TN 15 (07-97)

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 NumberTitle or DescriptionReference
083Smith Court Case 
108Disabilities That Occur as a Result of Military ServiceDI 11005.006D.2.
153Terminal Illness (TERI) CasesDI 23020.045C.2.
158Hyatt Court CaseIT 22-91
170Potential State of NY Cardiovascular Impairment CaseNone
201Acceptable Medical Source (AMS) Case Study — Case not appropriate for studyNone
202AMS Case Study — Medical Evidence provided by a Nurse PractitionerNone
203AMS Case Study — Medical Evidence provided by a Physician’s AssistantNone
204AMS Case Study — Medical Evidence provided by a Licensed Social WorkerNone
205AMS Case Study — Medical Evidence provided by an AudiologistNone
211Special Case Reviews - Puerto Rico Cases with Potential Fraud or Similar FaultNone
243Subsequent Claim - Res Judicata Prior Claim Medically Denied Through Date Non Disability Factors Last Met)DI 27516.005
248Mason Class Action CasesNONE
251Pain-Additional Limitations Due to Pain Affects RFC; No Change in Disability DeterminationDI 22510.011D
252Pain-Additional Limitations Due to Pain Affects RFC and Disability DeterminationDI 22510.011D
256Lost Folder CasesDI 28035.020
276Title XVI Widow(er)'s Medicare 
278Widow(er)'s Medicaid Continuation Possible 
281Child Receiving Medically Necessary TreatmentDI 13005.080
DI 28005.031
282 or 283Child - No Treatment IssueDI 13005.080
DI 28005.031
284Child - Medically Necessary Treatment Prescribed but not Available or Other Good CauseDI 13005.080
DI 28005.031
285Child - Treatment Medically Necessary - Good Cause Not FoundDI 13005.080
DI 28005.031
286Child - Treatment Medically Necessary - No TSDI 13005.080
DI 28005.031
360DE determination, no MC/PC involvementDI 23022.053
DI 23023.001
361DE determination, MC/PC consultation only (no disability forms signed by the MC/PC used in the determination)DI 23022.053
DI 23023.001
362DE determination, MC/PC consultation with disability forms signed by the MC/PCDI 23022.053
DI 23023.001
363Team determination, DE authorized to make QDD and CAL determinations, but MC/PC signature required because of statutory or policy requirement for MC/PC involvement (e.g., T16 childhood disability, closed period, CDR, concurrent with less-than-fully-favorable determination on one claim)DI 23022.053
DI 23023.001
364Team determination, DE not authorized to make QDD and CAL determinations, MC/PC signature required (any type of claim)DI 23022.053
DI 23023.001
429Flint related case - Medical evidence of lead exposureNone
430Schoolcraft Court CaseIT-21-90
499Disaster ClaimGN 00410.015
505Dannemiller Court CaseNone
508Initial DAA Reconsideration Where Appeal is Based on Claimant's Designation as a DAANone
536Martinez - Allowance Under Court Standard 
537Martinez - Denial Despite Court Standard 
557WC/PDB Lump Sum Prorated Based on Life ExpectancyDI 52150.065
581Adoption does not apply due to changed vocational profile 
582Adoption does not apply due to error. 
583Adoption does not apply--claimant does not meet duration for T2 claim. 
584Adoption does not apply--conversion case-no decision under Federal criteria. 
585Adoption does not apply--no decision under adult criteria. 
