Peripheral artery disease (PAD)—also known as peripheral vascular disease—is a circulatory system disorder that occurs when a fatty substance called plaque builds up in your arteries, restricting blood flow from your heart to your limbs. Symptoms of PAD can affect your ability to use your legs without pain or fatigue, which may contribute to functional limitations that keep you from regular employment.
You may qualify for Social Security disability benefits if limitations from your peripheral artery disease prevent you from working full-time for at least twelve months. (Veterans may be able to get a disability rating from the VA if they have service-connected PAD). Before you apply for benefits, it’s important to learn what medical evidence you’ll need to establish disability.
Not everybody with peripheral artery disease will experience disabling symptoms. PAD can often be managed with exercise, diet, and medication. But for people with more severe cases, symptoms can significantly interfere with their activities of daily living and ability to work. Examples include:
When PAD gets worse, it can cause pain even during rest or while lying down. If left untreated, people with PAD are at increased risk of complications such as heart disease, stroke, or gangrene leading to amputation. These severe symptoms and complications are more likely to be considered disabling by Social Security.
In order to qualify for Social Security disability benefits (SSDI or SSI), you’ll need medical evidence that proves your PAD symptoms either meet a listed impairment or rule out all full-time jobs. “Listings” are medical conditions that can automatically qualify you for disability benefits without having to show that you can’t work, while getting disability by eliminating all jobs is called a “medical-vocational allowance.”
Listing 4.12 sets out the requirements for peripheral arterial disease. In order to meet this listing, you’ll need evidence that you’ve had imaging conducted—such as an ultrasound, CT scan, X-ray, or MRI— to determine that you have PAD causing intermittent claudication (pain and cramping in your legs after activity).
In addition to diagnostic imaging, you also need to show that your blood pressure is low. Because PAD blocks blood flow through your veins, if your blood pressure is below a certain limit, it signals to Social Security that your peripheral artery disease is severe enough to be automatically disabling. The following blood pressure test results will meet listing 4.12:
Because these requirements are very technical in nature, you might find it helpful to consult the glossary below to better understand how your PAD might meet the listing.
Specialized methods that help Social Security determine your blood pressure include:
If you’ve had a peripheral artery bypass graft—a surgery that reroutes blood flow to bypass the narrowed section of an artery—Social Security will use your post-surgery test results to determine if your surgery was effective in reducing your PAD symptoms. But if you didn’t improve after surgery, test results from before your surgery are helpful in determining how long you’ve been disabled (which can have an impact on the amount of back pay you’re owed).
Not very many people will have the blood pressure test results required to get disability benefits under listing 4.12. But you might still qualify for Social Security disability benefits if you can prove that your limitations make you unable to perform any job.
Social Security uses a residual functional capacity (RFC) form to determine how your ability to work is affected by your physical limitations. First, the agency will compare the demands of your previous jobs with the restrictions in your current RFC to determine whether you could do your past work today.
Next, depending on vocational factors—like being over the age of 50 and lacking transferable skills—you might be found disabled under Social Security’s medical-vocational grid rules. If you’re younger than 50, you’ll likely need to show that you can’t do even the easiest, least stressful jobs.
For example, pain from PAD can make it difficult for you to walk farther than several blocks or climb stairs, so your RFC might restrict you from jobs requiring constant walking or climbing. Even sit-down jobs might not be possible if you need to elevate your legs or take extra breaks to deal with sores or cramps. If you’re under the age of 50 with an RFC for less than sedentary work, the agency will find that you’re disabled. (You can find out more in our article on how Social Security decides if you can do past or other work.)
Disabled veterans may qualify for benefits from both the Social Security Administration and Veterans Affairs (VA) if they can show that their PAD is a result of, or was worsened by, their time on active duty. Unlike the Social Security rules—where you’re either disabled or not disabled, no middle ground—the VA has a disability rating system that assigns you a percentage value representing how much your service-connected condition decreases your health and functioning.
According to the Schedule for Rating Disabilities (38 C.F.R. 4 (2026)), peripheral artery disease is evaluated under diagnostic code 7114. Available disability ratings for PAD are 20%, 40%, 60%, or 100%, depending on the results of your ankle/brachial tests, toe pressure, or transcutaneous oxygen level numbers.
Social Security doesn't award benefits based on the type of medical condition you have. Rather, the amount you'll receive if you're approved depends on whether you're eligible for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). SSDI eligibility is based on your work history and how much you've contributed to the program in payroll taxes, while SSI is a needs-based benefit available to people with limited resources. You can learn more in our article on SSDI and SSI monthly check amounts.
VA benefits are calculated differently, using a combination of your disability rating and your living situation. You can visit the VA website listing the current disability compensation rates to see the tables used to determine specific benefit amounts.
Peripheral arterial disease can be a challenge to live with and expensive to treat. A study published by the National Institute of Health found that the estimated average annual health care costs associated with PAD is $11,553 per person (compared to $4,219 for people without PAD). Not being able to work while medical bills pile up often adds an extra layer of stress.
Consider hiring an experienced attorney or advocate to help you navigate the Social Security or VA disability benefits systems. Your lawyer can help gather the medical evidence needed to show that you meet a listing or establish service connection. Disability attorneys are hired on a contingency basis, meaning they only get paid if you’re awarded benefits—which can help you get through lean times. And most offer free consultations, so you can ask around to find a lawyer you like working with.