Disease codes on sick leave: decoding


What marks should also be made?

Let's consider both options. First, the employee was immediately discharged. The following marks must appear:

  1. Opposite code 24 in the line “Note about violation of the regime” should be the date of the missed appointment.
  2. Next in the table “Exemption from work” there should be a period - from the date of open sick leave to the date of the missed appointment.
  3. In the “Other” line, the code “36” is entered, which means “Apparently able to work” and the date the employee arrived for the appointment.
  4. Appointment date after no-show.
  5. The “Get Started” line will be empty.
  6. The “date” line will indicate the day on which the employee must appear.

The second option is extended sick leave:

  1. The date of the missed appointment will appear in the line “Note about violation of the regime.”
  2. The “Other” line will be blank.
  3. The “Start work” line will indicate the employee’s discharge date.
  4. Days of non-appearance of an employee after the date when he did not come for a scheduled examination, but came on another day (suppose there were 21 examinations, and the patient did not show up on that day - he came on the 23rd). These days must be entered in the “Exemption from work” table and signed by the doctor and the chairman of the medical commission.

Proper registration and correct filling of all fields of the sick leave certificate will help to avoid delays in the payment of compensation. Read our materials about how the period of incapacity for work is paid with codes 04, 01, 02, 09, 11, 05 and 020, as well as 31 and 32 in the “Other” column.

Sick leave code 36

By Semyon Zelkin / July 23rd, 2020 / Business Law / No Comments

To simplify the electronic processing of documents, text information is avoided. It was replaced by cells (fields) where simple digital codes are entered, convenient for reading by an optical scanning device. This data is automatically entered into the computer, which facilitates the storage, sorting and retrieval of information.

Sick leave code 36 what does it mean?

This digital coding system is used when issuing temporary disability certificates.

How to pay if the “other” line contains this encoding?

The accountant must calculate the sick leave within 10 days after the employee brings him the certificate. The size of the payment depends on average earnings over 2 years.

The calculation is made as follows:

  1. The minimum and maximum amount of an employee’s income for the last 2 years (or from the date when contributions to the Social Insurance Fund began) is divided by 720 (the number of working days for 2 years).
  2. Then you need to calculate the minimum average daily earnings: the number of months over two years / 730.
  3. Multiply this amount by the number of days on sick leave.
  4. Multiply the result obtained by the experience coefficient.

This amount will be the payment of the employee’s sick leave. Sick leave is paid in fractions: the first 3 days are paid at the expense of the Social Insurance Fund, the subsequent days at the expense of the employer.

Example 1: An employee fell ill on October 13th. He had to come for an appointment on October 20, but he showed up on October 21 and was healthy. Payment will be made from October 13 to October 20 at the usual rate (based on all salary points).

Example 2: An employee came for an appointment on a different day (let’s say he needs to come to see a doctor on 22, but he came on 24) and was declared incapacitated. This means that the sick leave will consist of two parts.

It is necessary to pay for all days, but starting from the date that the employee did not come to the appointment, reduce the payment based on the minimum wage (clause 1, part 2, article 8 of the Law of December 29, 2006 No. 255 - Federal Law) i.e. – make a payment not exceeding the employee’s monthly salary.

Despite the fact that the employee did not show up for the appointment, i.e. - this day is not noted on the sick leave, it should still be paid, because in fact he was on sick leave.

Registration of sick leave is a serious procedure that requires the appropriate knowledge of an accountant or medical professional. You must be careful when filling out the codes.

If you find an error, please select a piece of text and press Ctrl+Enter.

Types of codes

Most of the fields of the document are filled in by the doctor of the medical institution, and some fields are filled in by the responsible person or an accounting employee. First of all, the doctor fills out the fields indicating the reason for receiving a certificate of incapacity for work and a note about violation of the regime. A sick leave may be issued for the following reasons:

  • 01 – illness;
  • 02 – injury not related to work;
  • 03 – quarantine due to illness;
  • 04 – industrial injury;
  • 05 – gestation;
  • 06 – production of prostheses in stationary conditions;
  • 07 – disease from the list of occupational diseases;
  • 08 – treatment in a sanatorium;
  • 09 – caring for a disabled or disabled person;
  • 10 – poisoning;
  • 11 – disease from the list of social diseases;
  • 12 – illness of a child under 7 years of age;
  • 13 – caring for a disabled child;
  • 14 – dangerous symptoms in a child as a result of the vaccine;
  • 15 – HIV code.

