Bird v. Commissioner of Social Security Administration , 699 F.3d 337 ( 2012 )


Menu:
  •                        PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    EARL MATTHEW BIRD,                     
    Plaintiff-Appellant,
    v.
       No. 11-1645
    COMMISSIONER OF SOCIAL SECURITY
    ADMINISTRATION,
    Defendant-Appellee.
    
    Appeal from the United States District Court
    for the District of South Carolina, at Columbia.
    Cameron McGowan Currie, District Judge.
    (3:09-cv-02689-CMC)
    Argued: September 18, 2012
    Decided: November 9, 2012
    Before KING, DUNCAN, and KEENAN, Circuit Judges.
    Vacated and remanded by published opinion. Judge Keenan
    wrote the opinion, in which Judge King and Judge Duncan
    joined.
    COUNSEL
    ARGUED: Timothy Clardy, THE DENNISON LAW FIRM,
    PC, Greenville, South Carolina, for Appellant. Thomas Henry
    Kraus, SOCIAL SECURITY ADMINISTRATION, Denver,
    2                 BIRD v. COMMISSIONER SSA
    Colorado, for Appellee. ON BRIEF: Carole M. Dennison,
    THE DENNISON LAW FIRM, PC, Greenville, South Caro-
    lina, for Appellant. William N. Nettles, United States Attor-
    ney, Marshall Prince, Assistant United States Attorney,
    OFFICE OF THE UNITED STATES ATTORNEY, Colum-
    bia, South Carolina; John Jay Lee, Regional Chief Counsel,
    SOCIAL SECURITY ADMINISTRATION, Denver, Colo-
    rado, for Appellee.
    OPINION
    BARBARA MILANO KEENAN, Circuit Judge:
    In this appeal, Earl M. Bird challenges the district court’s
    judgment upholding the decision of the Social Security
    Administration (SSA) denying his application for disability
    benefits. The SSA determined that although Bird suffered
    from Post Traumatic Stress Disorder (PTSD), this condition
    was not disabling before the last date of his insurance cover-
    age to qualify for an award of Social Security disability bene-
    fits. Bird, however, contends that he was disabled before this
    date. He primarily asserts that the Administrative Law Judge
    (ALJ) erred in failing to consider medical evidence created
    after the last date of his insurance coverage, and in failing to
    accord adequate weight to his disability determination made
    by the Department of Veterans Affairs (VA). Upon our
    review, we hold that the ALJ erred in both these respects and,
    therefore, we vacate the district court’s judgment upholding
    the SSA disability determination.
    I.
    Bird served in the United States Marine Corps from June
    1967 to June 1970. He allegedly suffers from PTSD as a
    result of his combat experiences in Vietnam. After his return
    from Vietnam, Bird was employed in various capacities,
    BIRD v. COMMISSIONER SSA                   3
    including as a landscaper, on a commercial fishing boat, and
    in construction work. Bird changed jobs somewhat frequently
    because he had experienced difficulty interacting with people.
    From 1995 until 2001, Bird and his wife owned and oper-
    ated a mobile home park in Florida. However, they sold the
    business in 2001 on the recommendation of the local sheriff,
    after Bird had engaged in repeated disagreements with tenants
    requiring intervention by law enforcement agents.
    Bird described himself as a person who was "combative,
    had a hard time dealing with stress, and had difficulty inter-
    acting with people." Bird alleged that his disabling PTSD
    began on January 1, 2001, the date he stopped working at the
    mobile home park, which was several years before March 31,
    2005, the last date he was insured for purposes of qualifying
    for Social Security benefits (DLI).
    Bird applied for veterans benefits through the VA on June
    9, 2006. The VA initially awarded him a 70 percent disability
    rating for his PTSD, which was revised on November 14,
    2007, to a 100 percent disability rating (the VA rating deci-
    sion). The VA rating decision was effective June 9, 2006, the
    date Bird applied for VA benefits.
