Disability Living Allowance/Attendance Allowance codes

[Offcut]

Might help if you can find your code before form filling or interviews

Disability Living Allowance/Attendance Allowance

DIALOGUES AND INPUT CODES DESKAID

For use by all DLA and AA staff

Disability codes

End reason types

Exclusion reasons

Payability adjustment reason types

Payment adjustment types

Payment suspension reason codes

Reason codes

Disability codes

Code Name Including

+D01 Arthritis Ankylosing spondylitis, Gout, Osteoarthritis, Polyarthritis, Psoriatic, Reactive, Reiter’s Syndrome, Rheumatoid

+D02 Spondylosis Cervical Spondylosis, Lumbar Spondylosis

+D03 Back Pain Back Ache, Cervical Disc Disease, Dorsalgia, Facet Joint Syndrome, Low Back Pain, Laminectomy, Lumbago, Prolapsed/Slipped/Displaced/Invertebral Disc, Sciatica, Scoliosis, Spinal Fusion, Spinal Stenosis

+D05 Disease to the Muscles, Bones or Joints Benign Neoplasm, Brittle Bone Disease Bursitis, Deformity, Dislocation, Dysplasia, Flat Foot, Hypermobilty Syndrome, Joint Pain, Muscular Dystrophy, Myotonic Disorders, Osteomyelitis, Osteoporosis, RSI, Rupture Of Tendon, Sprain/Strains, Synovitis, Tenosynovitis

+D06 Trauma to Limbs Loss of Fingers/Toes/Amputation (excluding D97), Fractures

+D08 Blindness Cataracts, Glaucoma, Low Vision, Macular Degeneration

+D09 Deafness Hearing Loss, Labyrinthitis, Presbyacusis, Menieres Disease, Otitis Media, Perforation, Tinnitus, Vertigo

+D11 Heart Disease Angina, Aortic Valve Disease, Arrhythmia, Cardiac Aneurysm, Cardiomyopathy, Chest Pain, Coronary, Endocarditis, Heart Failure, Heart Transplant Failure/Rejection, Hypertension, Ischaemic, Mitral Valve Disease/Stenosis, Myocardial Infarction, Heart Attack, Pericarditis, Pulmonary Heart Disease, Valvular Heart Disease

+D12 Chest Disease Asbestos related lung disease, Bronchiectasis, Bronchitis, COAD, COPD, Diphtheria, Emphysema, Pleurisy, Pneumonia, Pneumoconiosis, Pulmonary Embolism, Pulmonary Fibrosis, Respiratory Failure

+D13 Asthma

+D14 Cystic Fibrosis

+D16 Cerebrovascular Disease CVA, Hemiplegia, Stroke, Cerebral Haemorrhage, Cerebral Infarction

+D17 Peripheral Vascular Disease Aneurysm, Arterial Embolism and Thrombosis, Atherosclerosis, Claudication, Phlebitis

+D19 Frailty Senility not specified

+D20 Epilepsy Grand Mal, Petit Mal, Status Epilepticus, Febrile Convulsions

+D23 Neurological Diseases – not specified Cerebral Palsy, Meningitis, Encephalitis, Huntington’s Disease, Hydrocephalus, Polio, Spina Bifida, Spinal Muscular Atrophy

+D24 Multiple Sclerosis

+D25 Parkinson’s Disease

+D26 Motor Neurone Disease

+D28 Chronic Fatigue ME/Post Viral, Malaise and Fatigue

+D30 Diabetes Mellitus

+D33 Metabolic Disease PKU

+D35 Traumatic Paraplegia/Tetraplegia Spinal Injury

+D36 Major Trauma Burns, Crush Injury, Head Injury, Multiple Fractures, Traumatic Amputations

+D40 Learning Disability Autism, Asperger Syndrome, Downs Syndrome, Fragile X Syndrome, Retts Syndrome, Speech and Language Disorders

+D44 Psychosis Bipolar Affective Disorder, Hallucinations, Manic Depression, Schizoaffective Disorder, Schizophreniform Psychosis, Schizophrenia

+D45 Psychoneurosis Agoraphobia, Anxiety, Depression, Hysteria, Obsessive Compulsive Disorder, Panic Disorder, Phobia, Posttraumatic Stress, Stress

+D46 Personality Disorder

+D48 Dementia Alzheimer’s Disease, Lewy Body, Pre-senile, Senile, Vascular

+D50 Behavioural Disorder Eating Disorders, Encopresis, Enuresis

+D51 Alcohol Abuse Alcohol dependency, Alcoholic Liver Disease (cirrhosis), Drug dependency

+D52 Hyperkinetic Syndrome Attention Deficit Hyperactivity Disorder

+D55 Renal Disorder Renal Failure

+D60 Inflammatory Bowel Disease Crohn’s, Ulcerative Colitis

+D61 Bowel and Stomach Disease Constipation, Hernia, Hepatitis, IBS, Pancreatitis, Peritonitis, Ulcer

+D62 Total Parenteral Nutrition

+D65 Blood Disorders Anaemia, Clotting Disorder, Sickle Cell, Thalassaemia

+D66 Haemophilia

+D70 AIDS

+D75 Multi System Disorders Sarcoidosis, SLE/DLE, Scleroderma

+D76 Multiple Allergy Syndrome

+D78 Skin Disease Dermatitis, Eczema, Psoriasis, Urticaria

+D80 Malignant Disease Carcinoma, Lymphoma, Myeloma, Sarcoma

+K99 Conversion

+These codes are for reference only. Their existence ceased from 20/10/08 and should not be used for live cases.