608Prisoner Case Denied Due to Felony Related ImpairmentDI 23501.015
610Suspension for Felony Conviction Under P.L. 96-473DI 23501.015
623Prisoner Case - Freeze OnlyDI 23501.015
674No Medical Evidence of DataNone
698DA&A Case-Title XVINone
719Federal Component Assisting With Adjudication OnlyNone
720Federal Component Assisting with Development OnlyNone
721Federal Component Assisting With Adjudication and DevelopmentNone
722State Assisting With Adjudication OnlyNone
723State Assisting With Development Only-Assisting State Pays for None MEOR and C/ENone
724State Assisting With Development Only-State of Residence Pays For MEOR and C/ENone
725State Assisting With Development and Adjudication-Assisting State Pays for MEOR and/or C/ENone
726State Assisting With Development and Adjudication-State of Residence Pays for MEOR and C/ENone
727State Assisting With Development and Adjudication-Assisting State Pays for MEOR-State of Residence Pays for C/ENone
728State Assisting With Development and Adjudication-Assisting State Pays for C/E-State of Residence Pays for MEORNone
750S. ParraNone
751MorganNone
752LabelleNone
753Aldrich 254 CasesNone
754Anderson IINone
755Hyatt III Court CaseNone
756Samuels 167 CasesNone
757SmallNone
758KennedyNone
759WhiteNone
761Stieberger, SONYNone
762Stieberger, DixonNone
763Stieberger, HillNone
764Stieberger, SONY, DixonNone
765Stieberger, SONY, HillNone
766Stieberger, Dixon, HillNone
767Stieberger, SONY, Dixon, HillNone
769SONY, DixonNone
770SONY, HillNone
771SONY, Dixon, HillNone
773Dixon, HillNone
775Zebley II - Zebley Medical Redetermination CasesNone
777InmanNone
778Schoolcraft(Reserved)
779MedellinNone
780FairNone
782Mason IINone
783GoodnightNone
785BentleyNone
790Zebley II Childhood Medical Redetermination CasesNone
800AldrichNone
801BaileyNone
802BlairNone
803BoydNone
804BriggsNone
805CampbellNone
806City of New YorkNone
807ConowayNone
808DixonNone
809DiasNone
810EtsittyNone
811HillNone
812Hyatt II Court CaseNone
813JohnsonNone
814MasonNone
815MartinNone
816MarcusNone
817MCDonaldNone
820Morrison, Doe and Decker 1989None
821DeckerNone
822PolaskiNone
823Robert SmithNone
824SamuelsNone
825State of New YorkNone
826Prue- WeathersNone
827Wilson 1991None
828WillisNone
829ZebleyNone
830Avery (Currently Used for CDR Folder Recall)None
831BowdoinNone
832DoeNone
833GrahamNone
834HoldenNone
835KuehnerNone
836LopezNone
837MorrisonNone
838PickettNone
839RiveraNone
840SchislerNone
841ThomasNone
842TrujilloNone
843TurnerNone
844YoungNone
845GautreaouxNone
846GrantNone
847Mines/VanninniNone
848RiosNone
849OlivaNone
850RobertsNone
851Flynn JonesNone
852AvillaNone
853BradyNone
854BalziNone
855Gladys SmithNone
856GayNone
857HudsonNone
858KnowlesNone
859LunaNone
860McKinstryNone
861MunozNone
862PeckNone
863PintoNone
864Schisler 1989None
865SuitsNone
866VanderpoolNone
867WaldonNone
868WilkersonNone
869WestlyNone
870AdamsonNone
871FarleyNone
872GouldNone
873QuanderNone
874BerardNone
875DayNone
876LofgrenNone
877JenkinsNone
878HarrisNone
879EverhartNone
880CervantezNone
881Elvira LopezNone
882AndersonNone
883GrahamNone
884BegleyNone
885BroganNone
886BozziNone
887Verla TurnerNone
888CuffeeNone
889StiebergerNone
890AlakelNone
891MartelNone
892GonthierNone
893RamirezNone
894AskinNone
895TaylorNone
896BoringNone
897Gale JohnsonNone
898TitusNone
899Rosetti(Reserved)
9271983 CDR EnforcementNone
941Cassette Hearing Cases Fiscal Year 1988None
998Any Case in Which Exposure to Tremolite Asbestos in Libby, Montana Has Been Allowed and/or DocumentedDDSAL 709

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0433530005
DI 33530.005 - Disability-Related List Codes - 05/18/2016
Batch run: 05/18/2016
Rev:05/18/2016