    Bird does not have any medical records dating before his
    DLI. The first medical evidence in the record details his June
    2006 visit to a VA clinic, during which Bird reported that he
    had not obtained medical treatment for many years. The
    results of a screening test for depression administered at this
    first visit were negative.
    The VA rating decision summarized psychological exami-
    nations performed by the VA in September 2006 and in Sep-
    tember 2007. The report from the September 2006
    examination, conducted by a licensed clinical psychologist,
    documented Bird’s symptoms, including irritability, isolation,
    withdrawal from others, difficulty sleeping, frequent night-
    4                 BIRD v. COMMISSIONER SSA
    mares, extreme vigilance, an exaggerated "startle response,"
    suicidal ideation, and "flashbacks." Bird also related that he
    had not attended a movie or a sporting event since 1970, and
    had lost his mobile home business due to his aggression with
    tenants. The psychologist who conducted that examination
    diagnosed Bird as having PTSD, and concluded that Bird was
    "currently experiencing a severe level of impairment in his
    social and occupational functioning."
    The record from the September 2007 examination, which
    was conducted by the same licensed clinical psychologist,
    again reported Bird’s PTSD symptoms, including nightmares,
    isolation, withdrawal, and "difficulty feeling close to his wife
    and other members of his family." In this report, the examin-
    ing psychologist noted that Bird’s symptoms had persisted
    since his return from Vietnam. Other VA clinic notes from
    2007 indicated that Bird "has a long history of anger manage-
    ment problems," and recorded Bird’s statement that he "quit
    going around people" in 2001.
    In July 2007, Bird was evaluated by Dr. Spurgeon Cole, a
    licensed clinical psychologist, who issued a report detailing
    his findings (the Cole Report). Bird told Dr. Cole about hav-
    ing witnessed significant carnage during his service in Viet-
    nam. Dr. Cole reported Bird’s description of "flashbacks,"
    nightmares, intrusive memories, lack of sleep, significant
    withdrawal, and isolation. Dr. Cole opined that Bird was
    depressed and anxious, and concluded that his "primary prob-
    lem" was PTSD. Dr. Cole further indicated that Bird did not
    have any friends, did not interact with his neighbors, never
    had any visitors in his home, did not take vacations, and was
    "not able to tolerate any social interactions." Dr. Cole con-
    cluded that Bird is not "capable of relating to supervisors or
    co-workers at any level."
    Bird first applied for disability benefits with the SSA on
    December 19, 2006. The claim was denied both initially and
    upon reconsideration. At Bird’s request, a hearing later was
    BIRD v. COMMISSIONER SSA                    5
    held before an ALJ in April 2009, during which Bird testified
    and was represented by counsel.
    In a May 2009 decision denying benefits, the ALJ found
    that although Bird suffered from PTSD before his DLI, his
    impairment was insufficiently severe to qualify him for
    receipt of Social Security disability benefits. In reaching this
    conclusion, the ALJ relied in part on the lack of medical evi-
    dence created before Bird’s DLI, and the fact that the VA rat-
    ing decision became effective only in June 2006, 15 months
    after Bird’s DLI. The ALJ also assigned little weight to the
    Cole Report on the basis that it failed to reflect Bird’s pre-
    DLI condition. The ALJ did not make a finding regarding
    whether Bird was disabled either when he applied for Social
    Security disability benefits or at the time of the hearing.
    After Bird’s request for further review was denied by the
    Appeals Council of the SSA, Bird filed suit in the district
    court in South Carolina. He attached to his district court com-
    plaint the examinations conducted by the VA in 2006 and
    2007, which had been summarized in the VA rating decision.
    The district court adopted the recommendation of the magis-
    trate judge and upheld the SSA’s denial of benefits. Bird
    timely filed a notice of appeal to this Court.
    II.
    When examining an SSA disability determination, a
    reviewing court is required to uphold the determination when
    an ALJ has applied correct legal standards and the ALJ’s fac-
    tual findings are supported by substantial evidence. 
    42 U.S.C. § 405
    (g); Johnson v. Barnhart, 
    434 F.3d 650
    , 653 (4th Cir.
