In 2011, the FSS carried out a reform and largely changed and improved the mechanism for registering sick leave. Digital codes now play a major role; they are used to record information regarding the temporary disability of an employee.
The article will discuss the sick leave certificate and the procedure for filling it out. The information required to fill out will be indicated, as well as the procedure for registration. In addition, you will also find a breakdown of the disease codes on the sick leave and what they are responsible for.
- general information
- Registration procedure
- Codes
- Conclusion
general information
What does sick leave mean? With the help of a sick leave certificate, an illness, injury or other physiological problem of an employee is registered. The form is sometimes called differently - a sheet of temporary incapacity for work. It is allowed to be prescribed only by doctors who have passed a special check by the FSS. An employee can count on payments if the form was correctly filled out and submitted to the enterprise administration within the established time frame.
For a long time now, a single standardized form has been used to fill out sick leave. In 2011, a reform was carried out in this area, the forms began to look slightly different, and new rules for filling out were introduced. Disease codes have become strictly mandatory.
Is the diagnosis written on the sick leave certificate? The diagnosis and cause of disability are now indicated using two special digital designations. The first is the national designation of the cause (01,02,03), the second is the international form of recording the disease according to the ICD-10 system.
Primarily, the reform was carried out to avoid cases of fraud associated with sick leave payments. That's why there's honey in everything. Institutions forms are received directly through FSS branches. The sheets are marked with serial numbers, so it becomes much easier to track illegal fraud. In addition, new sheets of paper are protected with watermarks, micro-text and some other methods.
It is best to fill out the sheet using printed media, as well as a black pen. Entries must be placed exactly within the boundaries of the cells and frames. Such accuracy is necessary so that the form can be processed by a computer - electronic reading is quite sensitive and demanding. The physician must not cross out, sign, or otherwise change the completed form.
Sample of a completed sick leave certificate:
If you need to change information, you should take a new sheet. The employer has the right to make mistakes and make corrections to the records, but this is highly undesirable. Corrections are written on the back of the sheet, incorrect data is crossed out.
Then you should sign and date it, recording the fact of the corrections. We also recommend that you read the article “Errors when filling out sick leave”, from which you will learn about inaccuracies that FSS employees will not pay attention to.
The form must be filled out by two people: the doctor and the employer. The doctor is responsible for completing sections 1 and 3. The employer, in turn, is for the second. It should be taken into account that the FSS carries out quality control and conducts random checks. In the future, the Foundation plans to switch completely to an electronic sick leave system, which will further simplify the control task.
When registering/using sick leave, you should rely on the Tax, Labor and Administrative Code. In addition, important documents are Federal Laws N212, N125, N255. In any unclear cases, you should contact the FSS department for advice.
Disease codes for sick leave in the Republic of Belarus
Primarily, the reform was carried out to avoid cases of fraud associated with sick leave payments. That's why there's honey in everything. Institutions forms are received directly through FSS branches. The sheets are marked with serial numbers, so it becomes much easier to track illegal fraud. In addition, new sheets of paper are protected with watermarks, micro-text and some other methods. 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.
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Registration procedure
There are three people involved in registration: the doctor, the employer and the employee. An employee becomes ill and goes to a medical facility. The doctor must diagnose the patient's disease and health condition. Based on this, the doctor determines the duration of sick leave and enters it into the form. To do this, use the corresponding unified codes (detailed explanation below). Then he indicates the following information about the patient:
- FULL NAME;
- Date of Birth;
- Floor;
- Name of the enterprise - according to the patient, no special documents are required. If the employer is an individual entrepreneur, then enter the full name of the individual. employer person.
If you made a mistake in spelling the name of the company, then do not rush to the hospital to get a new document, just read the article “If there is a mistake in the name of the organization on the sick leave certificate.”
The doctor must also indicate the name, address and registration number of his medical institution. After this, the sheet should be signed and stamped. If the attending physician is engaged in private practice, then he similarly indicates his full name and register. number.
The employee takes the form completed by the doctor to the administration at the place of work. The employer fills out information regarding payment calculations and information about his company:
- Name of organization - 29 cells are allocated, one empty cell must be left between words;
- Type of work (main or part-time);
- Registration number in the Social Insurance Fund (enterprise);
- Subordination code;
- Employee number (identification);
- Fear. number;
- Payment terms;
- Fear. employee experience;
- Avg. earnings;
- Full name of the head. accountant and company manager;
- Amount of payments - indicate three amounts: from the employer, from the Fund and the final amount (due to the employee).
