SUZANNE H. SEGAL, Magistrate Judge.
John E. Martinez ("Plaintiff") seeks review of the final decision of the Commissioner of the Social Security Administration (the "Commissioner" or the "Agency") denying his application for social security benefits. The parties consented, pursuant to 28 U.S.C. § 636(c), to the jurisdiction of the undersigned United States Magistrate Judge. (Dkt. Nos. 12-13). For the reasons stated below, the decision of the Commissioner is REVERSED and this case is REMANDED for further administrative proceedings consistent with this decision.
To qualify for disability benefits, a claimant must demonstrate a medically determinable physical or mental impairment that prevents him from engaging in substantial gainful activity and that is expected to result in death or to last for a continuous period of at least twelve months.
To decide if a claimant is entitled to benefits, an ALJ conducts a five-step inquiry. 20 C.F.R. §§ 404.1520, 416.920. The steps are:
The claimant has the burden of proof at steps one through four, and the Commissioner has the burden of proof at step five.
The ALJ employed the five-step sequential evaluation process in evaluating Plaintiff's case. At step one, the ALJ found that Plaintiff met the insured status requirements of the Act through December 31, 2012, and had not engaged in substantial gainful activity since January 17, 2012, his alleged onset date. (Certified Administrative Record ("AR") 18). At step two, the ALJ found that Plaintiff had the following severe impairments: bilateral hip degenerative disease; lumbar degenerative disc disease; distal polyneuropathy; inferior surface tear of the posterior horn of the medical meniscus of the right knee in January 2012. (AR 18).
At step three, the ALJ found that Plaintiff did not have an impairment or combination of impairments that met or medically equaled one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (AR 19).
At step four, the ALJ determined that Plaintiff had the RFC to perform a light work as defined in 20 CFR 404.1567(b) and 416.967(b) except he can perform occasional postural activities; no ladders, ropes or scaffolds; and he would require the use of a cane for ambulation. (AR 19).
The ALJ determined that Plaintiff could perform his past relevant work as an auto body shop owner/manager (DOT 807.137-019) as normally performed, but not as actually performed. (AR 21-22). Accordingly, the ALJ concluded that Plaintiff was not disabled under the Agency's rules. (AR 22).
Under 42 U.S.C. § 405(g), a district court may review the Commissioner's decision to deny benefits. The court may set aside the Commissioner's decision when the ALJ's findings are based on legal error or are not supported by "substantial evidence" in the record as a whole.
"Substantial evidence is more than a scintilla, but less than a preponderance."
Plaintiff contends that the ALJ erred at step two by finding that his diabetes mellitus was a non-severe impairment. (Plaintiff's Memorandum In Support of Complaint (Pl. MSO) at 6). The Court agrees.
By its own terms, the evaluation at step two is a de minimis test intended to weed out the most minor of impairments.
The ALJ stated that Plaintiff's "medically determinable impairment of diabetes mellitus causes only a slight abnormality that would have no more than a minimal effect on his ability to work." (AR 19). To reach this non-severity finding, the ALJ overlooked medical evidence regarding the effects of Plaintiff's diabetes.
As a threshold matter, Plaintiff's diabetes is well established by the record. Lab results from 2011 through late 2013 document hemoglobin levels "consistent with diabetes." (AR 299, 304, 521, 535, 540, 547). Plaintiff testified that he takes insulin and oral medication for his diabetes. (AR 48). He stated that he started taking insulin in 2011. (AR 48-49).
Moreover, the medical record indicates that Plaintiff's diabetes has significant effects on his health. On August 10, 2012, Plaintiff's internist, Dr. Damayanthi Seneviratne, noted his diagnoses as "diabetes mellitus" and "diabetic neuropathy" on Plaintiff's disability insurance benefits form. (AR 516). On December 5, 2012, Dr. Seneviratne again noted the same. (AR 522). Medical records dated October 10, 2013 and March 27, 2014 list Plaintiff's diagnoses as diabetic nephropathy and non-insulin-dependent diabetes mellitus (NIDDM) peripheral neuropathy, among others. (AR 542, 553).
Diabetic nephropathy constitutes "damage to . . . kidneys caused by diabetes. In severe cases, it can lead to kidney failure."
Because a step-two evaluation is to dispose of "groundless claims," and the evidence here established that Plaintiff suffered from a significant form of diabetes, the ALJ erred by finding Plaintiff's diabetes to be "non-severe." See
For the foregoing reasons, the matter is remanded for further proceedings. On remand, the ALJ must evaluate Plaintiff's diabetes as a severe impairment at step-two and include limitations imposed by Plaintiff's diabetes in the ALJ's overall evaluation of Plaintiff. The ALJ must consider the impact of Plaintiff's diabetes on his RFC.
At step four, the ALJ determined that Plaintiff could perform his past relevant work as an auto body shop owner/manager as normally performed, but not as actually performed. (AR 21-22). Plaintiff contends that the ALJ's conclusion at step four is not supported by substantial evidence. (P. MSO at 3). Plaintiff also argues that the numerous activities required in his past work are inconsistent with his need to utilize a cane when ambulating. (
At the administrative hearing, the VE testified that Plaintiff previously worked as a manager of an auto body shop, DOT 807.137-010. (AR 42). The VE testified that the position is skilled, SVP 7, light per the DOT but "performed at medium." (
At the fourth step of the sequential evaluation, the claimant bears the burden of demonstrating that he can no longer perform his past relevant work "either as actually performed or as generally performed in the national economy."
The ALJ determined that Plaintiff could not perform his past work as it was actually performed. (AR 21). However, this Court finds that Plaintiff is also incapable of doing his past work as it is generally performed, as according to the VE's testimony. Therefore, it was error for the ALJ to conclude that Plaintiff can perform his past relevant work, even considering the limitations provided in the RFC.
The DOT listing provided by the VE states that an individual in this position "supervises and coordinates activities of workers engaged in repairing and painting damaged bodies and body parts of automotive vehicles." (Plaintiff's Exhibit ("Pl. Ex") A at 1). The "Master Description" of this position also states that an individual in this position "[m]ay set up machines and equipment." (
For the foregoing reasons, the matter is remanded for further proceedings. This Court finds that Plaintiff cannot do his past relevant work, even with the current RFC. Therefore, on remand, the ALJ must seek testimony from a VE to determine what work is available to Plaintiff, given his RFC, as possibly modified by the ALJ's findings once he considers Plaintiff's diabetes as a severe impairment.
Accordingly, IT IS ORDERED that Judgment be entered REVERSING the decision of the Commissioner and REMANDING this matter for further proceedings consistent with this decision. IT IS FURTHER ORDERED that the Clerk of the Court serve copies of this Order and the Judgment on counsel for both parties.