    2005). To establish eligibility for Social Security disability
    benefits, a claimant must show that he became disabled before
    his DLI. See 
    42 U.S.C. §§ 423
    (a)(1)(A), (c)(1); 
    20 C.F.R. §§ 404.101
    (a), 404.131(a). Bird contests the ALJ’s finding
    that he was not disabled between his proffered date of onset
    of PTSD, January 1, 2001, and his DLI, March 31, 2005,
    6                 BIRD v. COMMISSIONER SSA
    arguing, among other things, that the ALJ did not give proper
    consideration to all the relevant evidence.
    Bird first contends that the ALJ erred in failing to give
    retrospective consideration to medical evidence created after
    his DLI, namely, the evidence summarized in the VA rating
    decision and the Cole Report. We agree that retrospective
    consideration of this evidence was required.
    Medical evaluations made after a claimant’s insured status
    has expired are not automatically barred from consideration
    and may be relevant to prove a disability arising before the
    claimant’s DLI. Wooldridge v. Bowen, 
    816 F.2d 157
    , 160 (4th
    Cir. 1987). In Moore v. Finch, 
    418 F.2d 1224
    , 1226 (4th Cir.
    1969), we held that an SSA examiner improperly failed to
    give retrospective consideration to evidence created between
    six and seven years after the claimant’s DLI, because the evi-
    dence could be "reflective of a possible earlier and progres-
    sive degeneration." The possibility of such a linkage, and thus
    the appropriateness of retrospective consideration of medical
    evidence, may be enhanced further by lay observations of a
    claimant’s condition during the relevant time period. Id.; see
    also Cox v. Heckler, 
    770 F.2d 411
     (4th Cir. 1985) (remanding
    for consideration of post-hearing evidence given claimant’s
    progressively deteriorating lung condition).
    Our more recent decision in Johnson v. Barnhart, 
    434 F.3d 650
     (4th Cir. 2005), is further instructive of the principles we
    articulated in Moore. In Johnson, after the SSA administrative
    hearing had concluded, the claimant’s treating physician sub-
    mitted a new assessment identifying additional impairments
    that were not linked in any manner to the claimant’s condition
    before her DLI. 
    Id.
     at 656 & n.8. Because there was no evi-
    dence that these impairments existed before the claimant’s
    DLI, we held that the evidence was not relevant, and that the
    ALJ was not required to give the new assessment retrospec-
    tive consideration. 
    Id. at 655-56
    . Thus, our holding in John-
    son reinforces the principle applied in Moore that post-DLI
    BIRD v. COMMISSIONER SSA                          7
    medical evidence generally is admissible in an SSA disability
    determination in such instances in which that evidence per-
    mits an inference of linkage with the claimant’s pre-DLI con-
    dition. See Moore, 
    418 F.2d at 1226
    .
    In Moore, we recognized that evidence created after a
    claimant’s DLI, which permits an inference of linkage
    between the claimant’s post-DLI state of health and her pre-
    DLI condition, could be the "most cogent proof" of a claim-
    ant’s pre-DLI disability. 
    Id.
     Accordingly, under our decisions
    in Moore and Johnson, retrospective consideration of evi-
    dence is appropriate when "the record is not so persuasive as
    to rule out any linkage" of the final condition of the claimant
    with his earlier symptoms. 
    Id.
    Applying these principles to the present case, we conclude
    that the ALJ should have given retrospective consideration to
    the Cole Report and to the report summaries underlying the
    VA rating decision. As discussed above, the VA rating deci-
    sion summarized evidence that Bird suffered from severe
    symptoms of PTSD before June 2006, and before his DLI.
    Most notably, the September 2007 psychological examination
    conducted by the VA indicated that Bird’s symptoms of
    PTSD had been ongoing since his return from military service
    in Vietnam.1 Although the psychological examinations con-
    1
    The Commissioner contends that the evidence underlying the VA rat-
    ing decision shows that Bird’s condition deteriorated after his DLI. For
    example, the Commissioner points to the negative results from a June
    2006 screening test for depression, to a March 2007 appointment in which
    Bird stated he had experienced symptoms during the past month, to an
    April 2007 intake assessment in which Bird reported that his nightmares
    had worsened over the past two years, and to a June 2007 evaluation for
    PTSD in which a VA psychiatrist classified Bird’s symptoms as moderate.
