Genitourinary Disorders
Conditions affecting the kidneys and urinary system
What it covers
Primarily Chronic Kidney Disease (CKD) from various causes (like glomerulonephritis, diabetic nephropathy). Also covers nephrotic syndrome and complications requiring hospitalization.
What SSA looks for
Medical evidence over ~90 days showing kidney function (like eGFR levels from blood tests). CKD: Requires very low kidney function, needing dialysis, or having serious complications (like bone disease, nerve damage, fluid overload, severe weight loss). Dialysis/Transplant: Being on chronic dialysis or having a kidney transplant automatically qualifies (transplant for 1 year). Nephrotic Syndrome: Requires specific lab results (protein in urine, low albumin in blood) plus persistent swelling. Hospitalizations: 3+ hospital stays within a year due to CKD complications can also qualify.
