BASIC (10-15)

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: 10/27/2015
Rev:10/27/2015