Medically Determinable Impairment
What is a "Medically Determinable
Impairment"?
A medically determinable physical
or mental impairment is an impairment that results from anatomical, physiological,
or psychological abnormalities which can be shown by medically acceptable clinical
and laboratory diagnostic techniques. A physical or mental impairment must be established
by medical evidence consisting of signs, symptoms, and laboratory findings-not only
by your statement of symptoms.
Treating Sources
A treating source is your own physician,
psychologist, or other acceptable medical source that has provided you with medical
treatment or evaluation and has or has had an ongoing treatment relationship with
you. The treating source is usually the best source of medical evidence about the
nature and severity of an impairment.
If an additional examination or testing
is needed, SSA usually considers a treating source to be the preferred source for
performing the examination or test for his or her own patient.
The treating source is neither asked
nor expected to make a decision whether the claimant is disabled. However, a treating
source will usually be asked to provide a statement about your ability, despite
your impairments, to do workârelated physical or mental activities.
In the absence of sufficient medical
evidence from your own medical sources, SSA, may request an additional examination(s).
These examinations, called CEs, are performed by physicians (medical or osteopathic
physicians), psychologists or, in certain circumstances, other health professionals.
All CE sources must be currently licensed in the State and have the training and
experience to perform the type of examination or test SSA requests.
Health professionals play a vital
role in the disability determination process and participate in the process in a
variety of ways:
- As treating
sources or other medical sources who provide medical evidence on behalf of their
patients;
- As CE sources
to perform, for a fee, examinations and/or tests that are needed;
- As full-time
or part-time medical or psychological consultants reviewing claims in a DDS, in
one of SSA's regional offices, or in SSA central office; or
-
As medical experts who testify at administrative law judge hearings.
