Rule2025-17560

Extension of Expiration Dates for 13 Body System Listings

Primary source

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Published
September 11, 2025
Effective
September 11, 2025

Issuing agencies

Social Security Administration

Abstract

We are extending the expiration dates of the following body systems in the Listing of Impairments (listings) in our regulations: Low Birth Weight and Failure to Thrive, Musculoskeletal Disorders, Special Senses and Speech, Respiratory Disorders, Cardiovascular System, Genitourinary Disorders, Hematological Disorders, Endocrine Disorders, Congenital Disorders That Affect Multiple Body Systems, Neurological Disorders, Mental Disorders, Cancer (Malignant Neoplastic Diseases), and Immune System Disorders. We are making no other revisions to these body systems in this final rule. This extension ensures that we will continue to have the criteria we need to evaluate impairments in the affected body systems at step three of the sequential evaluation processes for initial claims and continuing disability reviews.

Full Text

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<title>Federal Register, Volume 90 Issue 174 (Thursday, September 11, 2025)</title>
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[Federal Register Volume 90, Number 174 (Thursday, September 11, 2025)]
[Rules and Regulations]
[Pages 43911-43912]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-17560]



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SOCIAL SECURITY ADMINISTRATION

20 CFR Part 404

[Docket No. SSA-2025-0033]
RIN 0960-AI95


Extension of Expiration Dates for 13 Body System Listings

AGENCY: Social Security Administration.

ACTION: Final rule.

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SUMMARY: We are extending the expiration dates of the following body 
systems in the Listing of Impairments (listings) in our regulations: 
Low Birth Weight and Failure to Thrive, Musculoskeletal Disorders, 
Special Senses and Speech, Respiratory Disorders, Cardiovascular 
System, Genitourinary Disorders, Hematological Disorders, Endocrine 
Disorders, Congenital Disorders That Affect Multiple Body Systems, 
Neurological Disorders, Mental Disorders, Cancer (Malignant Neoplastic 
Diseases), and Immune System Disorders. We are making no other 
revisions to these body systems in this final rule. This extension 
ensures that we will continue to have the criteria we need to evaluate 
impairments in the affected body systems at step three of the 
sequential evaluation processes for initial claims and continuing 
disability reviews.

DATES: This final rule is effective on September 11, 2025.

FOR FURTHER INFORMATION CONTACT: Michael J. Goldstein, Director, Office 
of Medical Policy, Social Security Administration, 6401 Security 
Boulevard, Baltimore, MD 21235-6401, (410) 965-1020.
    For information on eligibility or filing for benefits, call our 
national toll-free number, 1-800-772-1213, or TTY 1-800-325-0778, or 
visit our internet site, Social Security Online, at <a href="https://www.socialsecurity.gov">https://www.socialsecurity.gov</a>.

SUPPLEMENTARY INFORMATION:

Background

    We use the listings in appendix 1 to subpart P of part 404 of 20 
CFR at the third step of the sequential evaluation process to evaluate 
claims filed by adults and children for benefits based on disability 
under the title II and title XVI programs.\1\ 20 CFR 404.1520(d), 
416.920(d), 416.924(d). The listings are in two parts: Part A has 
listings criteria for adults and Part B has listings criteria for 
children. If you are age 18 or over, we apply the listings criteria in 
Part A when we assess your impairment or combination of impairments. If 
you are under age 18, we first use the criteria in Part B of the 
listings when we assess your impairment(s). If the criteria in Part B 
do not apply, we may use the criteria in Part A when those criteria 
consider the effects of your impairment(s). 20 CFR 404.1525(b), 
416.925(b).
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    \1\ We also use the listings in the sequential evaluation 
processes we use to determine whether a beneficiary's disability 
continues. See 20 CFR 404.1594, 416.994, and 416.994a.
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Explanation of Changes

    In this final rule, we are extending the dates on which the 
listings for the following 13 body systems will no longer be effective 
as set out in the following chart:

