TN 22 (03-24)

DI 33530.005 Disability-Related List Codes

Procedure

Refer to the following chart for list codes used by the Disability Determination Services to identify claims for study purposes or administrative reasons:

Code Number Title or Description Reference
083 Smith Court Case
108 Disabilities That Occur as a Result of Military Service DI 11005.006D.2.
153 Terminal Illness (TERI) Cases DI 23020.045C.2.
158 Hyatt Court Case IT 22-91
170 Potential State of NY Cardiovascular Impairment Case None

185

Sczepanski Court Case

 

199 Earley None

200

Legacy Fiscal Obligation

 

201 Acceptable Medical Source (AMS) Case Study — Case not appropriate for study None
202 AMS Case Study — Medical Evidence provided by a Nurse Practitioner None
203 AMS Case Study — Medical Evidence provided by a Physician’s Assistant None
204 AMS Case Study — Medical Evidence provided by a Licensed Social Worker None
205 AMS Case Study — Medical Evidence provided by an Audiologist None
215 Musculoskeletal Disorders Listings - Proximity of Time Case Study

 

 

211 Special Case Reviews - Puerto Rico Cases with Potential Fraud or Similar Fault None
243 Subsequent Claim - Res Judicata Prior Claim Medically Denied Through Date Non Disability Factors Last Met) DI 27516.005
248 Mason Class Action Cases NONE
251 Pain-Additional Limitations Due to Pain Affects RFC; No Change in Disability Determination DI 22510.011D
252 Pain-Additional Limitations Due to Pain Affects RFC and Disability Determination DI 22510.011D
256 Lost Folder Cases DI 28035.020
276 Title XVI Widow(er)'s Medicare
278 Widow(er)'s Medicaid Continuation Possible
281 Child Receiving Medically Necessary Treatment DI 13005.080

DI 28005.031
282 or 283 Child - No Treatment Issue DI 13005.080

DI 28005.031
284 Child - Medically Necessary Treatment Prescribed but not Available or Other Good Cause DI 13005.080

DI 28005.031
285 Child - Treatment Medically Necessary - Good Cause Not Found DI 13005.080

DI 28005.031
286 Child - Treatment Medically Necessary - No TS DI 13005.080

DI 28005.031

300

Adverse Medical Reopenings

 

429 Flint related case - Medical evidence of lead exposure None
430 Schoolcraft Court Case IT-21-90
499 Disaster Claim GN 00410.015
505 Dannemiller Court Case None
508 Initial DAA Reconsideration Where Appeal is Based on Claimant's Designation as a DAA None
536 Martinez - Allowance Under Court Standard
537 Martinez - Denial Despite Court Standard
557 WC/PDB Lump Sum Prorated Based on Life Expectancy DI 52150.065
581 Adoption does not apply - changed vocational profile
582 Adoption does not apply due to error
583 Adoption does not apply - claimant does not meet duration
584 Adoption does not apply--conversion case-no decision under Federal criteria
585 Adoption does not apply--no decision under adult criteria
586 Adoption does not apply – change in listing
587 Adoption does not apply – lost folder CDR continuance
588 Adoption does not apply – change in medical-vocational rule
608 Prisoner Case Denied Due to Felony Related Impairment DI 23501.015
610 Suspension for Felony Conviction Under P.L. 96-473 DI 23501.015
623 Prisoner Case - Freeze Only DI 23501.015
674 No Medical Evidence of Data None
698 DA&A Case-Title XVI None
719 Federal Component Assisting With Adjudication Only None
720 Federal Component Assisting with Development Only None
721 Federal Component Assisting With Adjudication and Development None
722 State Assisting With Adjudication Only None
723 State Assisting With Development Only-Assisting State Pays for None MEOR and C/E None
724 State Assisting With Development Only-State of Residence Pays For MEOR and C/E None
725 State Assisting With Development and Adjudication-Assisting State Pays for MEOR and/or C/E None
726 State Assisting With Development and Adjudication-State of Residence Pays for MEOR and C/E None
727 State Assisting With Development and Adjudication-Assisting State Pays for MEOR-State of Residence Pays for C/E None
728 State Assisting With Development and Adjudication-Assisting State Pays for C/E-State of Residence Pays for MEOR None
750 S. Parra None
751 Morgan None
752 Labelle None
753 Aldrich 254 Cases None
754 Anderson II None
755 Hyatt III Court Case None
756 Samuels 167 Cases None
757 Small None
758 Kennedy None
759 White None
761 Stieberger, SONY None
762 Stieberger, Dixon None
763 Stieberger, Hill None
764 Stieberger, SONY, Dixon None
765 Stieberger, SONY, Hill None
766 Stieberger, Dixon, Hill None
767 Stieberger, SONY, Dixon, Hill None
769 SONY, Dixon None
770 SONY, Hill None
771 SONY, Dixon, Hill None
773 Dixon, Hill None
775 Zebley II - Zebley Medical Redetermination Cases None
777 Inman None
778 Schoolcraft (Reserved)
779 Medellin None
780 Fair None
782 Mason II None
783 Goodnight None
785 Bentley None
790 Zebley II Childhood Medical Redetermination Cases None
800 Aldrich None
801 Bailey None
802 Blair None
803 Boyd None
804 Briggs None
805 Campbell None
806 City of New York None
807 Conoway None
808 Dixon None
809 Dias None
810 Etsitty None
811 Hill None
812 Hyatt II Court Case None
813 Johnson None
814 Mason None
815 Martin None
816 Marcus None
817 MCDonald None
820 Morrison, Doe and Decker 1989 None
821 Decker None
822 Polaski None
823 Robert Smith None
824 Samuels None
825 State of New York None
826 Prue- Weathers None
827 Wilson 1991 None
828 Willis None
829 Zebley None
830 Avery (Currently Used for CDR Folder Recall) None
831 Bowdoin None
832 Doe None
833 Graham None
834 Holden None
835 Kuehner None
836 Lopez None
837 Morrison None
838 Pickett None
839 Rivera None
840 Schisler None
841 Thomas None
842 Trujillo None
843 Turner None
844 Young None
845 Gautreaoux None
846 Grant None
847 Mines/Vanninni None
848 Rios None
849 Oliva None
850 Roberts None
851 Flynn Jones None
852 Avilla None
853 Brady None
854 Balzi None
855 Gladys Smith None
856 Gay None
857 Hudson None
858 Knowles None
859 Luna None
860 McKinstry None
861 Munoz None
862 Peck None
863 Pinto None
864 Schisler 1989 None
865 Suits None
866 Vanderpool None
867 Waldon None
868 Wilkerson None
869 Westly None
870 Adamson None
871 Farley None
872 Gould None
873 Quander None
874 Berard None
875 Day None
876 Lofgren None
877 Jenkins None
878 Harris None
879 Everhart None
880 Cervantez None
881 Elvira Lopez None
882 Anderson None
883 Graham None
884 Begley None
885 Brogan None
886 Bozzi None
887 Verla Turner None
888 Cuffee None
889 Stieberger None
890 Alakel None
891 Martel None
892 Gonthier None
893 Ramirez None
894 Askin None
895 Taylor None
896 Boring None
897 Gale Johnson None
898 Titus None
899 Rosetti (Reserved)
927 1983 CDR Enforcement None

992

Maxwell Court Case

EM-22008

941 Cassette Hearing Cases Fiscal Year 1988 None
998 Any Case in Which Exposure to Tremolite Asbestos in Libby, Montana Has Been Allowed and/or Documented DDSAL 709

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0433530005
DI 33530.005 - Disability-Related List Codes - 03/04/2024
Batch run: 12/06/2024
Rev:03/04/2024