Blue Book Listing 1.20

Amputation

Loss of a limb, hand, or foot that prevents effective ambulation or manipulation.

What you have to prove

Qualifying amputations include: (1) both hands; (2) one hand and one lower extremity with inability to ambulate effectively; (3) hemipelvectomy or hip disarticulation; or (4) one lower extremity with documented inability to use a prosthesis to ambulate effectively.

Medical evidence SSA expects

Operative report, prosthetic fitting records, gait-analysis notes, and VA or military service records if applicable.

Common misconceptions

Amputation below the knee with a working prosthesis often does NOT meet the listing — SSA considers most unilateral below-knee amputees capable of sedentary work.

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.