    Bird disputes the Commissioner’s characterization of this evidence and
    argues that these examinations do not have bearing on his pre-DLI condi-
    tion. Because we conclude that the ALJ committed legal error by failing
    to consider properly all the record evidence, an assessment of the weight
    of the evidence must be left to the ALJ on remand in the first instance.
    8                     BIRD v. COMMISSIONER SSA
    ducted by the VA did not offer retrospective diagnoses, their
    substance related to Bird’s history of impairments.2
    Similarly, the Cole Report not only enumerated Bird’s
    many current symptoms of PTSD, but also recounted Bird’s
    impairments and their impact, which occurred long before his
    DLI. For example, in reviewing Bird’s work history, Dr. Cole
    explained that Bird "held numerous jobs because of his inabil-
    ity to get along with others." Dr. Cole noted that the sale of
    the mobile home park in 2001 was due to Bird’s combative-
    ness and difficulty with social interaction. Like the evidence
    summarized in the VA rating decision, the Cole Report placed
    Bird’s symptoms in the context of his work and social histo-
    ries, drawing a link between his current condition and his con-
    dition predating his DLI.
    As we held in Moore, retrospective consideration of medi-
    cal evidence is especially appropriate when corroborated by
    lay evidence. See Moore, 
    418 F.2d at 1226
    . Here, Bird’s testi-
    mony at the administrative hearing and a statement submitted
    by his wife to the Appeals Council buttress the medical evi-
    dence of Bird’s pre-DLI condition.3
    In addition to many of the facts related above, Bird testified
    that his various PTSD symptoms were difficulties that he had
    experienced for "years and years before" March 2005. Also,
    2
    The Commissioner points to Bird’s failure to obtain psychiatric treat-
    ment earlier and to complain sooner about having PTSD symptoms as
    undermining his claim of a pre-DLI impairment. These facts and Bird’s
    explanations may be considered by the ALJ on remand along with all the
    other evidence in the case.
    3
    The ALJ made an adverse credibility finding against Bird regarding
    "the intensity, persistence and limiting effects" of his symptoms "to the
    extent they are inconsistent with finding that [he] has no severe impair-
    ment . . . ." The ALJ agreed, however, that Bird suffered from PTSD
    before his DLI. Because we hold that the ALJ committed an error of law,
    we do not address the ALJ’s credibility findings or the likely weight of the
    evidence on remand.
    BIRD v. COMMISSIONER SSA                           9
    Bird testified that his only friends are other veterans who par-
    ticipate in a weekly veterans meeting. Bird further stated that
    he only shops in the middle of the night in order to avoid
    other people, and that, for the past 30 years, various individu-
    als had recommended that he seek psychiatric treatment. Bird
    explained that he was unable to obtain such help because he
    did not have insurance and there was a lengthy waiting period
    to obtain psychiatric services at the VA.
    Bird’s wife corroborated this account in the letter she sub-
    mitted to the Appeals Council. She stated that Bird had exhib-
    ited PTSD symptoms "for a long time," and that they had
    become progressively worse over the years. Two VA counsel-
    ors also provided a letter to the Appeals Council, explaining
    that Bird had experienced PTSD symptoms "[s]ince he
    returned from the combat zone."4 Thus, we conclude that the
    evidence in the record provided a sufficient linkage "reflec-
    tive of a possible earlier and progressive degeneration,"
    requiring that the ALJ give retrospective consideration to the
    psychological evidence summarized in the VA rating decision
    and the Cole Report. See Moore, 
    418 F.2d at 1226
    .
