Losing a limb is a life-altering event. Beyond the physical loss, amputations often affect mobility, independence, and the ability to work. Social Security recognizes this reality and has specific rules—known as Listing 1.20—that explain when an amputation qualifies for Social Security Disability benefits.
If you or a loved one has experienced an amputation, understanding this listing can help you determine whether you may be eligible for benefits.
Social Security Disability Listing 1.20 Explained
Listing 1.20 applies to amputations caused by any reason, including trauma, diabetes, vascular disease, cancer, or infection. To qualify, your medical records must document one of the scenarios below.
A. Amputation of Both Upper Extremities
You may meet Listing 1.20 if you have had:
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Both arms amputated at any level at or above the wrist, up to and including the shoulder joint.
Social Security recognizes that losing both upper extremities creates extreme limitations in performing work-related activities involving handling, reaching, lifting, and fine motor skills.
B. Hemipelvectomy or Hip Disarticulation
This listing is also met if you have undergone:
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A hemipelvectomy (removal of part of the pelvis), or
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Hip disarticulation (removal of the entire leg at the hip joint).
These are among the most severe forms of amputation and almost always result in profound mobility limitations.
C. One Upper Extremity and One Lower Extremity Amputation
You may qualify if you have:
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An amputation of one arm at or above the wrist, and
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An amputation of one leg at or above the ankle
In addition, your medical records must show at least one of the following:
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A medical need for:
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A walker
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Two canes or two crutches
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A wheelchair or seated mobility device that requires both hands
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OR
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A medical need for:
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A one-handed assistive device, or
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A wheeled mobility device that requires the use of one hand
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OR
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An inability to use the remaining upper extremity well enough to perform work-related activities involving fine and gross movements
This part of the listing focuses on how the combined limb loss affects both mobility and functional use of the arms.
D. Lower Extremity Amputation With Serious Complications
Listing 1.20 may also apply if you have:
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An amputation of one or both legs at or above the ankle, and
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Serious complications of the remaining limb(s) that have lasted, or are expected to last, at least 12 months
To meet this section, your medical records must document both of the following:
1. Inability to Use a Prosthesis
This may include complications such as:
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Chronic infection
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Skin breakdown
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Poor healing
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Severe pain or instability
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Other medical conditions that prevent effective prosthetic use
2. Medical Need for a Mobility Device
You must also have documentation showing a medical need for:
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A walker
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Two canes or two crutches
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A wheelchair or seated mobility device that requires both hands
Why Documentation Matters So Much
Even in cases involving amputations, Social Security will deny claims if:
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Assistive devices are used but not formally prescribed
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Doctors fail to explain functional limitations
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Prosthetic complications are not clearly documented
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Records don’t connect the medical condition to work limitations
The focus is not just on the amputation itself, but on how it limits your ability to function day to day and work consistently.
How a Disability Attorney Can Help
A Social Security Disability attorney can help ensure:
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Your medical records clearly match Listing 1.20
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Prosthetic issues and mobility limitations are fully documented
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Assistive device needs are properly supported
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Your claim is presented in a way Social Security understands
For many Illinois applicants, proper guidance can prevent unnecessary delays or denials.
Get Help With Your Social Security Disability Claim
If you or a loved one has suffered an amputation and can no longer work, you may qualify for Social Security Disability benefits—but only if your claim is properly documented.
If you have questions about your estate plan or a probate matter, contact the Law Office of Jonathan W. Cole P.C. at (708) 529-7794 — Your Neighborhood Law Firm.