In addition, the data necessary for the tax authorities is recorded. Every year, tax reports (2-NDFL) must be prepared for all employees. On sick leave, the tax code is always 2300. The benefit is not taxed, although formally it is classified as income. A 2-NDFL certificate is sometimes required for an employee to get a loan; it may be necessary in a new workplace. The employee always has the opportunity to check the correctness of payments.
Explanation of the fields on the sick leave:
The employee is also a participant in the registration process, but he practically does not fill out anything. All he needs to do is consult a doctor in a timely manner and obtain a certificate of incapacity for work. Then it is necessary (within compliance with the deadlines) to provide the completed form at the place of work.
Codes
Special digital codes are used to record information describing the nature (diagnosis, disease, cause) and duration of disability. Codes can be two-digit or three-digit (starting from zero). Using such a flexible system, all reasons for incapacity/sick leave are coded. There are 15 main causes of disability (illness), let's figure out what the codes on the sick leave mean, what disease and diagnosis is hidden behind it, and let's decipher them:
- “01” - disease, the most common case, especially during influenza epidemics;
- “02” - domestic injury, that is, damage to the body received outside of work/workplace;
- “03” - quarantine, indicates the need for quarantine, typical for infectious diseases, for example, tuberculosis;
- “04” is a work injury, but the correct name would be “work accident”;
- “05” - the onset of disability due to pregnancy and childbirth;
- “06” - prosthetics, which (for medical reasons) can only be performed in a hospital;
- "07" - prof. disease, as well as exacerbation of prof. diseases, especially typical for industries with hazardous conditions;
- “08” - medical procedures in hospitals and sanatoriums;
- “09” - disability due to the need to care for a sick family member (for example, a disabled person);
- “10” - poisoning, as well as other conditions;
- “11” is a disease from the list of social services. significant diseases, the list is approved by Government Decree N715. These include, in particular, tuberculosis, hepatitis, HIV, diabetes, oncology;
- “12” - the reason is the illness of a child under 7 years old, the need for additional care;
- “13” - caring for a disabled child;
- “14” - cancer in a child or a post-vaccination complication;
- “15” – HIV infection in a child.
You will find more detailed information on filling out a certificate of incapacity for work due to a child’s illness in the article “Issuing sick leave for child care.” In addition, you may be interested in the article “Sick leave to care for a relative.”
After the code “15”, three-digit designations begin (the first is “017”), they are indicated next to the above two-digit ones. They are incremental in nature, giving more detail if needed, and they start with the number “0.” There are five such designations in total:
- “017” - indicate if the treatment took place in a special facility. sanatoriums;
- “018” - undergoing sanatorium-resort treatment due to an industrial injury;
- “019” – treatment in a clinic at a university/institute;
- "020" - additional holiday for labor and finance;
- “021” - noted if the disease/injury was caused by alcohol and drug use.
Thus, correlating the reason with the established list, the doctor enters the reason on the form. For example, if a woman is on sick leave due to BiR and has received additional leave for this reason, the form will indicate the codes “05” and “017”.
Then, in the lines “Other” and “Violation of the regime”, the code again becomes two-digit. Let's figure out what some of the codes in the "Other" section mean:
- “31” - noted if the employee continues to be sick;
- “32” - the employee was assigned a disability;
- “34” — death (in this case: the reason for the end of sick leave);
- “36” - the patient arrived (at the appointment) healthy and able to work.
In addition to codes for causes of disability, there are so-called ICD (International Classification of Diseases) codes. The latest version is ICD-10, the tenth edition of this classification. The doctor on sick leave also notes the disease according to the ICD system. There are 22 classes of diseases in total. They are designated from "A00" to "Z100". The ICD is already completely medical information.
Errors in registration of sick leave
Errors in this position are also made when sick leave for caring for a child under 14 years old during outpatient treatment is closed, and a day later or after the weekend the child’s condition worsens and in this case of his illness a certificate of incapacity for work is opened again.
