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West Virginia Income Maintenance Manual Chapter 13

West Virginia Income Maintenance Manual Page 54 Chapter 13 Determining Disability, Incapacity, and Blindness

• Hernia, if surgical repair is needed, as confirmed by physical examination. • Splenectomy due to traumatic injury. • Diverticulitis or polyps of the bowel requiring surgical intervention. • Cholecystectomy due to gall bladder disease. • Hysterectomy if needed in the treatment of fibrous tumors through removal of the uterus. • Appendectomy due to inflammation of the appendix. C.4 DISEASE OF THE ENDOCRINE SYSTEM This requires physical examination and laboratory tests. The following are examples of diseases of the endocrine system that would result in a presumptive medical approval: • Hyperthyroidism or goiter resulting in the need for surgery or radioactive iodine as a part of the treatment plan. • Brittle diabetes with poor control requiring a short-term incapacity period for stabilization of insulin. C.5 NEUROLOGICAL DISORDERS This must be confirmed by a neurologist or neurosurgeon with electroencephalogram (EEG), if indicated, and other appropriate tests. The following are examples of neurological disorders that would result in a presumptive medical approval: • Epileptic seizures that have not responded to medication and require a short period of time for medical control. • Cerebral concussion with residual effects lasting 30 days or longer. • Nerve injuries due to trauma and requiring neurosurgery. C.6 MENTAL ILLNESS Mental illness must always be diagnosed by a psychiatrist, and mental retardation must be established through psychological testing. The following are examples of mental illness that would result in a presumptive medical approval: