ConditionsSpecial Senses and SpeechDisturbance of Labyrinthine-Vestibular Function
Blue Book Listing 2.07

Disturbance of Labyrinthine-Vestibular Function

Inner-ear disorders causing vertigo, imbalance, or hearing loss (e.g. Ménière's disease).

What you have to prove

Show: (1) a history of frequent attacks of balance disturbance, tinnitus, and progressive loss of hearing; (2) disturbed function of vestibular labyrinth demonstrated by caloric or other vestibular tests; AND (3) hearing loss established by audiometry.

Medical evidence SSA expects

ENT evaluation, audiogram, caloric/electronystagmography (ENG), rotary chair testing, and documentation of attack frequency.

Common misconceptions

Occasional benign positional vertigo (BPPV) doesn't meet the listing — it requires a chronic condition with combined vestibular and auditory findings.

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.