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In positions 8 - 13 “Beginning of incapacity for work”, when extending sick leave, the date of issue of this sheet is entered. If the priority code in the sick leave is “0”, then the date of onset of incapacity for work indicated in the first sheet is entered in the indicated positions.
Transcript
1 Codes of sick leave and their decoding in the Republic of Belarus according to f16chn >>> Codes of sick leave and their decoding in the Republic of Belarus according to f16chn Codes of sick leave and their decoding in the Republic of Belarus according to f16chn Recognize the orders of the Ministry of Health of the Republic of Belarus dated December 6, 2000 as invalid. If everything is complete, including the diagnosis and circumstances of the disability, you will need more than one sheet of paper. Neurocirculatory dystonia, vegetative V F41, F45 dystonia 11. In order not to indicate long-term diagnoses and names of diseases, there have long been disability codes on sick leave, which are very easy to understand. Diseases of the breast and inflammatory XIV N60 - N64, diseases of the female genital organs N70 - N73, N75 - N To the heads of health care departments of regional executive committees, the chairman of the health committee of the Minsk City Executive Committee, heads of republican health care institutions: 2. The final diagnosis is encrypted at the end of the entire case of temporary disability . Can only be specified with the consent of the employee. Bronchial asthma caused by occupational hazards is reflected in. The positive thing is that it is with the help of these indicators that the types of diseases are determined not only in our country, but also in many others. Other diseases of the digestive system XI K20 - K22, K30 - K31, K50 - K52, K90 - K Control over the implementation of this order is entrusted to the head of the Department of Medical Examination, Rehabilitation and Sanatorium Treatment of the Ministry of Health of the Republic of Belarus V. Pilipenko. The front side of the certificate of incapacity for work is filled out health care organization, negotiable - by the insured. berculosis of other organs I A17 - A19 3. In this case, the certificate of incapacity for work is accompanied by an output form signed by the person responsible for the calculations and the chief senior accountant, who are responsible for the accuracy of the information contained in it. Neurocirculatory dystonia, vegetative V F41, F45 dystonia 11. Any correction must be specified, which is recorded in the margins of the certificate of incapacity for work. Brain strokes IX I60 - I64, I Rheumatism IX I00 - I The World Health Society has developed a special coding system for medical diagnoses, which is used in medical regulations for standardization purposes. Intracranial trauma XIX S Diseases of the veins, lymphatic vessels and IX I80 - I89 lymph nodes 26. Kidney diseases XIV N00 - N07, N11 - N12, N Sick leave codes and their decoding in the Republic of Belarus according to f16chn The employer must be ready to compensate for the entire period of the employee’s treatment . Erasures and unspecified corrections are not permitted. Diseases of the arteries, arterioles and capillaries IX I70 - I Very common are situations where the causes of disability do not fall under any specific item listed above. Their decoding is given on the back of the sick leave. This is the latest version of the disease classification, which includes 21 sections. Diseases of arteries, arterioles and capillaries IX I70 - I78 25.
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Let's look at what disability codes exist on sick leave , as well as their meaning and designation. As you know, every citizen who is faced with health problems has the right to issue a sick leave certificate, which guarantees that he will receive financial compensation while at home during illness. A sick leave certificate is a source of information for the accounting department, which will make payments, as well as for the boss, who must understand on what grounds the subordinate was absent from the workplace. In order not to indicate long-term diagnoses and names of diseases, there have long been disability codes on sick leave, which are very easy to understand. We will talk about them in this article.
Why are disability codes used on sick leave?
The sick note itself contains all the most necessary information about the citizen. This includes surname, patronymic and first name, registration address, and other personal information. Some columns must be filled in by the doctor, and some by the head of the enterprise. where the patient works. The paragraph in which the code designation of the disease is indicated is given special attention. This is most often a code word that includes both letters and numbers. In this case, each symbol is assigned a specific meaning. Use disability codes on sick leave to:
• Simplify and optimize the activities of HR department employees; • Save space in the document; • Generalize the designation system not only for domestic, but also for foreign clinics.
As for the length of the symbol, it is no more than a few letters and numbers, which helps to conveniently enter the diagnosis into small columns of the sick leave sheet. As you know, very often doctors write in a way that is not entirely clear, and it is much easier for a personnel officer to make out a few printed characters than the doctor’s incomprehensible handwriting in which the name of the disease is written. Therefore, errors occur extremely rarely.