    The ALJ’s failure to give retrospective consideration to the
    above-stated medical evidence created after Bird’s DLI was
    an error of law, which requires reversal of the district court’s
    judgment upholding the ALJ’s decision. However, because
    other evidentiary challenges that Bird raises in this appeal will
    arise again on remand before the ALJ, we also consider those
    issues here. See, e.g., Sharpe v. Dir., Office of Workers’
    Comp. Programs, 
    495 F.3d 125
    , 134 n.16 (4th Cir. 2007)
    (providing instructions for ALJ to follow on remand regarding
    issues not dispositive on appeal); Gordon v. Schweiker, 725
    4
    The Appeals Council added the letters from Bird’s wife and the VA
    counselors to the administrative record; accordingly, these letters are now
    part of the record that we consider on appeal. See Wilkins v. Secretary,
    Dep’t of Health & Human Servs., 
    953 F.2d 93
    , 96 (4th Cir. 1991) (en
    banc).
    10                 BIRD v. COMMISSIONER SSA
    F.2d 231, 236 (4th Cir. 1984) ("Since the case must be recon-
    sidered by the Secretary, we do provide some guidance as to
    a matter very likely to arise at the hearing which will occur.").
    Therefore, we turn now to consider whether the ALJ afforded
    insufficient weight to the VA rating decision on the ground
    that its effective date was after Bird’s DLI.
    We have not previously addressed the precise weight that
    the SSA must afford to a VA disability rating. However, in
    DeLoatche v. Heckler, 
    715 F.2d 148
    , 150 n.1 (4th Cir. 1983),
    we held that the disability determination of a state administra-
    tive agency is entitled to consideration in an SSA disability
    proceeding. SSA directives have explained that the SSA is
    required to consider all record evidence relevant to a disabil-
    ity determination, including decisions by other agencies. SSR
    No. 06-03p, 2006 SSR LEXIS 5, at *17. However, under the
    regulations implementing the Social Security Act, although
    the SSA will accept another agency’s disability determination
    as evidence of a claimant’s condition, that agency’s decision
    is not binding on the SSA. 
    20 C.F.R. §§ 404.1504
    ,
    404.1512(b)(5). Accordingly, under the principles governing
    SSA disability determinations, another agency’s disability
    determination "cannot be ignored and must be considered."
    SSR No. 06-03p, 2006 SSR LEXIS 5, at *17.
    Our sister circuits have afforded varying degrees of eviden-
    tiary significance to a disability determination made by the
    VA. See, e.g., McCartey v. Massanari, 
    298 F.3d 1072
    , 1076
    (9th Cir. 2002) ("great weight"); Kane v. Heckler, 
    776 F.2d 1130
    , 1135 (3d Cir. 1985) ("substantial weight"); cf. Cutler v.
    Weinberger, 
    516 F.2d 1282
    , 1286 (2d Cir. 1975) ("some
    weight" due to disability determination of a state agency). The
    assignment of at least some weight to a VA disability determi-
    nation reflects the fact that both the VA and Social Security
    programs serve the same governmental purpose of providing
    benefits to persons unable to work because of a serious dis-
    ability. McCartey, 
    298 F.3d at 1076
    . "Both programs evaluate
    a claimant’s ability to perform full-time work in the national
    BIRD v. COMMISSIONER SSA                     11
    economy on a sustained and continuing basis; both focus on
    analyzing a claimant’s functional limitations; and both require
    claimants to present extensive medical documentation in sup-
    port of their claims." 
    Id.
    The VA rating decision reached in Bird’s case resulted
    from an evaluation of the same condition and the same under-
    lying evidence that was relevant to the decision facing the
    SSA. Like the VA, the SSA was required to undertake a com-
    prehensive evaluation of Bird’s medical condition. Because
    the purpose and evaluation methodology of both programs are
    closely related, a disability rating by one of the two agencies
    is highly relevant to the disability determination of the other
    agency. Thus, we hold that, in making a disability determina-
    tion, the SSA must give substantial weight to a VA disability
    rating. However, because the SSA employs its own standards
    for evaluating a claimant’s alleged disability, and because the
    effective date of coverage for a claimant’s disability under the
    two programs likely will vary, an ALJ may give less weight
    to a VA disability rating when the record before the ALJ
    clearly demonstrates that such a deviation is appropriate.
