Listing code
111.04
Children (Part B)
Body system
111.00
Neurological disorders (children)
Subsections
0
No lettered criteria
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Vascular insult to the brain , characterized by disorganization of motor function in two extremities (see 111.00D1 ), resulting in an extreme limitation (see 111.00D2 ) in the ability to stand up from a seated position, balance while standing or walking, or use the upper extremities, persisting for at least 3 consecutive months after the insult.
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 111.04. Last synced 2026-05-04.
Where claims under 111.04 usually fail
One failure mode is missing the timing requirement, since the motor disorganization and extreme limitation must persist for at least 3 consecutive months after the vascular insult. Another is not tying the medical diagnosis to the functional effects named in the criteria, especially extreme limitation with standing up from a seated position, balance while standing or walking, or using the upper extremities. A third failure mode is treating imaging and exam findings as enough by themselves, instead of also documenting the disorganization of motor function in two extremities. A fourth is relying on mental or unrelated impairments without showing that the physical limitations come from the neurological disorder causing motor disorganization.
Medical evidence that strengthens this claim
Medical evidence needs to support the neurological disorder and show the effects of the disorder on physical functioning, including signs, symptoms, and laboratory findings, plus imaging results and exam findings. Evidence can include relevant imaging tests such as CT, MRI, or other imaging, and the medical record should document the vascular insult to the brain and its neurological impact. In addition to medical records, SSA considers non-medical evidence such as statements from the child or others about the impairments, restrictions, daily activities, and how the child's movement and upper-extremity use are affected over time after the insult. Any description of prescribed treatment and response to treatment can also be part of the medical evidence SSA looks at.
What happens if your records do not meet this listing
Steps 4 and 5 focus on whether the child's limitations, even if the exact listing criteria are not met, produce an overall level of functional severity that is equal to or comparable to what the listing requires. That means the evaluation shifts to the child's residual functional effects on the abilities listed here, such as standing up from a seated position, balance while standing or walking, and using the upper extremities. Even when a listing is missed, functional equivalence can still be found based on the combined medical and non-medical evidence about how the neurological disorder affects daily functioning.
Work activity and the SGA gate for this condition
This listing is for children under 18 (Part B), so work activity rules that apply to adults are not the focus here. The criteria still require that the child's vascular insult to the brain causes disorganization of motor function in two extremities and results in an extreme limitation in standing up, balance while standing or walking, or upper-extremity use, persisting for at least 3 consecutive months after the insult. After approval, continued eligibility depends on ongoing medical evidence and whether the impairment continues, but the key functional gate at the start of the claim is the presence of the required medical diagnosis and the extreme functional limitations for at least 3 consecutive months.
Listing 111.04 FAQ
Questions that come up repeatedly for vascular insult to the brain , characterized by disorganization of motor function in two extremities disability claims.