Such codes are available and understandable not only in our country, so if a person works abroad and presents a sick leave with code values, there will be no problems with translation or parsing handwriting. By looking at the code, you can quickly draw a conclusion regarding the illness of a subordinate, which will justify non-attendance at the workplace for a certain period.
Decoding the disability codes indicated on the sick leave certificate.
The code values were adopted by the Ministry of Health and are government indicators. The positive thing is that it is with the help of these indicators that the types of diseases are determined not only in our country, but also in many others. Each code includes two parts. The first part of the designation indicates the class number according to the ICD. Only one Roman numeral is used here, thanks to which the group of illness that the employee suffered is directly indicated. For example, the disease can be infectious, associated with injury, chronic or viral diseases.
The second part of the code consists of several different numeric and alphabetic characters. With their help, you can more fully study the reasons for the employee’s disability, what illness he suffered, and how severe the illness was. And besides this, in the second part there may be two subgroups of symbols, which indicates concomitant diseases. So, let's look at the encoding itself. First, we indicate the serial number of the disease, then its number according to the ICD, then the very name of the cause of disability, and at the end - the code values according to the subsections of the ICD.
1. Diseases associated with the respiratory system, tuberculosis - I - A15-A16; 2. Tuberculosis disease of organs of other body systems - I - A17-A19; 3. Diseases of an infectious and parasitic nature - I - A00-A09, A20-A28, A30-A99, B00-B09, B15-B83, B86-B94; 4. Malignant formation - II - C00-C97, D00-D09; 5. Neoplasm, the nature of which is not clear, but it is not classified as malignant – II – C00-C97, D00-D09; 6. Diseases that are associated with the blood, circulatory system or hematopoietic organs – III – D50-D89; 7. Failures in the body’s metabolism, diseases of the digestive system – IV – E00-E34, E40-E68, E70-E89; 8. Mental illnesses, schizophrenia – V – F20-F29; 9. Neurotic type disorder, neurosis – V – F40-F48; 10. Problems of dystonia, both autonomic and neurocirculatory – V – F45, F41; 11. Mental disorders of a different nature – V – F00-F19, F30-F39, F50-F99; 12. Diseases associated with the peripheral part of the neurological and nervous systems – VI – G50-G52, G54, G56-G58, G60-G62, G64, G70-G72; 13. Nervous system other diseases – VI – G00, G03- G04, G06, G08- G12, G20- G21, G23- G25, G30- G31, G35- G37, G40- G44, G47, G80, G90- G93, G95 - G98; 14. Diseases of the eyeball associated with the adnexa or the eye itself – VII – H00-H02, H04-H05, H10-H11, H15-H18; 15. Heart diseases – IX – I28-I28, I30-I31, I33-I38, I40-I42, I44-I49; 21. Diseases of an arterial nature – IX – I70-I78; 24. Bronchial asthma disease – X – J45-J46; 31. Diseases of the respiratory organs of another nature – X – J43, J47, J80, J82, J84-J86, J90; 32. Birth of a child, pregnancy of a woman – no code.
Situations are very common when the causes of disability do not fall under any specific item listed above. Then the mark on the sheet consists only of a serial number, which is quite sufficient.
In addition, you should indicate not only ICD-10 , which is international, but also class affiliation and sick leave encodings. Next, we list the designations that allow an employee not to come to work legally , classifying the diseases of each section.
1. An illness has arisen that deprives a person of the opportunity to go to work; 2. The person has suffered an injury that prevents him from performing his job duties; 3. Disease included in the quarantine list; 4. The person was injured during the work process, which seriously damaged his health and became an obstacle to performing his work duties; 5. The woman went on maternity leave or leave before giving birth; 6. The citizen has undergone surgery related to prosthetics and is undergoing hospital treatment; 7. The person became ill due to his professional activity or a disease of this type became active again; 8. The employee must be sent to a rehabilitation course, or to undergo further treatment in a specialized hospital; 9. A subordinate is forced to care for a sick loved one; 10. Food poisoning; 11. A citizen has received a disease that is included in special lists and is of a significant nature; 12. The employee must care for a child who is under seven years old, but is already suffering from one of the diseases that is indicated in the list that was approved by the Ministry of Health; 13. A subordinate is caring for a child who is faced with mental or mental disabilities; 14. If a person has a certificate stating that he became ill during the period after vaccination; 15. The employee is forced to care for a child who is sick with the immunodeficiency virus; 17. If there is a need for sanatorium treatment or maintenance of the body; 18. The employee needs to undergo treatment in a sanatorium due to temporary disability; 19. Necessary physiotherapy or rehabilitation procedures; 20. Leave after the birth of a baby or during pregnancy; 21. A person requires sick leave due to problems with drugs or alcohol, or due to incidents based on these reasons.
