ConditionsCardiovascular SystemChronic Venous Insufficiency
Blue Book Listing 4.11

Chronic Venous Insufficiency

Poor venous return in the legs causing swelling, pain, and ulcers.

What you have to prove

Show chronic venous insufficiency of a lower extremity with incompetency or obstruction of the deep venous system, AND (1) extensive brawny edema involving at least two-thirds of the leg between the ankle and knee or the distal one-third of the lower extremity between the ankle and hip, OR (2) superficial varicosities, stasis dermatitis, and either recurrent ulceration or persistent ulceration that has not healed following at least 3 months of prescribed treatment.

Medical evidence SSA expects

Venous Doppler ultrasound, wound care records, photographs of ulcers, compression therapy prescriptions, and vascular surgeon notes.

Common misconceptions

Minor varicose veins or mild swelling don't meet the listing. The ulceration or edema must be severe and chronic despite treatment.

Didn't meet the listing? You can still qualify via a Medical-Vocational Allowance — SSA's determination that your residual functional capacity, combined with your age, education, and work history, leaves no jobs you can do. See our appeals guide for what to do after an initial denial.