Listing code
14.10
Adult (Part A)
Body system
14.00
Immune system disorders
Subsections
2
Lettered criteria paths
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Sjögren's syndrome . As described in 14.00D7 . With:
Subsection A
Involvement of two or more organs/body systems, with: 1. One of the organs/body systems involved to at least a moderate level of severity; and 2. At least two of the constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary weight loss). OR
- One of the organs/body systems involved to at least a moderate level of severity; and
- At least two of the constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary weight loss). OR
Subsection B
Repeated manifestations of Sjögren's syndrome, with at least two of the constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary weight loss) and one of the following at the marked level: 1. Limitation of activities of daily living. 2. Limitation in maintaining social functioning. 3. Limitation in completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace. Back to Top
- Limitation of activities of daily living.
- Limitation in maintaining social functioning.
- Limitation in completing tasks in a timely manner due to deficiencies in concentration, persistence, or pace. Back to Top
Source: SSA Blue Book listing 14.10. Last synced 2026-05-04.
Where claims under 14.10 usually fail
One pitfall is meeting only the constitutional symptoms count, but not meeting the organ involvement requirements in subsection A (two or more organs/body systems, with at least one at moderate severity). Another pitfall is using symptoms that are present but not described as repeated manifestations for subsection B, where repetition is required. A further pitfall is missing the functional threshold in subsection B, since the marked level must apply to one of the listed functioning areas (activities of daily living, social functioning, or timely task completion due to deficiencies in concentration, persistence, or pace). Another common failure mode is counting constitutional symptoms incorrectly, since the criteria require at least two of: severe fatigue, fever, malaise, or involuntary weight loss.
Medical evidence that strengthens this claim
Medical records need to show Sjogren's syndrome and then match the criteria structure: the number of organs or body systems involved, and the severity level for at least one organ or body system (moderate for subsection A). Records should document at least two constitutional symptoms or signs from the specific set (severe fatigue, fever, malaise, or involuntary weight loss), including how the symptoms show up over time for subsection B (repeated manifestations). For subsection B, evidence should address one marked limitation area: activities of daily living, maintaining social functioning, or completing tasks in a timely manner because of deficiencies in concentration, persistence, or pace. The functional impact matters as much as the symptom list, because subsection B requires a marked level in a specific functioning domain.
What happens if your records do not meet this listing
If the exact criteria for 14.10 are not met, steps 4 and 5 still provide paths to a decision. First, the medical evidence is used to assess residual functional capacity, which is the most someone can still do despite Sjogren's symptoms and organ/system effects. Then the decision considers whether that residual functional capacity allows work. Even when a listing is missed, SSA can still find a disability based on overall functional limits rather than requiring the exact organ-count plus constitutional-symptom pattern from 14.10.
Work activity and the SGA gate for this condition
At the start of an SSDI claim, work activity can matter under SSA rules about substantial gainful activity, even when Sjogren's symptoms are significant. Whether limitations that come from Sjogren's syndrome can realistically support working above that level depends on the specific functional restrictions described, especially the marked limitations required under 14.10B (activities of daily living, social functioning, or timely task completion due to deficiencies in concentration, persistence, or pace). If approved, the rules about trial work and then extended period of eligibility apply after the approval, allowing some work testing and continuation of benefits for a period of time. The listing criteria themselves require constitutional symptoms (severe fatigue, fever, malaise, or involuntary weight loss) together with the specific multi-system and functional thresholds in 14.10A or 14
Listing 14.10 FAQ
Questions that come up repeatedly for sjögren's syndrome disability claims.