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          Body system listings              Current expiration date               New expiration date
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Low Birth Weight and Failure to Thrive    August 14, 2026............  August 15, 2031.
 100.00.
Musculoskeletal Disorders 1.00 and        April 2, 2026..............  April 4, 2031.
 101.00.
Special Senses and Speech 2.00 and        June 5, 2026...............  June 6, 2031.
 102.00.
Respiratory Disorders 3.00 and 103.00...  December 12, 2025..........  December 13, 2030.
Cardiovascular System 4.00 and 104.00...  February 6, 2026...........  February 7, 2031.
Genitourinary Disorders 6.00 and 106.00.  December 12, 2025..........  December 13, 2030.
Hematological Disorders 7.00 and 107.00.  June 5, 2026...............  June 6, 2031.
Endocrine Disorders 9.00 and 109.00.....  August 14, 2026............  August 15, 2031.
Congenital Disorders That Affect          June 5, 2026...............  June 6, 2031.
 Multiple Body Systems 10.00 and 110.00.
Neurological Disorders 11.00 and 111.00.  September 29, 2025.........  September 27, 2030.
Mental Disorders 12.00 and 112.00.......  December 12, 2025..........  December 13, 2030.
Cancer (Malignant Neoplastic Diseases)    August 14, 2026............  August 15, 2031.
 13.00 and 113.00.
Immune System Disorders 14.00 and 114.00  February 6, 2026...........  February 7, 2031.
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    We continue to revise and update the listings on a regular basis, 
including those body systems not affected by this final rule.\2\ We 
intend to update the 13 listings affected by this final rule as 
necessary based on medical advances as quickly as possible, but may not 
be able to publish final rules revising these listings by the current 
expiration date. Therefore, we are extending the expiration dates 
listed above.
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    \2\ We established the current expiration date of the 
Musculoskeletal Disorders body system on Dec. 3, 2020. 85 FR 78164. 
We last extended the expiration date of the Neurological Disorders 
body system on Aug. 2, 2021. 86 FR 41382. We last extended the 
expiration dates of the body systems for Respiratory Disorders, 
Genitourinary Disorders, and Mental Disorders on Nov. 17, 2021. 86 
FR 64068. We last extended the expiration dates of the body systems 
for the Cardiovascular System and Immune System Disorders on Dec. 
13, 2021. 86 FR 70728. We last extended the expiration dates of the 
body systems for Low Birth Weight and Failure to Thrive, Endocrine 
Disorders, and Cancer (Malignant Neoplastic Diseases) on July 18, 
2022. 87 FR 42642. We last extended the expiration dates of the body 
systems for Special Senses and Speech, Hematological Disorders, and 
Congenital Disorders That Affect Multiple Body Systems on May 4, 
2022. 87 FR 26268.
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Regulatory Procedures

Justification for Final Rule

    We follow the Administrative Procedure Act (APA) rulemaking 
procedures specified in 5 U.S.C. 553 in promulgating regulations. 
Section 702(a)(5) of the Social Security Act, 42 U.S.C. 902(a)(5). 
Generally, the APA requires that an agency provide prior notice and 
opportunity for public comment before issuing a final regulation. The 
APA provides exceptions to the notice-and-comment requirements when an 
agency finds there is good cause for dispensing with such procedures 
because they are impracticable, unnecessary, or contrary to the public 
interest.
    We determined that good cause exists for dispensing with the notice 
and public comment procedures. 5 U.S.C. 553(b)(B). This final rule only 
extends the date on which the 13 body system listings will no longer be 
effective. It makes no substantive changes to our rules. Our current 
regulations \3\ provide that we may extend, revise, or promulgate the 
body system listings again. Therefore, we determined that opportunity 
for prior comment is

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unnecessary, and we are issuing this regulation as a final rule.
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    \3\ See the first sentence of appendix 1 to subpart P of part 
404 of 20 CFR.
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    In addition, for the reasons cited above, we find good cause for 
dispensing with the 30-day delay in the effective date of this final 
rule. 5 U.S.C. 553(d)(3). We are not making any substantive changes to 
the listings in these body systems. Without an extension of the 
expiration date for these listings, we will not have the criteria we 
need to assess medical impairments in these 13 body systems at step 
three of the sequential evaluation processes. We therefore find it is 
in the public interest to make this final rule effective on the 
publication date.