Code 01 is the most common. It denotes any disease with the exception of diseases included in the special lists of the Ministry of Health. Domestic injuries and accidents not related to the patient’s work are coded 02. All types of quarantine for infectious diseases are coded 03. Industrial injuries include not only injuries received directly at the workplace, but also those received on the way to or from work.

Code 07 is set if the patient is diagnosed with a disease from a special list. The Ministry of Health document lists all possible diseases associated with the patient’s professional activities. These include toxic hepatitis, metal fever, berylliosis, silicosis and many others. Code 11 implies the presence of a social disease. On this list, tuberculosis comes first, followed by hepatitis, malignant neoplasms and diabetes. After an unsuccessful vaccination, a child may develop negative symptoms. This is indicated by code 14.

Codes 14 and 15 can be entered on the sick leave sheet only with the patient’s permission. If a child is diagnosed as HIV-infected, the parents or guardian can give permission to enter the appropriate code.

If a certificate of incapacity for work is issued to care for a child, the relationship is coded in special cells:

  • 38, 39 – mother or father, respectively;
  • 40 – person appointed as guardian;
  • 41 – trustee;
  • 42 – any close person caring for the patient.

Important for receiving insurance payments are the fields where any violations of the treatment process are noted using digital codes. They may reduce the insurance compensation you receive.

  • 23 – violation of the treatment process;
  • 24 – failure of the patient to see his doctor within the specified period;
  • 25 – going to work without a sick leave certificate;
  • 26 – refusal of the patient to visit the medical commission;
  • 27 – late arrival at the commission;
  • 28 – violations that are not on the list.

Violation of the treatment process means refusal of prescribed medical procedures, replacement of a drug, non-compliance with a regimen, or unauthorized leaving of a medical institution.

On the certificate of incapacity for work there is a column “Other”. The following codes are entered there:

  • 31 – issuing an additional sick leave to the patient (continuation of illness);
  • 32 – the patient has been diagnosed with a disability;
  • 33 – disability group changed;
  • 34 – the patient died;
  • 35 – refusal of the medical commission;
  • 36 – the patient did not arrive for the appointment, but was declared healthy at the next visit;
  • 37 – upon completion of inpatient treatment, the patient was sent for follow-up treatment.

Other codes

There are other codes that are often found in documents. An employee may find the following combinations of numbers on a sick leave certificate:

  1. 05
    - indicated in the bulletin in case of receiving maternity leave.
  2. 09
    — the cause of temporary disability was the need to care for a sick family member.
  3. 10
    - the sick leave was issued due to the presence of a health problem that is not included in other classifications. For example, a code may be assigned if a person was unable to perform professional duties due to poisoning.
  4. 20
    — the document was opened as a result of the provision of additional maternity leave.
  5. 32
    — a combination of numbers is entered if a disability is established.
  6. 36
    — a person came to see a doctor able to work.
  7. 42
    — the number is entered in the “family relationship” column. It indicates that the employee was caring for a relative who is not the citizen’s child.

Having understood the meanings of the numerical code, a person will be able to find out in advance whether compensation will be provided in full, or should expect a reduction in the amount of payment.

1 question. How to apply clause 6 of the Procedure for issuing certificates of incapacity for work, approved by order of the Ministry of Health and Social Development of Russia on June 29, 2011 No. 624n (hereinafter referred to as the Procedure) if the certificate of incapacity for work was opened in a hospital and, according to clause 19, was extended to ten calendar days for a disabled patient on an outpatient basis?

Answer: In accordance with paragraph 6 of the Procedure, a certificate of incapacity for work is issued and closed, as a rule, in one medical organization. When a citizen is sent for treatment to another medical organization, a new certificate of incapacity for work (continued) is issued by the medical organization to which the citizen was sent, except for the cases mentioned in paragraphs 25, 31-33 of the established Procedure.

