Listing 5.05 · Digestive disorders

Chronic liver disease

To be approved under this listing, a claim must meet any one of the criteria below — and the medical records have to prove it.

  1. A

    Hemorrhaging from esophageal, gastric, or ectopic varices requiring hospitalization for transfusion ≥3 times within 12 months.

    In plain terms: Have you had repeated hospitalizations for variceal bleeding requiring transfusion?

    Evidence required:Hospitalization record
  2. B

    Ascites or hydrothorax not attributable to other causes, present despite treatment.

    In plain terms: Do you have ongoing ascites (fluid in the abdomen) or hydrothorax despite treatment?

    Evidence required:Treating physician report
  3. C

    Spontaneous bacterial peritonitis OR hepatic encephalopathy with documented neurological signs.

    In plain terms: Have you had episodes of hepatic encephalopathy — confusion, disorientation, or coma — from your liver disease?

    Evidence required:Hospitalization recordTreating physician report
  4. D

    End-stage liver disease (MELD ≥22).

    In plain terms: What's your most recent MELD score from your liver doctor?

    Evidence required:Lab panelTreating physician report
Read the official SSA text for Listing 5.05

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Source: SSA Listing of Impairments (Blue Book), 20 CFR Part 404, Subpart P, Appendix 1 · Updated 2026-06-18. Criteria paraphrased for readability; see the official SSA text linked above. Not legal or medical advice — whether a specific medical record meets Listing 5.05 is an individualized judgment SSA makes on the evidence.