Avenetti v. Social Security Administration

CourtCourt of Appeals for the Ninth Circuit
DecidedAugust 7, 2006
Docket04-15813
StatusPublished

This text of Avenetti v. Social Security Administration (Avenetti v. Social Security Administration) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Avenetti v. Social Security Administration, (9th Cir. 2006).

Opinion

FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

WILLIAM D. AVENETTI,  Plaintiff-Appellant, No. 04-15813 v. JOANNE B. BARNHART,  D.C. No. CV-02-01436-MS Commissioner of the Social OPINION Security Administration, Defendant-Appellee.  Appeal from the United States District Court for the District of Arizona Morton Sitver, Magistrate Judge, Presiding

Argued and Submitted February 17, 2006—San Francisco, California

Filed August 8, 2006

Before: J. Clifford Wallace, Michael Daly Hawkins, and Sidney R. Thomas, Circuit Judges.

Opinion by Judge Wallace

9101 AVENETTI v. BARNHART 9103

COUNSEL

Mark Caldwell, Caldwell & Ober, P.L.L.C., Phoenix, Ari- zona, for plaintiff-appellant William D. Avenetti.

Donna M. Montano, Assistant Regional Counsel, San Fran- cisco, California, for the defendant-appellee.

OPINION

WALLACE, Senior Circuit Judge:

Avenetti appeals from the summary judgment entered in favor of the Commissioner of the Social Security Administra- tion (Commissioner). He challenges the district court’s inter- pretation of the then-applicable Medical Listing 1.13, 20 C.F.R. Part 404, Subpt. P, App. 1 § 1.13 (1999) (Listing 1.13). We have jurisdiction pursuant to 28 U.S.C. § 1291, and we affirm.1

I.

Avenetti served in the United States Navy and later worked as a laborer until August 21, 1995, when he was involved in

1 Avenetti’s other arguments are addressed by the accompanying memo- randum disposition. 9104 AVENETTI v. BARNHART a serious automobile accident. Among other injuries, Avenetti suffered third-degree burns over approximately 37% of his body.

Avenetti was hospitalized for two months during which he underwent several surgical operations, including multiple skin grafts. He was then transferred to a rehabilitation unit for one month.

After discharge, Avenetti was under the care of a specialist in physical medicine and rehabilitation. Avenetti required two additional inpatient reconstructive procedures and later under- went two additional procedures on an outpatient basis.

On August 8, 1996, the Social Security Administration (SSA) concluded that Avenetti was disabled and made its finding retroactive to the date of the accident. The SSA con- cluded that his condition met Listing 1.13.

On October 14, 1997, the SSA reviewed Avenetti’s status pursuant to 20 C.F.R. § 404.1594, and concluded that he had recovered sufficiently such that he was no longer disabled. The SSA notified Avenetti of its conclusion on November 1, 1998, and stated that his benefits would expire on January 1, 1999.

Avenetti filed a request for reconsideration and, after a hearing, a disability hearing officer found that Avenetti was not disabled. At Avenetti’s request, an additional hearing was conducted before an Administrative Law Judge (ALJ) on August 4, 1999, resulting in a determination that Avenetti was not disabled as of January 1, 1999.

After an unsuccessful appeal to the Appeals Council, Ave- netti filed an action in the district court. The district court entered summary judgment in favor of the Commissioner, and Avenetti filed a timely appeal. AVENETTI v. BARNHART 9105 II.

[1] The central issue in this appeal is the proper interpreta- tion of the then-applicable Listing 1.13, which read:

Soft tissue injuries of an upper or lower extremity requiring a series of staged surgical procedures within 12 months after onset for salvage and/or res- toration of major function of the extremity, and such major function was not restored or expected to be restored within 12 months after onset.

20 C.F.R. Pt. 404, Subpt. P, App. 1, § 1.13.

The district court adopted the interpretation of three cir- cuits, see Knepp v. Apfel, 204 F.3d 78, 86 (3d Cir. 2000); Lapinsky v. Secretary of Health & Human Services, 857 F.2d 1071, 1073 (6th Cir. 1988); Waite v. Bowen, 819 F.2d 1356, 1359 (7th Cir. 1987), and held that this provision requires dis- ability that is caused by the restorative surgical procedures. Avenetti challenges this interpretation and urges us to adopt an analysis similar to that of the Eighth Circuit, which has no such requirement. See Senne v. Apfel, 198 F.3d 1065, 1067-68 (8th Cir. 1999).

We review a district court’s judgment upholding the Com- missioner’s denial of benefits de novo. See Moisa v. Barnhart, 367 F.3d 882, 885 (9th Cir. 2004). Our review of the ALJ’s interpretation is a more complicated issue. We have previ- ously accorded deference to SSA interpretations, titled Social Security Rulings (SSRs). See, e.g., Holohan v. Massanari, 246 F.3d 1195, 1203 (9th Cir. 2001); Bunnell v. Sullivan, 947 F.2d 341, 346 n.3 (9th Cir. 1991) (en banc). SSRs reflect the official interpretation of the SSA and are entitled to “ ‘some deference’ as long as they are consistent with the Social Security Act and regulations.” Ukolov v. Barnhart, 420 F.3d 1002, 1005 n.2 (9th Cir. 2005) (citation omitted). 9106 AVENETTI v. BARNHART We have not specifically addressed whether deference applies to an ALJ’s interpretation of a disability listing. The Commissioner, however, has not argued that any deference applies to the ALJ’s interpretation. Therefore, this potential argument is waived. See Smith v. Marsh, 194 F.3d 1045, 1052 (9th Cir. 1999) (“on appeal, arguments not raised by a party in its opening brief are deemed waived”). We therefore review the interpretation of Listing 1.13 de novo, as it is a question of law.

III.

[2] The Third, Sixth and Seventh Circuits have adopted the same interpretation of Listing 1.13, and each did so without according any deference to the SSA’s or ALJ’s legal interpre- tation. See Knepp, 204 F.3d at 86-87; Lapinsky, 857 F.2d at 1073; Waite, 819 F.2d at 1359. The Seventh Circuit was first to interpret the provision and held that the listing is “directed at the loss of the use of one extremity, not in itself disabling . . . , where restoration of function will require repeated staged surgical procedures . . . , thus making an individual who would otherwise be capable of substantial gainful employ- ment unavailable for work because of these repeated surgical procedures.” Waite, 819 F.2d at 1359 (emphasis added). The court reasoned that “the purpose of listing 1.13 is to allow a period of recovery for surgical restoration of an impaired limb, the functional loss of which is implicitly regarded as not disabling.” Id. at 1360.

[3] The Sixth Circuit adopted the same analysis shortly thereafter.

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