Executive Order 12866, as Supplemented by Executive Order 13563

    We consulted with the Office of Management and Budget (OMB) and 
determined that this final rule does not meet the requirements for a 
significant regulatory action under Executive Order 12866, as 
supplemented by Executive Order 13563. Therefore, OMB did not review 
it. We also determined that this final rule meets the plain language 
requirement of Executive Order 12866.

Regulatory Flexibility Act

    We certify that this final rule does not have a significant 
economic impact on a substantial number of small entities because it 
affects only individuals. Therefore, a regulatory flexibility analysis 
is not required under the Regulatory Flexibility Act, as amended.

Paperwork Reduction Act

    This final rule only extends the date for the medical listings 
cited above, but does not create any new or affect any existing 
collections, or otherwise change any content of the currently published 
rules. Accordingly, it does not impose any burdens under the Paperwork 
Reduction Act and does not require OMB approval.

(Federal Assistance Listing Nos. 96.001, Social Security--Disability 
Insurance; 96.002, Social Security--Retirement Insurance; 96.004, 
Social Security--Survivors Insurance; 96.006, Supplemental Security 
Income)

List of Subjects in 20 CFR Part 404

    Administrative practice and procedure, Blind, Disability benefits, 
Old-age, Survivors and disability insurance, Reporting and 
recordkeeping requirements, Social Security.

    For the reasons set out in the preamble, we are amending appendix 1 
to subpart P of part 404 of chapter III of title 20 of the Code of 
Federal Regulations as set forth below.

PART 404--FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE 
(1950-)

Subpart P--Determining Disability and Blindness

0
1. The authority citation for subpart P of part 404 continues to read 
as follows:

    Authority:  42 U.S.C. 402, 405(a)-(b) and (d)-(h), 416(i), 
421(a) and (h)-(j), 422(c), 423, 425, 902(a)(5), and 1320e-3; sec. 
211(b), Pub. L. 104-193, 110 Stat. 2105, 2189; sec. 202, Pub. L. 
108-203, 118 Stat. 509 (42 U.S.C. 902 note).


0
2. Amend appendix 1 to subpart P of part 404 in the introductory text 
by revising items 1 through 5, 7 and 8, and 10 through 15 to read as 
follows:

Appendix 1 to Subpart P of Part 404--Listing of Impairments

* * * * *
    1. Low Birth Weight and Failure to Thrive (100.00): August 15, 
2031.
    2. Musculoskeletal Disorders (1.00 and 101.00): April 4, 2031.
    3. Special Senses and Speech (2.00 and 102.00): June 6, 2031.
    4. Respiratory Disorders (3.00 and 103.00): December 13, 2030.
    5. Cardiovascular System (4.00 and 104.00): February 7, 2031.
* * * * *
    7. Genitourinary Disorders (6.00 and 106.00): December 13, 2030.
    8. Hematological Disorders (7.00 and 107.00): June 6, 2031.
* * * * *
    10. Endocrine Disorders (9.00 and 109.00): August 15, 2031.
    11. Congenital Disorders That Affect Multiple Body Systems 
(10.00 and 110.00): June 6, 2031.
    12. Neurological Disorders (11.00 and 111.00): September 27, 
2030.
    13. Mental Disorders (12.00 and 112.00): December 13, 2030.
    14. Cancer (Malignant Neoplastic Diseases) (13.00 and 113.00): 
August 15, 2031.
    15. Immune System Disorders (14.00 and 114.00): February 7, 
2031.
* * * * *

Frank J. Bisignano,
Commissioner, Social Security Administration.
[FR Doc. 2025-17560 Filed 9-10-25; 8:45 am]
BILLING CODE 4191-02-P


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Indexed from Federal Register on September 11, 2025.

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