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Social Security disability for ALS: Blue Book listing 11.10

Listing 11.10 is the SSA Blue Book criteria SSA uses for ALS 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

11.10

Adult (Part A)

Body system

11.00

Neurological disorders

Subsections

0

No lettered criteria

Step in evaluation

3 of 5

Listing match approves the claim

SSA listing text and criteria

Amyotrophic lateral sclerosis (ALS) established by clinical and laboratory findings (see 11.00O ).

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 11.10. Last synced 2026-05-04.

Where claims under 11.10 usually fail

One pitfall is relying on symptoms alone without medical evidence that supports the ALS diagnosis with clinical and laboratory findings. Another pitfall is treating 'mental impairment' as the basis for this neurological listing when the mental condition is not caused by the ALS process. A third pitfall is assuming that any neurological diagnosis belongs under 11.10, instead of checking whether it is actually ALS covered by this listing. A fourth pitfall is focusing on outcomes like how the condition affects life while missing the requirement that the diagnosis be established by clinical plus laboratory findings.

Medical evidence that strengthens this claim

Medical records should show clinical findings that support ALS, along with laboratory testing results used to establish the diagnosis. Because the listing has no lettered subsections, the diagnosis itself is the key, so the file should clearly document both sides of the 'clinical and laboratory findings' requirement (not one without the other). Medical sources that typically fit this kind of record are clinicians and lab reports that document the diagnostic process and test results used to reach the ALS diagnosis.

What happens if your records do not meet this listing

Steps 4 and 5 still matter if 11.10 is not met. In general, a claim can proceed based on residual functional capacity (RFC), meaning what can still be done despite the neurological limitations from the ALS process. If limitations are not at a listing level, SSA then uses the remaining ability to work to decide disability.

Work activity and the SGA gate for this condition

At the start of an SSDI claim, SSA looks at work activity and whether it is at the level that would count as substantial gainful activity. ALS can produce neurological limitations that may make sustained work difficult, but eligibility depends on the medical evidence and the assessed functional impact, not only the diagnosis label. If approved, trial work periods and then extended periods of eligibility can apply after the disability determination.

Listing 11.10 FAQ

Questions that come up repeatedly for amyotrophic lateral sclerosis (als) established by clinical and laboratory findings disability claims.