6.01 Category of Impairments, Genitourinary System

*Effective September 6, 2005*

6.02 Impairment of renal function, due to any chronic renal disease that has lasted or can be expected to last for a continuous period of at least 12 months. With:
A. Chronic hemodialysis or peritoneal dialysis (see 6.00E1).
or
B. Kidney transplantation. Consider under a disability for 12 months following surgery; thereafter, evaluate the residual impairment (see 6.00E2).
or
C. Persistent elevation of serum creatinine to 4 mg per deciliter
(dL) (100 ml) or greater or reduction of creatinine clearance to 20 ml per minute or less, over at least 3 months, with one of the following:
1. Renal osteodystrophy (see 6.00E3) manifested by severe bone pain and appropriate medically acceptable imaging demonstrating abnormalities such as osteitis fibrosa, significant osteoporosis, osteomalacia, or pathologic fractures;
or
2. Persistent motor or sensory neuropathy (see 6.00E4);
or
3. Persistent fluid overload syndrome with:
a. Diastolic hypertension greater than or equal to diastolic blood pressure of 110 mm Hg;
or
b. Persistent signs of vascular congestion despite prescribed therapy (see 6.00B5);
or
4. Persistent anorexia with recent weight loss and current weight meeting the values in 5.08, table III or IV.

6.06 Nephrotic syndrome, with anasarca, persisting for at least 3 months despite prescribed therapy (see 6.00E5). With:
A. Serum albumin of 3.0 g per dL (100 ml) or less and proteinuria of 3.5 g or greater per 24 hours.
or
B. Proteinuria of 10.0 g or greater per 24 hours.