To learn more about how to properly apply for sick leave , you can refer to order number six hundred twenty-four. But in general, it is the code values that help employees of the accounting department obtain the most complete information about why this or that employee did not attend the workplace. The main advantages of using a code system are that errors are minimized, but dealing with sick leave becomes much easier. Instead of parsing the doctor’s handwriting, you just need to get a reference book that contains disability codes on the sick leave.
Codes on the sick leave certificate (decoding):
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DECODING THE DIAGNOSIS
Coding of the diagnosis in certificates of incapacity for work (LN) is carried out in two ways: according to form 16-VN in accordance with the List of diseases and other causes of VN (two-digit code - line number of the List) and according to ICD-10 (three-digit heading code). ICD-10 uses an alphanumeric coding system for categories: the first position is designated by a letter of the Latin alphabet, the other two by numbers. The preliminary diagnosis is coded when issuing each FN form only with the ICD code in positions 17-19 of the FN and 25-27 of the control coupon (CT). The final diagnosis is encrypted at the end of the entire case of temporary disability. The final diagnosis code consists of two parts. In the first part (positions 20-21 LN and 28-29 CT), a two-digit code (number) of line f.16-VN is entered into which this diagnosis is encrypted. The second part contains 4 positions (22-25 LN and 30-33 CT): in the first three, a three-digit ICD-10 heading code is entered, corresponding to the final diagnosis; the fourth position is left unfilled until a future four-digit ICD-10 diagnosis code is introduced. The list of diseases, injuries and other causes of VN is compiled on the same principle as the previously used line-by-line list. It contains two groups of causes of VN: incidence with VN (lines 01-63) and other causes of VN (lines 64-68), two summary lines: line 69 - the sum of lines 1-63 (morbidity) and line 70 - the sum of lines 01- 68 (morbidity and other causes of LN). The 71st line “Maternity leave” is included in the final line, because this leave is not temporary incapacity for work, although it is certified by a certificate of incapacity for work. Resolution of the Ministry of Statistics and Analysis of the Republic of Belarus dated June 1, 2001 No. 31 approved state statistical reporting in form No. 16-VN “Report on the causes of morbidity in the employed population with temporary disability” (National Register of Legal Acts of the Republic of Belarus, 2001, No. 62, 8/6253) I ORDER: 1. To approve the Explanations on the coding of diagnoses of diseases and other causes of disability in certificates of incapacity for work according to the appendix. 2. Heads of health departments (health protection) of regional executive committees, Chairman of the Health Committee of the Minsk City Executive Committee, heads of republican health care institutions: 2.1. accept for execution and management the approved Explanations on the coding of diagnoses of diseases and other causes of disability in certificates of incapacity for work; 2.2. bring to the attention of the management the approved Explanations on the coding of diagnoses of diseases and other causes of disability in certificates of incapacity for work to all medical institutions in the region (city), regardless of departmental affiliation. 3. Recognize as invalid the orders of the Ministry of Health of the Republic of Belarus dated December 6, 2000 No. 54 “On approval of the list of diseases, injuries and other causes of temporary disability included in the new form of statistical reporting” and dated December 31, 1999 No. 396 “On approval Instructions for encoding disease diagnoses on sick leave certificates.” 4. Control over the implementation of this order is entrusted to the head of the Department of Medical Examination, Rehabilitation and Sanatorium Treatment of the Ministry of Health of the Republic of Belarus V.D. Pilipenko.
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Possible values
Below are the codes for the cause of disability on the sick leave with a breakdown .
