How to prove disability without a diagnosis in North Carolina?

By Hogan Smith

Updated 08/06/2025


Applying for Social Security Disability Insurance (SSDI) without a formal diagnosis can be challenging—but not impossible. In North Carolina, the Social Security Administration (SSA) requires strong medical evidence that proves your condition is severe and prevents you from working, even if no specific diagnosis has been made.

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Is It Possible to Get SSDI Without a Diagnosis?

Yes—but it's rare and difficult. The SSA typically relies on a medical diagnosis to assess the nature, severity, and expected duration of your condition. Without a diagnosis, you’ll need extensive documentation showing:


  • Consistent and ongoing symptoms
  • Functional limitations that prevent you from working
  • Medical evaluations ruling out other causes
  • Evidence that your condition has lasted or is expected to last at least 12 months


What Evidence Can Help Prove Disability Without a Diagnosis?

If you don’t have a definitive diagnosis, you’ll need to strengthen your case with other forms of medical and functional evidence, such as:


  • Detailed medical records showing symptoms and treatment attempts
  • Specialist reports noting observed limitations or abnormal test results
  • Residual Functional Capacity (RFC) assessments from your doctor
  • Lab results or imaging that show physical or neurological issues, even if no diagnosis is reached
  • Statements from healthcare providers explaining the disabling impact of your symptoms
  • Personal statements and reports from friends, family, or former employers describing how your condition limits your daily activities and job performance


How SSA Evaluates Cases Without a Diagnosis

SSA will consider:


  • How your condition limits your ability to perform basic work activities
  • Whether your medical history and functional limitations are well documented
  • If your symptoms are credible and consistent with medical evidence
  • Whether your condition is expected to last 12 months or result in death


You must still meet SSA’s five-step disability determination process, which focuses more on functional ability than the label of your condition.

How Hogan Smith Can Help

At Hogan Smith, we help North Carolina residents build strong SSDI claims—even in difficult cases where a formal diagnosis is missing. Our team can:


  • Collect and organize comprehensive medical evidence
  • Work with your doctors to complete critical RFC assessments
  • Advocate for you at every stage of the disability process
  • Prepare you for hearings and communicate directly with SSA

Contact Hogan Smith Today

If you’re struggling to get approved for SSDI without a diagnosis, don’t go through it alone. Contact Hogan Smith now for a free consultation. We’ll review your case and help you build the strongest claim possible.


Further Reading

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Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

A black and white icon of a newspaper on a white background.

Updated February 10, 2025

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