In the case when, after inpatient treatment, a citizen, remaining incapacitated, is sent to continue treatment at the clinic at his place of residence,

and on the day of reporting to the clinic continues to remain incapacitated,
the clinic indicates code 31 in the certificate of incapacity for work issued by the hospital in the “other” line,
and issues a new certificate of incapacity for work, which is a continuation of the certificate of incapacity for work issued by the hospital.
If a citizen who is incapacitated for work on the day of discharge from the hospital is able to work at the clinic, the clinic fills out the line “Get to work” on the certificate of incapacity for work issued by the hospital and discharges the employee to work.
2. Question. Is a certificate of incapacity for work for caring for a sick child issued to an insured person on weekends and non-working holidays?

Answer: According to paragraph 41 of the Procedure, if a child becomes ill during the period when the mother (another family member actually caring for the child) does not need to be released from work (annual paid leave, maternity leave, parental leave until the child reaches age age of 3 years, leave without pay), a certificate of incapacity for work to care for a child (in the case when he continues to need care) is issued from the day when the mother (another family member actually caring for the child) must begin work.

In accordance with Part 8 of Article 6 of Law No. 255-FZ, temporary disability benefits are paid to the insured person in all cases for calendar days falling within the corresponding period, in connection with this from the period when the mother (other family member actually caring for the child ) does not require release from work, weekends and non-working holidays are excluded. Thus, if a child falls ill on a weekend or a non-working holiday, a certificate of incapacity for caring for him is issued in the general manner from the day the child was examined by a doctor.

3. Question. Should certificates of incapacity for work be accepted for payment if the certificates of incapacity for work indicate a number and quotation marks in the line “name of medical organization”, “name of organization”.

Answer: Indication of quotation marks, periods, commas, dashes, and numbers in the names of organizations (separate divisions) is not a basis for reissuing a certificate of incapacity for work and refusing to assign and pay benefits for temporary disability, pregnancy and childbirth.

4. Question. Will a student be issued a certificate of incapacity for work if he gets sick during internship?

Answer: In case of illness (injury, poisoning), students of educational institutions of primary, secondary, higher, and vocational education are issued a certificate for exemption from studies. However, if a student falls ill while carrying out paid work while undergoing practical training, as well as if he performs work under an employment contract, a certificate of incapacity for work is issued to him on a general basis.

5. Question. If the certificate of incapacity for work has folds, creases, or wrinkles, should it be replaced with a new one?

Answer: If, when filling out a certificate of incapacity for work, the filling procedure is followed, there are no errors in the completed lines and columns, but the sheet has folds (creases), then there are no grounds not to accept such a certificate of incapacity for payment.

6. Question. On the sick leave certificate, instead of the stamp “For certificates of incapacity for work,” there is a stamp “For sick leave certificates.” Should it be replaced?

Answer: Some medical institutions continue to use the seal “For sick leave certificates”, since neither the Order of the Ministry of Health and Social Development of the Russian Federation No. 514 (hereinafter referred to as Order No. 514), which determined the Procedure for issuing sick leave certificates by medical organizations, was in force until July 22, 2011. Neither in the Order of the Ministry of Health and Social Development of the Russian Federation dated June 29, 2011 No. 624n (hereinafter referred to as Order No. 624n), which approved the new Procedure for issuing certificates of incapacity for work, there is no prohibition on the use of the seal “For sick leave certificates”.

7. Question. If there is an error in the new form of sick leave certificate, how will changes be made?

Answer: If a mistake is made when filling out a certificate of incapacity for work in a medical institution, then in this case the certificate of incapacity for work is considered damaged and a new certificate is issued in its place.

If an error is made in the “filled in by the employer” section, then the erroneous entry is carefully crossed out, the correct entry is made on the back of the form of the certificate of incapacity for work, confirmed by the entry “corrected to believe”, the signature and seal of the employer. Errors may not be corrected by correction or other similar means.

8. Question. What is the procedure for obtaining a certificate of incapacity for work for pregnancy and childbirth in the case where the right to maternity leave accrued during the woman’s stay abroad?

Answer. In accordance with paragraph 7 of the Procedure, documents confirming the temporary disability of citizens during their stay abroad (after a legalized transfer), by decision of the medical commission of a medical organization, can be replaced with certificates of incapacity for work of the standard standard in the Russian Federation. This rule also applies to cases where the right to maternity leave accrues while staying abroad.