Code | What does it mean | A comment |
01 | Sick leave code “01” means illness | |
02 | Code “02” on a sick leave certificate means that there is an injury | Household |
03 | Quarantine | |
04 | Sick leave code “04” means an accident at work or its consequences | There must be a corresponding document |
05 | Rest due to pregnancy and childbirth | |
06 | Installation of any prostheses in the hospital | |
07 | Occupational disease or period of its intensified phase | Must be identified following a meeting of a special medical commission |
08 | Aftercare in a sanatorium | You must include a referral for treatment. |
09 | Caring for an ailing relative | |
10 | Poisoning, specific treatment, necessary manipulations, etc. | |
11 | Illnesses of particular importance to society | The full list is in paragraph 1 of the Decree of the Government of the Russian Federation dated December 1, 2004 No. 715 |
12 | Caring for a child under 7 years old who suffers from a serious illness | The full list of diagnoses is in the order of the Ministry of Health and Social Development dated February 20, 2008 No. 84n |
13 | Babysitting for a disabled child | |
14 | Illness due to the effects of a vaccine or malignant neoplasm in a person under 18 years of age | The code is entered on the sick leave issued to care for such a child only with the written consent of the parent |
15 | Looking after a child with HIV | The code is entered on the sick leave issued to care for such a child only with the written consent of the parent |
017 | Treatment in a highly specialized sanatorium | |
018 | Sanatorium-resort treatment immediately prescribed for recovery after an accident at work | |
019 | Treatment at the Research Institute of Resort and Rehabilitation Profile | |
020 | Additional leave for pregnancy or childbirth | |
021 | Injury or illness caused by intoxication from alcohol, toxins or drugs | This refers to injury and illness resulting directly from the use of these substances or as a result of actions performed under their influence on the body |
The presented sick leave codes and their interpretation are the same for all medical institutions.
For example, disease code “01” on a sick leave certificate simply means illness. If a company employee with a general illness asks for help, they enter code “01” on the sick leave certificate, which means for the employee that they will be paid in full for such illness. The sick leave code “01” will tell the accountant how to calculate the payment.
All codes for the cause of disability on the sick leave certificate are entered by employees of the medical institution.
Keep in mind that the disease code “01” on the sick leave may also be indicated in the code change cell, so you need to pay attention to all entries.
The disease code “01” on the sick leave sheet does not require decoding. It is usually not indicated, since it is common to many diseases.
Some diagnoses are included in separate lists. Therefore, if there is code “11” on a sick leave certificate (which means a socially significant illness), then they mean just such lists.
If you see code “36” on a sick leave sheet - which means you are able to work (due to failure to show up for your last appointment with a doctor), then the sheet is closed and will not be continued. And in the absence of a valid reason for violating the regime, sick leave can only be partially paid.
When you enter code “31” on the sick leave sheet, which means “Continues to be ill,” a new sick leave sheet is issued, continuing the old one.
Please note that the disability codes on the sick leave certificate reflect typical situations that are important to the employer. Disease codes on sick leave certificates indicate not only difficulties for workers, but also for their relatives, whom they care for. Moreover, some diseases are not indicated at the request of the employee. Also see “How to pay for sick leave for child care under the new rules.”
The accountant’s task is to understand, for example, how the code “09” is paid on the sick leave . After all, care payments are limited to a maximum time frame, beyond which the employee stays at home at his own expense.
Some codes for the reasons for incapacity for work are indicated by the employer on the new sick leave certificate . For example, code "45". It means that the employee has a disability, which means sick leave for him is calculated outside the general procedure.
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Disability codes on sick leave
12 This code is indicated if sick leave is issued in connection with an illness of a child under 7 years of age and his illness is included in a special list (Order of the Ministry of Health and Social Development of the Russian Federation dated February 20, 2008 N 84n) 13 This code is reflected in sick leave if it is issued in connection with care for a disabled child 14 Such a code is entered on the certificate of incapacity for work if it is issued to care for a child whose illness is associated with a post-vaccination complication, or for a malignant neoplasm 15 Code “15” means that temporary disability is caused by the need to care for an HIV-infected child B sick leave (approved by Order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2011 N 347n) some information is indicated in encrypted form. Thus, special codes for the reasons for incapacity for work on a sick leave certificate replace a verbal description of what served as the reason for issuing a certificate of incapacity for work. The meaning of disability codes on a sick leave certificate is established by law, i.e., employees of medical organizations use uniform approved codes when filling out sick leave certificates (Order of the Ministry of Health and Social Development of Russia dated June 29, 2011 N 624n).