    Here, although the ALJ reviewed the VA rating decision,
    he found that it was not relevant to an evaluation of Bird’s
    pre-DLI condition because the decision was effective 15
    months after Bird’s DLI. Discounting the VA rating decision
    on this basis was improper, as its effective date merely
    reflected the date that Bird applied for VA benefits, which
    was a date unrelated to the onset of his PTSD. The effective
    date of an award for veterans benefits is limited by statute to
    "not [ ] earlier than the date of receipt of application therefor,"
    with limited exceptions not applicable here. 
    38 U.S.C. § 5110
    .
    Reflecting this statutory limitation, Bird’s VA rating decision
    stated that "[t]he effective date is the date of claim, which is
    the date of establishment of service connection for PTSD."
    Accordingly, we hold that the ALJ committed an error of law
    by failing to give appropriate weight to the VA rating decision
    on the ground that it became effective after Bird’s DLI.
    12                 BIRD v. COMMISSIONER SSA
    The above holdings, that the ALJ erred by failing to give
    adequate consideration to the VA rating decision and the
    medical evidence created after Bird’s DLI, do not end our
    inquiry. We also consider an additional issue raised by Bird
    that will arise on remand of this case to the ALJ.
    Bird contends that because the record contained some evi-
    dence that he suffered from disabling PTSD before his DLI,
    but did not unambiguously establish the date of its onset, the
    ALJ erred in failing to obtain the assistance of a medical advi-
    sor to aid in determining the date of onset. In support of his
    argument, Bird relies on Social Security Ruling No. 83-20
    (SSR No. 83-20), and on our decision in Bailey v. Chater, 
    68 F.3d 75
     (4th Cir. 1995).
    We disagree with Bird’s analysis, because it presupposes
    that the evidence established that his PTSD was disabling.
    Such a conclusion, however, is premature before the ALJ has
    applied the law properly to the evidence that should have been
    considered in this case.
    Both SSR No. 83-20 and our decision in Bailey discuss the
    requirement that an ALJ consult a medical advisor after the
    claimant has proved that his condition is disabling, but when
    the date of its onset remains ambiguous. SSR No. 83-20 pro-
    vides, in relevant part:
    In addition to determining that an individual is dis-
    abled, the decisionmaker must also establish the
    onset date of disability. In many claims, the onset
    date is critical; it may affect the period for which the
    individual can be paid and may even be determina-
    tive of whether the individual is entitled to or eligi-
    ble for any benefits.
    ***
    BIRD v. COMMISSIONER SSA                   13
    The onset date of disability is the first day an indi-
    vidual is disabled as defined in the Act and the regu-
    lations.
    ***
    In some cases, it may be possible, based on the med-
    ical evidence to reasonably infer that the onset of a
    disabling impairment(s) occurred some time prior to
    the date of the first recorded medical examination,
    e.g., the date the claimant stopped working. How
    long the disease may be determined to have existed
    at a disabling level of severity depends on an
    informed judgment of the facts in the particular case.
    This judgment, however, must have a legitimate
    medical basis. At the hearing, the administrative law
    judge (ALJ) should call on the services of a medical
    advisor when onset must be inferred. . . .
    SSR No. 83-20, 1983 SSR LEXIS 25, at *1-8 (emphasis
    added).
    In Bailey, a case in which the ALJ found that the claimant
    suffered from a disabling condition but had failed to consult
    a medical advisor to resolve an ambiguity regarding the date
    of onset, we explained that "[i]n the absence of clear evidence
    documenting the progression of [the claimant’s] condition, the
    ALJ did not have the discretion to forgo consultation with a
    medical advisor. The requirement that, in all but the most
    plain cases, a medical advisor be consulted prior to inferring
    an onset date is merely a variation on the most pervasive
    theme in administrative law — that substantial evidence sup-
    port an agency’s decision." 
    Id. at 79-80
    .
