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Social Security disability for genetic photosensitivity: Blue Book listing 108.07

Listing 108.07 is the SSA Blue Book criteria SSA uses for genetic photosensitivity childhood 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

108.07

Children (Part B)

Body system

108.00

Skin disorders (children)

Subsections

2

Lettered criteria paths

Step in evaluation

3 of 5

Listing match approves the claim

SSA listing text and criteria

Genetic photosensitivity disorders, established as described in 108.00E . The requirements of this listing are met if either paragraph A or paragraph B is satisfied.

Subsection A

Xeroderma pigmentosum (see 108.00E1 ). OR

Subsection B

Other genetic photosensitivity disorders (see 108.00E2 ) with either 1 or 2: 1. Chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ) that cause an inability to function outside of a highly protective environment (see 108.00E4 ); or 2. Chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ) causing chronic pain or other physical limitation(s) that result in impairment-related functional limitations (see 108.00D2 ), as evidenced by: a. Inability to use both upper extremities to the extent that neither can be used to independently initiate, sustain, and complete age-appropriate activities involving fine and gross movements (see 108.00B5 ) due to chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ); or b. Inability to use one upper extremity to independently initiate, sustain, and complete age-appropriate activities involving fine and gross movements (see 108.00B5 ) due to chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ), and a documented medical need (see 108.00B4 ) for an assistive device (see 108.00B1 ) that requires the use of the other upper extremity; or c. Inability to stand up from a seated position and maintain an upright position to the extent needed to independently initiate, sustain, and complete age-appropriate activities due to chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ) affecting at least two extremities (including when the limitations are due to involvement of the perineum or the inguinal region); or d. Inability to maintain an upright position while standing or walking to the extent needed to independently initiate, sustain, and complete age-appropriate activities due to chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ) affecting both lower extremities (including when the limitations are due to involvement of the perineum or the inguinal region).

  • Chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ) that cause an inability to function outside of a highly protective environment (see 108.00E4 ); or
  • Chronic skin lesions (see 108.00B2 ) or contractures (see 108.00B3 ) causing chronic pain or other physical limitation(s) that result in impairment-related functional limitations (see 108.00D2 ), as evidenced by:

Source: SSA Blue Book listing 108.07. Last synced 2026-05-04.

Where claims under 108.07 usually fail

A frequent failure mode is relying on the disorder name without showing chronic skin lesions or contractures that drive the listed functional problems. Another pitfall is mixing up the two routes under 108.07B: either inability to function outside a highly protective environment (108.07B1) or functional limitations tied to chronic pain or other physical limitations (108.07B2 with its a through d evidence). Many claims also miss because the functional limit must match the listing's specific activity pattern, like inability to use one or both upper extremities for fine and gross movements (108.07B2a and B2b), or inability to stand up and maintain an upright position (108.07B2c) or to maintain upright posture while standing or walking with both lower extremities involved (108.07B2d). For the one-upper-extremity scenario (108.07B2b), another common pitfall is not documenting the medical need for an assistive device that requires the other upper extremity.

Medical evidence that strengthens this claim

Strong documentation ties the child's genetic photosensitivity disorder to chronic skin lesions or contractures, and then connects those findings to the listed functional limitations. Evidence commonly needs to show chronic skin lesions and/or contractures affecting relevant areas, including possible involvement of palms/soles or the perineum or inguinal region (108.00B2 and 108.00B3, and also referenced within 108.07B2c and B2d). For 108.07B2, documentation should also reflect chronic pain or other physical limitations that result in impairment-related functional limitations (108.07B2). For 108.07B2a and B2b, the medical record needs to support the inability to use one or both upper extremities for age-appropriate fine and gross movements (108.00B5 referenced in 108.07B2a and B2b). For 108.07B2b specifically, documentation should include a documented medical need for an assistive device (108.00B4 and 108.00B1) that requires use of the other upper extremity.

What happens if your records do not meet this listing

SSA uses a step process. If 108.07 is not met, SSA looks at whether the child still has impairment-related limits that do not match the listing's specific functional criteria. Then SSA considers the child's residual functional capacity (RFC) and how those limitations affect day-to-day functioning. Even if a listing is missed, many children can still be found disabled if the overall functional picture is comparable to disabling limitations.

Work activity and the SGA gate for this condition

For a child claim under Part B, SSA first looks at whether the child's impairment(s) cause limitations that meet or medically equal the specific criteria in 108.07. This listing requires established genetic photosensitivity disorders and then either xeroderma pigmentosum (108.07A) or severe functional limits tied to chronic skin lesions or contractures (108.07B1 or 108.07B2). The kinds of limits described include inability to function outside a highly protective environment (108.07B1) or inability to perform age-appropriate activities involving fine and gross movements with one or both upper extremities, or difficulty standing/upright positioning, including when limitations involve the perineum or inguinal region (108.07B2a through B2d).

Listing 108.07 FAQ

Questions that come up repeatedly for genetic photosensitivity disorders, established disability claims.