Why is coding needed?
The sick leave certificate, although small in size, contains a huge amount of information:
- about the patient (personal data);
- about the medical institution that issued the sick leave;
- about the employer;
- about the type of work;
- about the employee’s health;
- about his illness.
Moreover, each item is divided into sub-items, which cannot be described in a fairly small format.
Complete instructions for using codes (with their designations) are contained in Order No. 624n. This document explains in detail:
- how sick leave is issued;
- what the doctor fills out;
- which is filled out by the employer’s HR officer or accountant.
From the part filled out by the doctor, the personnel officer can glean a lot of information about the sick employee of the company, for example:
- whether he is disabled (in this case, it is necessary to register disability in personnel documents and review the work function);
- Is the disease dangerous for the team?
How to read codes?
The sick leave has the following line: “reason for incapacity for work.” The line contains cells for entering two-digit codes, which are filled out by the doctor.
If you want to find out how to solve your particular problem, call :
- Moscow.
- Saint Petersburg.
- Other regions of the Russian Federation.
The codes indicate the reason for which sick leave is issued to the employee. Here are the reasons and designation codes:
- general illness - 01;
- domestic injury (outside of work) - 02;
- quarantine (being among infectious patients) - 03;
- occupational injury or its consequences - 04;
- maternity leave - 05;
- prosthetics in hospital - 06;
- occupational disease - 07;
- sanatorium treatment - 08;
- caring for a relative - 09;
- poisoning - 10;
- sick leave due to a child’s illness - 12;
- socially significant disease - 11.
In this case, three-digit additional codes can also be indicated:
- being in a special sanatorium - 017;
- stay at a research institute - 019;
- additional maternity leave - 020;
- for a disease resulting from intoxication (alcoholic or other) - 021.
The coding of such diseases occurs on the basis of Decree No. 715, which came into force at the end of 2014.
Codes of dangerous diseases
Every state cares about the health of the planet's population. In order to summarize information about the causes of diseases in the population, WHO developed the ICD - the international classification of diseases.
Today, the ICD is a document recognized by all countries of the world; in Russia it was adopted for use at the end of the last century. Today, the 10th version (revision) of the ICD is in use.
Information about diseases and their causes is updated once every 10 years, and its next revision is scheduled for 2021 . When registering sick leave, not the entire multi-volume ICD database is used, but only those inclusions that contain important information about dangerous diseases.
Dangerous diseases with code designations are divided into 2 types:
- socially significant diseases;
- dangerous to others.
The list of codes is presented in tables.
Socially significant
Dangerous
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Decoding the diagnosis on sick leave in the Republic of Belarus according to f 16chn 80
ORDER OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUS December 7, 2001 No. 271
ABOUT ENCRYPTION OF DIAGNOSIS OF DISEASES AND OTHER CAUSES OF DISABILITY IN CERTIFICATES OF DISEASES
Resolution of the Ministry of Statistics and Analysis of the Republic of Belarus dated June 1, 2001 No. 31 approved state statistical reporting in form No. 16-VN “Report on the causes of morbidity in the employed population with temporary disability” (National Register of Legal Acts of the Republic of Belarus, 2001
, No. 62, 8/6253) I ORDER: 1. To approve the Explanations on the coding of diagnoses of diseases and other causes of disability in certificates of incapacity for work according to the appendix. 2.
To the heads of health departments (health protection) of regional executive committees, the Chairman of the Health Committee of the Minsk City Executive Committee, heads of republican health care institutions: 2.1.
ARVI, etc.
What does disease code 01 mean on a sick leave certificate?
The diagnosis of the disease on the sick leave is coded according to the national and international system. Disease code 01 refers to the national coding system. This code means Disease.
This is the most common code; infectious colds, acute respiratory viral infections, and seasonal colds are encrypted under it.
How is sick leave paid for with disease code 01?
When calculating benefits for temporary disability due to general illness, they are guided by the mandatory condition of social insurance of the employee's health, since payments for temporary disability are provided from the compulsory insurance fund.
When calculating take:
- Average earnings for the last two years, and the amount should not exceed the established insurance base.
This line also includes personal income tax issued for child care during the period of sanatorium-resort treatment and treatment of the child in rehabilitation centers.