Thus, according to paragraph 46 of Order No. 624n, a certificate of incapacity for work for pregnancy and childbirth is issued at 30 weeks of pregnancy at a time for a duration of 140 calendar days.

If the gestation period of 30 weeks occurred during the period of the insured woman’s stay abroad (for example, during annual paid leave) and she was issued a document confirming the occurrence of the specified period,

This document, after a legalized translation, by decision of the medical commission of a medical organization,
can be replaced with a certificate of incapacity for work of the standard standard in the Russian Federation.
9. Question. If in the “release from work” column only one is occupied

line, put a dash on the other two - Z, as before, or

leave empty?

Answer. to put dashes or Zs on empty lines .

Leave blank.

10. Question. If, when filling out a certificate of incapacity for work, there is contact with the boundaries of the cells of the information field, is such a certificate of incapacity for work subject to replacement with a new one?

Answer. No, not subject

for the duration of the transition period until the complete transition to computer processing of certificates of incapacity for work.

11. Question. If there are extra gaps in the cells on the certificate of incapacity for work? For example, there are spaces when writing the names of the medical institution and the organization itself, as well as the initials of the doctor, not in one, but in two cells.

Answer. Spaces between words on the lines of the certificate of incapacity for work are required.

Additional codes

In addition to the main fields, the document has additional columns. This is “Add. code" and "Code. ism". The first field contains the following data:

  • 017 – the sick person is being treated in a special sanatorium;
  • 018 – sanatorium treatment is associated with an industrial injury;
  • 019 – the patient is undergoing rehabilitation at the Research Institute of Balneology;
  • 020 – increased maternity leave;
  • 021 – illness or injury occurred under the influence of alcohol, drugs or other substances.

Code 021 reduces the amount of insurance payments for the entire duration of the treatment process. In this case, the calculation is carried out not on the basis of average earnings, but on the basis of the minimum wage.

This principle of calculating the insurance amount applies even if the patient does not have any indication of violating the regime.

Field "Code. "izm" is filled in if the diagnosis has changed during treatment. If changes are not required, the field remains blank.

What fields are indicated to the employer?

In addition to the information fields where the place of work and other data is indicated, the employer fills out coded fields. This is the line “Calculation conditions”. Two-digit codes fit into it:

  • 43 – if the employee was exposed to radioactive radiation;
  • 44 – work is performed in the Far North;
  • 45 – the employee has an established disability group;
  • 46 – the employment contract was concluded for a period of up to six months;
  • 47 – the insured event occurred within 30 days from the date of dismissal;
  • 48 – the employee violated the treatment regimen for a valid reason;
  • 49 – if the disease lasts more than 16 weeks;
  • 50 – if the disease lasts more than 20 weeks;
  • 51 – the employee did not have time to earn enough to pay for the insurance premium or the amount of earnings is less than the minimum wage.

Codes 46, 49 and 50 are not indicated if the cause of the illness is code 11. In addition, codes 49 and 50 are indicated only for persons with disabilities. It often happens that an employee is subject to several codes. For this purpose, additional fields are provided in the “Calculation Conditions” column.

Violation of hospital regulations

By Semyon Zelkin / July 23rd, 2020 / Business Law / No Comments

To simplify the electronic processing of documents, text information is avoided. It was replaced by cells (fields) where simple digital codes are entered, convenient for reading by an optical scanning device.

This data is automatically entered into the computer, which facilitates the storage, sorting and retrieval of information. This digital coding system is used when issuing temporary disability certificates.

Types of codes

Most of the fields of the document are filled in by the doctor of the medical institution, and some fields are filled in by the responsible person or an accounting employee. First of all, the doctor fills out the fields indicating the reason for receiving a certificate of incapacity for work and a note about violation of the regime. A sick leave may be issued for the following reasons:

  • 01 – illness;
  • 02 – injury not related to work;
  • 03 – quarantine due to illness;
  • 04 – industrial injury;
  • 05 – gestation;
  • 06 – production of prostheses in stationary conditions;
  • 07 – disease from the list of occupational diseases;
  • 08 – treatment in a sanatorium;
  • 09 – caring for a disabled or disabled person;
  • 10 – poisoning;
  • 11 – disease from the list of social diseases;
  • 12 – illness of a child under 7 years of age;
  • 13 – caring for a disabled child;
  • 14 – dangerous symptoms in a child as a result of the vaccine;
  • 15 – HIV code.

