DI 28084.020 Reason for Continuance Codes (Item 12)

A. Introduction to completing Item 12

Follow these instructions to complete Item 12 when processing a continuing disability review (CDR) on the Forms SSA-832 (Cessation or Continuance of Disability or Blindness Determination and Transmittal –Title XVI) or SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal – Title II).

B. Procedure for completing Item 12

Enter the following information:

•

the appropriate “Reason for Continuance” code from the lists in DI 28084.020C in this section into the “CODE” block of Item 12;
•

only one “Reason for Continuance” code even if more than one code could apply; and
•

if the continuance code is 30, 32, 70, 71, 72, or 73, enter the appropriate medical listing number in Item 12 of the Forms SSA-832 or SSA-833.

C. Reason for continuance codes

Use one of the following “Reasons for Continuance” codes in Item 12 of the Forms SSA-832 or SSA-833:

1. Continuance codes for Title II and Title XVI adult CDRs

Reason	Title II Code	Title XVI Code
Impairment Meets Listings	30	70
Impairment Equals Listing	32	72
Impairment Plus Vocational Factors	34	74
35 to 40 Years of Arduous Unskilled Work, Marginal Education, and Significant Impairment	35	75
Disability Continues - No Medical Improvement or Any Medical Improvement is Not Related to Ability to Work	36	76
Disability Continues - Data From Most Recent Prior Favorable Determination Insufficient to Determine Medical Improvement	37	77
Curtailment (DDS)	41	81
Curtailment (Face-to-Face Interview)	42	82
Meets State Plan	N/A	84

NOTE: If the determination is at Step 4 of the adult CDR evaluation process, use code 37 for Title II and code 77 for Title XVI.

2. Continuance codes for Title II work CDR (FO and ODO/PSC use)

Reason	Code
EPE Reinstatement - Work Not SGA	38
TWP Completed - Work Not SGA	40
Not Entitled to a TWP - Work Doesn't Demonstrate Ability for SGA	45

3. Continuance code for Title II amyotrophic lateral sclerosis (ALS) determination

Reason	Code
Amyotrophic Lateral Sclerosis Not Found Within 24 Month Waiting Period-Disability Continues Based on Current Impairment	46

4. Continuance codes for Title XVI child CDRs

Reason	Code
Impairment Meets Listing (DC, BC)	71
Impairment Medically Equals Listing (DC, BC)	73
Disability Continues - Data From Most Recent Prior Favorable Determination Insufficient to Determine Medical Improvement	77
Impairment Functionally Equals Listing (DC, BC)	78
Title XVI Child: Disability Continues-No Medical Improvement or Impairment(s) Would Still Meet or Equal (CPD) Listing as That Listing Was Written at the Time of the Disability Finding	80

NOTE: If the determination is at Step 2 of the child CDR evaluation process, use code 80.

5. Continuance codes for Title XVI Age-18 redeterminations

Reason	Code
Impairment Meets Listings	70
Impairment Equals Listing	72
Impairment Plus Vocational Factors	74

6. Continuance codes for Title XVI expedited reinstatements

Reason	Code
Impairment Meets Listings	70
Impairment Meets Listing (DC, BC)	71
Impairment Equals Listing	72
Impairment Medically Equals Listing (DC, BC)	73
Impairment Plus Vocational Factors	74
35-40 Years Arduous Work	75
Disability Continues - No Medical Improvement or Any Medical Improvement is Not Related to Ability to Work	76
Disability Continues - Data From Most Recent Prior Favorable Determination Insufficient to Determine Medical Improvement	77
Impairment Functionally Equals Listing (DC, BC)	78
Title XVI Child: Disability Continues-No Medical Improvement or Impairment(s) Would Still Meet/Equal CPD Listing as That Listing Was Written at the Time of the Disability Finding	80
Meets State Plan	84

D. References

•

DI 26510.050 Completing Item 23 (Medical List Number) on the SSA-831
•

DI 28005.005 The Continuing Disability Review (CDR) Evaluation Process for Title II and Adult Title XVI Individuals
•

DI 28057.020 Effectuating Determinations
•

DI 34001.000 Listings of Impairments - Current Part A Listing
•

DI 34005.000 Listings of Impairments - Current Part B Listing

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0428084020

DI 28084.020 - Reason for Continuance Codes (Item 12) - 10/27/2015
Batch run: 04/09/2018
Rev:10/27/2015

Social Security

Program Operations Manual System (POMS)