    As the Seventh Circuit explained in Eichstadt v. Astrue,
    
    534 F.3d 663
    , 666 (7th Cir. 2008), "SSR 83-20 addresses situ-
    ations in which an ALJ finds that a person is disabled as of
    the date she applied for disability insurance benefits, but it is
    14                  BIRD v. COMMISSIONER SSA
    still necessary to ascertain whether the disability arose prior
    to an even earlier date—normally, when the claimant was last
    insured." See also Key v. Callahan, 
    109 F.3d 270
    , 273-74 (6th
    Cir. 1997) (holding that no medical advisor was necessary
    when the evidence did not indicate that the claimant was dis-
    abled before his DLI). Further, the Tenth Circuit, in Blea v.
    Barnhart, 
    466 F.3d 903
    , 913 (10th Cir. 2006), cautioned that
    when a claimant has established a current disability, "[a]n
    ALJ may not make negative inferences [concerning the date
    of onset] from an ambiguous record; rather [the ALJ] must
    call a medical advisor pursuant to SSR 83-20."
    SSR No. 83-20 provides that the claimant’s allegations, his
    work history, and the medical evidence are all relevant factors
    in determining the date of onset. In the present case, the VA
    rating decision, its summary of the underlying evidence, and
    the Cole Report all addressed these factors.
    Here, the ALJ found that Bird did not prove that he had a
    disabling impairment before his DLI, but the ALJ did not
    make a finding regarding whether Bird ever was disabled
    after his DLI. And, as discussed above, the ALJ’s finding that
    Bird had not established a disabling condition before his DLI
    was a conclusion reached after the ALJ’s commission of two
    errors of law in evaluating the evidence. Thus, on remand, the
    ALJ initially will be required to review all the evidence in the
    record to determine whether Bird was disabled at any time. If
    the ALJ determines that Bird has established a disability
    resulting from his PTSD, but that the medical evidence of the
    date of onset of that disability is ambiguous such that a retro-
    spective inference to the period before Bird’s DLI would be
    necessary, the ALJ will be required to obtain the assistance of
    a medical advisor in order to render an informed determina-
    tion regarding the date of onset.5 See Blea, 466 F.3d at 911.
    5
    Based on Bird’s condition, the medical advisor requirement would be
    satisfied by consultation with a licensed clinical psychologist.
    BIRD v. COMMISSIONER SSA                           15
    III.
    In sum, we hold that a VA disability determination must be
    accorded substantial weight in Social Security disability pro-
    ceedings. We reaffirm our reasoning in Moore and hold that
    an ALJ must give retrospective consideration to medical evi-
    dence created after a claimant’s last insured date when such
    evidence may be "reflective of a possible earlier and progres-
    sive degeneration." Moore, 
    418 F.2d at 1226
    . After consider-
    ing all relevant evidence, and upon determining that the
    claimant was disabled at any time, an ALJ must consult with
    a medical advisor if the date of onset of the disability is ambigu-
    ous.6
    We note that, because our decision rests only on a finding
    of legal error, we offer no opinion regarding the weight of the
    evidence to be considered on remand or whether a denial or
    grant of benefits under the correct legal standards would be
    supported by substantial evidence. Accordingly, because the
    ALJ made two errors of law in conducting his analysis of the
    evidence concerning the issue whether Bird was disabled
    before his DLI, we vacate the district court’s judgment and
    remand the case to the district court for further remand to the
    ALJ for proceedings consistent with the principles of law
    expressed in this opinion.
    VACATED AND REMANDED
    6
    Bird also argues that the district court should have remanded this mat-
    ter to the ALJ for consideration of new evidence, namely, the 2006 and
    2007 VA examinations attached to his district court complaint. Because
    we vacate the ALJ’s denial of benefits on other grounds, we need not dis-
    cuss in detail this secondary argument, which we conclude is without
    merit based on Bird’s failure to establish good cause for not introducing
    that evidence at the hearing in his case. See 
    42 U.S.C. § 405
    (g) (remand
    for consideration of new evidence is appropriate "only upon a showing
    that there is new evidence which is material and that there is good cause
    for the failure to incorporate such evidence into the record in a prior pro-
    ceeding").