Line 66 “Care for a child under 3 years of age and a disabled child under 18 years of age due to the illness of the mother (another caregiver).”
Line 67 “Exemption from work due to quarantine and bacteria carriers” takes into account personal exemptions issued to employees of food and similar enterprises if they have had contact with infectious patients or are bacteria carriers.
Line 68 “Vacation in connection with sanatorium-resort treatment without treatment in an anti-tuberculosis sanatorium, follow-up treatment in sanatorium rehabilitation departments” takes into account the LN issued to certain categories of citizens for sanatorium-resort treatment, as well as for travel to and from the sanatorium.
Subordination codes are assigned to insurance organizations by the Social Insurance Fund.
More information about filling out a certificate of incapacity for work can be found in Order of the Ministry of Health and Social Development of Russia dated June 29, 2011 N 624n.
Thus, coding is a convenient means of providing information about the reasons for the deterioration of workers’ health on sick leave, which in turn is necessary for calculating social benefits.
With their help, personnel services receive all the basic information about the events that affected the health and caused the person’s disability.
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Let's look at what disability codes exist
on sick leave , as well as their meaning and designation.
Depending on various criteria, modern dangerous diseases are divided into two main types:
- Socially significant diseases.
- Diseases that carry a clear danger not only for the patient, but also for the people around him.
Socially significant diseases include:
- tuberculosis. Codes - A15-A19;
- genital infections - A50-A64;
- hepatitis B and C - B16-B18;
- HIV infection - B20-B24;
- dangerous mental disorders - F00-F99, etc.
Dangerous human diseases include the following:
- anthrax - A22;
- plague - A20;
- sexual infections - A50-A64 and other diseases.
Other information on the sick leave certificate
In addition to the main and additional codes, the sick leave may contain other important information, which is also presented in the form of a code.
In subsequent years (1864, 1874, 1880, 1886), the classification was revised - additions and changes were made.
In 1893, the Bertillon Classification was adopted in Chicago after Jacques Bertillon (France), who led the preparation of the classification. It was also called the International List of Causes of Death. It laid the foundation for the classification that is now known as the International Classification of Diseases (ICD). Since 1893, the classification has been revised approximately every 10 years.
The current classification is the 10th revision. It was approved by the International Conference on the Tenth Revision of the ICD in 1989 and adopted in May 1990 by the Forty-third World Health Assembly. It has come into use in WHO member states since 1994, and since 1999 in Russia.
The release of ICD-11 is delayed, but work on its preparation is ongoing.
The second is a combination of letters and numbers that give a more accurate idea of it.
Thus, disease codes on a sick leave certificate can be either generalized or detailed. Generalized codes 01 and 11 are used to indicate the reasons for the inability to perform work.
Codes are also used when sick leave is issued for caring for a sick family member (including children).
The features of this filling are shown in the figure:
Mostly doctors provide information about codes. However, the calculation codes and subordination codes are indicated by the employer.
Calculation codes are understood as digital designations for calculating insurance experience.
Homeland and this fact was recorded on the sick leave. Then he got sick again or had a complication while abroad.
Disease codes are universal, and a foreign specialist will be able to figure it out.
In addition, they reduce the likelihood of error. With a small number of characters it is small.
Classification and decoding of disease codes on sick leave
Two classifications are used in sick leave - this is the classification of sick leave and the classification of diseases.
The first is used constantly, since it refers to the reasons why the employee was not at work and which are related to illness.
It indicates the legal grounds for absence, calculation of benefits, etc.
The codes included in it are considered disability codes.
Attention
The decoding can be found in the relevant Order of the Ministry of Health of the Russian Federation.
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.
Sick leave codes and their interpretation
- 31 – extension of sick leave (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.
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:
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 does code 01 mean on a sick leave certificate?
- 017 – inpatient treatment at a sanatorium;
- 018 – to undergo sanatorium-resort treatment after an accident at work during illness;
- 019 – during treatment at the Research Institute of Rehabilitation and Balneology;
- 020 – extension of maternity sick leave;
- 021 – in case of illness caused by alcohol or drug intoxication.
But there are also exceptions. The employee was absent from his main place of work because he took sick leave to care for (a close relative or son/daughter), payment from the Social Insurance Fund is made from the first day of illness, and the employer no longer participates in the payment of benefits.
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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.