Code 01 is the most common. It denotes any disease with the exception of diseases included in the special lists of the Ministry of Health.

Domestic injuries and accidents not related to the patient’s work activity are coded 02. All types of quarantine for infectious diseases are coded 03.

Work-related injuries include not only injuries received directly at the workplace, but also those received on the way to or from work.

Code 07 is set if the patient is diagnosed with a disease from a special list. The Ministry of Health document lists all possible diseases associated with the patient’s professional activities.

These include toxic hepatitis, metal fever, berylliosis, silicosis and many others. Code 11 implies the presence of a social disease.

On this list, tuberculosis comes first, followed by hepatitis, malignant neoplasms and diabetes.

Additional codes

In addition to the main fields, the document has additional columns. This is “Add. code" and "Code. ism". The first field contains the following data:

  • 017 – the sick person is being treated in a special sanatorium;
  • 018 – sanatorium treatment is associated with an industrial injury;
  • 019 – the patient is undergoing rehabilitation at the Research Institute of Balneology;
  • 020 – increased maternity leave;
  • 021 – illness or injury occurred under the influence of alcohol, drugs or other substances.

Code 021 reduces the amount of insurance payments for the entire duration of the treatment process. In this case, the calculation is carried out not on the basis of average earnings, but on the basis of the minimum wage.

This principle of calculating the insurance amount applies even if the patient does not have any indication of violating the regime.

Field "Code. "izm" is filled in if the diagnosis has changed during treatment. If changes are not required, the field remains blank.

What fields are indicated to the employer?

In addition to the information fields where the place of work and other data is indicated, the employer fills out coded fields. This is the line “Calculation conditions”. Two-digit codes fit into it:

  • 43 – if the employee was exposed to radioactive radiation;
  • 44 – work is performed in the Far North;
  • 45 – the employee has an established disability group;
  • 46 – the employment contract was concluded for a period of up to six months;
  • 47 – the insured event occurred within 30 days from the date of dismissal;
  • 48 – the employee violated the treatment regimen for a valid reason;
  • 49 – if the disease lasts more than 16 weeks;
  • 50 – if the disease lasts more than 20 weeks;
  • 51 – the employee did not have time to earn enough to pay for the insurance premium or the amount of earnings is less than the minimum wage.

Codes 46, 49 and 50 are not indicated if the cause of the illness is code 11. In addition, codes 49 and 50 are indicated only for persons with disabilities. It often happens that an employee is subject to several codes. For this purpose, additional fields are provided in the “Calculation Conditions” column.

Subordination code

This sick leave column is also filled out by the employer. The subordination code allows you to find the policyholder in the Federal Insurance Service database. It consists of five digits and can change when the physical address of the organization changes.

conclusions

In principle, it is not necessary to know the sick leave codes, but quite often controversial cases arise and then you can check that the attending physician has filled out the form correctly.

How to pay for violation of the sick leave regime in 2017

Payment for the period of temporary disability for officially employed citizens is guaranteed by the Labor Code (LC) of the Russian Federation. Article 183 of the Labor Code of the Russian Federation

:

“In case of temporary disability, the employer pays the employee temporary disability benefits in accordance with federal laws”

It happens that a citizen accidentally or deliberately violates the regime

, prescribed by the attending doctor. How sick leave is paid in such a case and whether it is possible to receive sickness compensation in full is discussed in this review.

What is a violation of the regime

If an employed citizen becomes ill or injured, if he is unable to perform his job duties, he must go to a clinic or other medical institution.

It doesn’t matter whether it’s free honey. assistance with compulsory health insurance (CHI) or receipt of paid medical services.

The main condition is that the medical institution has a certificate

for the issuance of certificates of incapacity for work.
The doctor, having carried out the necessary diagnostic procedures, must prescribe appropriate treatment and issue a sick leave certificate, on the basis of which the citizen will receive benefits.
One of the main conditions of payment is the patient’s compliance with certain rules and regulations, which together determine the sick leave regime.

Violation of the sick leave regime is a good reason for changing the payment amount downward.

