia treatment center hours immediately before), and that each hospitalization occurred at least 30 days apart prior to adjudication.

What happens if your records do not meet this listing

If the hospitalization pattern does not meet the specific 7.08 timing and duration rules, the claim still may proceed using a broader disability analysis under the hematological disorder diagnosis. SSA evaluates impairment severity and functional limits, not just the label of the condition. That means missing the 'three hospitalizations in 12 months' trigger can still lead to approval if the overall medical evidence supports limitations severe enough under the appropriate evaluation process.

Work activity and the SGA gate for this condition

For a claim involving 7.08, the ability to do substantial work is still assessed from the start of an SSDI claim. The listing's focus on repeated, serious complications requiring at least three hospitalizations within 12 months, each lasting at least 48 hours and at least 30 days apart, typically signals functional impact that can make sustained work difficult. If approved, the normal rules for continuing eligibility after approval apply under the SSDI process, including trial work and extended period of eligibility as covered in SSA's general SSDI framework.

Listing 7.08 FAQ

Questions that come up repeatedly for disorders of thrombosis and hemostasis , including hemophilia and thrombocytopenia disability claims.