POMS Reference

DI 24510: Residual Functional Capacity (RFC)

A. Introduction

This section is for the identification of any deficiencies of evidence, the type of evidenceneeded, and any recommendations of the source(s) from which the evidence is to be obtained.

B. Operating Procedure

1. BOX 5 IS CHECKED

  1. When box 5 is checkedfor several items within a subsection, considerthe possibilitythat the record is inadequate to permit an RFC statement for that subsection.

  2. When this is the case, do not write a functional assessmentfor that subsection in section III. Instead, write a rationale in section II , explaining why the narrative assessment is missing for that subsection.

2. ADDITIONAL MEDICAL DEVELOPMENT

  1. Current evidence is insufficient.

    When the evidence in file is insufficientto permit the MC to make assessments of critical mental functional capacities, the MC will record the medical development to be undertakenin section II of the SSA-4734-F4-SUP.

    NOTE: In addition to permitting new judgments on items that were not initially ratable, the new evidence may cause the MC to reconsider judgments on other items.

  2. Additional evidence Obtained.

    • When additional medical evidence is obtained,a new SSA-4734-F4-SUP must be preparedto replace the preliminary SSA-4734-F4-SUP.

    • The new, signed SSA-4734-F4-SUPis to be filed on the leftside of the folder.

    • Clearly markthe preliminary SSA-4734-F4-SUP “PRELIMINARY ONLY” on the first page, then fileon the rightside of the folder.

    • Do not filepreliminary SSA-4734-F4-SUP's on the left side of the folder.