We list the most common types of deviations from the established rules

:

  • going to work without the permission of the attending physician;
  • failure to comply with prescribed medical appointments;
  • unauthorized departure from a medical hospital;
  • refusal to conduct medical examination;
  • failure to attend a scheduled medical appointment;
  • failure to implement rehabilitation measures;
  • visiting another medical institution without notifying the attending doctor.

Information about any of the listed offenses must be entered in a specially designated column of the sick leave form indicating the date of the offense

. The identification of the detected violation is indicated by a special code.

Here's a breakdown of the codes:

in the following table:
Classification code Nature of the violation

23
  • non-compliance with treatment rules;
  • unauthorized leaving the hospital;
  • visiting another medical center institutions without doctor's approval
24being late for an appointment with the doctor
25going to work before official permission
26refusal of honey examination
27failure to visit a medical facility on time to conduct a comprehensive health assessment
28other violations

What are the consequences of non-compliance with the regime?

Source: https://buh-experts.ru/narushenie-bolnichnogo-rezhima/

conclusions

In principle, it is not necessary to know the sick leave codes, but quite often controversial cases arise and then you can check that the attending physician has filled out the form correctly.

Other codes on the sick leave certificate You can also see encoded information in the following cells on the sick leave certificate:

  • "Additional code." For example, if these cells contain code 021 (illness or injury resulting from alcohol/drug/toxic intoxication), then the benefit may be paid in a smaller amount;
  • Relationship code. This code is filled in if sick leave was issued in connection with caring for a sick family member. For example, code “38” (“Mother”) means that the employee-parent was caring for her sick child. In this case, it will be indicated that the cause of disability is 09 on the sick leave;
  • Code indicating violation of the regime. Let’s say the code “24” may be indicated on the sick leave.

Disability codes on sick leave

Caring for a disabled child is paid for 120 days a year, the time period for each case of illness is not limited. 14 Caring for a child with a complication after vaccination or with oncology An employee has the right to take out a certificate of incapacity for work at any time of the year without restrictions on the number of days. 15 Caring for a child with HIV infection Additional code (3 characters) 017 Referral for treatment to a specialist. sanatorium Payment according to the main code 018 Sanatorium treatment for work-related injuries 019 Treatment in research institute clinics 020 Additional leave for complicated childbirth 021 Incapacity for work due to alcohol intoxication, drug addiction or substance abuse. Sick leave payments are calculated based on the minimum wage, and not on the employee’s average salary.

Code “Violation of the regime” 23 Unauthorized violation of the treatment regime Until the date of violation, sick leave is paid according to the main code.

How to write code 36 and 24 on a sick leave certificate?

Attention

The employee underwent a course of therapy in a private clinic and presented the manager with a standard form of a certificate of incapacity for work with all registers and codes. However, the accountant requires a copy of the license of the specified clinic.

Does he have the right to make such demands? For the payment of benefits, the form of ownership of the medical institution does not matter. But the healthcare organization must have the appropriate license. If a private clinic is provided with sick leave forms, then everything is in order with its license. Therefore, an accountant who has received a certificate of incapacity for work, on which all the signatures and seals are affixed, cannot demand additional documents from the employee. Question No. 5. The employer made two mistakes when filling out sick leave.

How is sick leave paid if there is a note about violation of the regime?

If the citizen is disabled, code 36 is not entered and the line “Other:” is not filled in.

If the certificate of incapacity for work contains a note about violation of the regime, then it is impossible to calculate temporary disability benefits in full. From the day when the violation of the regime occurred, the amount of the benefit cannot exceed the minimum wage for a full calendar month (using regional coefficients in the relevant territories).

From the book you will learn: to whom and when a certificate of incapacity is issued; how to calculate

Rules for issuing sick leave

The procedure for issuing sick leave is regulated by Order of the Ministry of Health and Social Development of Russia No. 624n dated June 29, 2011. In addition, the Government approved Temporary rules for quarantine leaflets, incl. for persons over 65 years of age (Resolutions dated 03/18/2020 No. 294, dated 04/01/2020 No. 402).

Filling out the form is strictly regulated; the doctor selects the desired value from an approved list of encodings. Sick leave codes and their interpretation are given in paragraph 58 of Order No. 624n. The cipher you specify depends on:

  • source of reimbursement (part of the benefits is fully paid by the Social Insurance Fund);
  • duration of payment (for some types of sick leave, for example, for child care, legislation limits the accrual period);
  • amount of benefit (for example, a special code is used for sheets that contain notes about violation of the regime, or when the code shows that the accrual does not take into account length of service).

The explanation of all codes is given on the back of the sick leave form. Some of the codes are closely interrelated. Let's look at this in more detail when considering individual ciphers.

The Social Insurance Fund clarifies the procedure for filling out sick leave certificates

Decoding the disability codes on the sick leave + sample of filling out the sick leave

There is no need to understand the doctor’s often “unreadable” handwriting.

  • Minimizing the likelihood of errors.
  • Maintaining medical confidentiality.
  • Opportunity to cooperate with medical institutions abroad.
    Important! The decoding of the codes is on the back of the form.

    Therefore, understanding the numbers and clarifying the reasons for an employee’s absence is not difficult. (understand how to calculate insurance premiums for 72 hours) 3000+ books purchased All numerical codes reflecting the grounds for disability were developed and prescribed by a special order of the Ministry of Health and Social Development of the Russian Federation.

    The code is indicated in four places on the hospital form. They contain:

  • Types of kinship.
  • Calculation conditions.

  • Root causes of employee disability.
  • Other.
  • Indications of violations of the regimen prescribed by the doctor.

All codes, except the last one, are entered by the doctor. The conditions for calculating benefits are fixed by the employer.

Other sick leave codes

After closing the form, the doctor fills out the “Other” field. This cell contains a code indicating further events for the sick person.

Code “31” on a sick leave certificate – what does it mean?

Coding “31” is used if the employee continues to be sick and a new sheet is issued to him.

Codes "32", "33", "35"

The employee is recognized as disabled. The employer is recommended to check whether a work group has been assigned that allows him to continue performing his job duties. Code “33” is indicated if the commission has changed the group, and “35” - if the employee refused to conduct medical examination.

Code "34"

This code is assigned in case of death.

Code "36"

This code means that the person is healthy and was declared able to work at his last appointment with a doctor.

Violation of the sick leave regime: how to calculate benefits

If there was such a reason, calculate benefits for all days of sick leave in the usual manner (Article 8 of Law No. 255-FZ). Read also

“Maximum and minimum sick leave in 2020”

Valid reasons for absenteeism To do this, it is enough to take written explanations from the employee why he did not show up for an appointment with the doctor on time, and supporting documents, if any. But in order to assess the validity of the reasons for absence, a social insurance commission from among the employees or a social insurance commissioner is needed if there are few employees in the organization (clause

11 Regulations, approved. Government Decree No. 101 dated 12.02.94 (hereinafter referred to as the Regulations); P.

1.1, 2.2 of the Standard Regulations, approved.

How to pay for sick leave in 2020 with a violation of the regime

No. 375. Sick leave with violation of the rules is paid in full, reduced amount or not paid at all. First of all, it depends on the code specified by the doctor: Violation code Type of violation Examples, comments Refusal to comply with the doctor’s requirements, leaving the medical institution, moving to another area The patient does not comply with the prescribed daily routine or refuses to take prescribed medications Failure to show up for appointments doctor on the appointed day The patient came to the doctor already recovered or the patient could not visit the doctor due to deterioration of his condition Early return to work The employee went to work while ill Refusal to undergo a medical examination With codes 26 and 27, a person is not considered disabled Attendance for medical examination. examination later than the appointed date Other violations The code does not prevent payment of sick leave in full

Therefore, the clinic must issue a certificate of incapacity for work and discharge the citizen to work from the date following the date of the scheduled appearance at the clinic, putting code 24 - “late appearance for an appointment with a doctor” and in the line “Other” code 36 - “appeared able to work.”

Thus, the days following the date when the employee was supposed to see a doctor do not belong to the period of temporary incapacity for work. Attention: Several cells are allocated for them:

    two – the code itself (from 01 to 15); three – to indicate an additional cipher (017-021); two – the changed code is recorded here, if necessary (the diagnosis has been clarified).

There are several purposes for using codes, in particular: Compact and economical use of the form. Simplifying and optimizing the work of HR staff.

There is no need to understand the doctor’s often “unreadable” handwriting.

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