Deeming provisions

D95 Severely visually impaired – DLA only – will be available from 11/04/2011

D96 Severely mentally impaired – DLA only

D97 Double amputee – DLA only

D98 Deaf/Blind – DLA only

D99 Haemodialysis

D00 Terminally ill

End reason types

N05 Change of benefit week

N99 Uprating indicator

T01 Death

T02 Absence abroad/R& P – claim terminated

T03 Transfer to NI/IOM – claim terminated

T04 Failure to comply – claim terminated

Exclusion reasons

E01 R&P conditions not satisfied

E02 Defective claim

E03 Withdrawal

E04 Withdrawal following death

E10 Death during qualifying period

E11 Death before start of first possible benefit week

E12 Death between end of qualifying period and first payday

E13 Death between start of entitlement and first payday (no qualifying period)

E14 Death before receipt of claim/conversion claim effective date

E15 Posthumous claim

E20 Miscellaneous ORD

E65 Under age 65 – AA only

E66 Over age 66 – DLA only

Payment adjustment types

Recovery of overpayments

001 Attendance Allowance

002 Child Benefit

+004 Family Credit

006 Industrial Death Benefit

007 Industrial Disablement Pension – including CAA (Constant Attendance Allowance) components

008 Carer’s Allowance

+009 Invalidity Benefit

010 Maternity Allowance

011 Mobility Allowance

012 One Parent Benefit

013 Pneumoconiosis, Byssinosis and Miscellaneous Diseases Benefit

014 Default Accounting Code

015 Retirement pension

016 Severe Disablement Allowance

017 Sickness Benefit

018 Income Support

019 Unemployment Benefit

020 War Pension –including CAA (Constant Attendance Allowance) component

021 Widow’s Benefit

023 Social Fund

029 Housing Benefit

032 War Disablement Pension

033 War Widows Pension

044 Disability Living Allowance

046 Disability Working Allowance

048 Child Tax Credit

049 Pension Credit

056 Reduced Earnings Allowance

061 Incapacity Benefit

062 Jobseeker’s Allowance

063 Earning’s Top Up

+074 Supplementary Benefit

+075 Council Tax

+076 Widowed Mothers Allowance

085 Employment and Support Allowance Contributory

086 Employment and Support Allowance Income Related

+091 Passport to IB

092 Bereavement Allowance

093 Widowed Parents Allowance

+ These codes are for reference only. Their existence has ceased and should not be used for live cases

Deductions recorded in DA/AA310

102 Weekly rate deduction which cannot be paid e.g. – no payee details held when arrears are due following the beneficiary’s death

Offsets

202 Offset to show entitlement paid as IS/JSA

203 Offset to show entitlement already paid off system

204 Offset to show entitlement already paid by the system to correct the system payment calculation e.g. for offsetting arrears within the common period when an overpayment is present (dialogue DA/AA310 only)

211 Offset to show payment of mobility component - DLA only

Weekly rate increase to award entitlement

701 Weekly rate increase to offset existing Motability adjustment in dialogue DA315, which cannot be amended - DLA MOTA only

Overpayments

902 Used to record clerically calculated overpayments

920 Used to record Christmas bonus overpayments

926 Used to record a boarder overpayment

Underpayments

502 Underpayment on current claim due to an increase in the award. Recalculation will usually determine such underpayments, used to pay an underpayment resulting from a change in circumstances

503 Outstanding underpayment on the current claim (not caused by a change in award), used to pay an underpayment on the current claim not due to a change in circumstances

504 Used to pay an underpayment resulting from early termination of a Motability agreement - DLA Mota only

505 Used to pay an underpayment resulting from a provisional Motability agreement being incorrect - DLA Mota only

507 Pre-conversion underpayment of AA, used to cover periods of payments due up to the pay from date on a conversion case

511 Used when an amount of money is to be paid in respect of Mobility Component only whilst care is suspended

512 Used for a Mota specific system adjustment and refers to contra agreements. When a termination date is recorded, and renewal likely field is set to 'Y' the arrears due to the customer are calculated and a payment amendment type 512 is created

+513 Used to replace a lost or returned Order Book foil. Also used to replace earlier foils in an Order Book for which partial payment was authorised in DA/AA480

514 Used when an amount of money has been paid to replace a payment which was authorised for manual replacement in dialogue DA/AA480, i.e. customer has no bank account. (Breakdown of cheque required to amounts of £449.99 or less)

520 Used to pay Christmas bonus payments that were not or would not have been paid by the Christmas bonus scan

525 Boarder payment adjustment - created solely by the boarder payments dialogue DA/AA325, but can be deleted in dialogue DA/AA330

526 Payment when a change of circumstances results in an underpayment of a previously paid boarder payment

531 WFP £100 – user paid

532 WFP £200 – user paid

602 Used when an extra-statutory payment has been made, e.g. payment in excess of a DM’s decision

604 WFP & 80+

894 WFP only

+ These codes are for reference only. Their existence has ceased and should not be used for live cases

System created adjustments

551 Created by the DLACS/AACS as a result of the user specifying in dialogue DA/AA330 that they wish to override the system calculated underpayment

800 System calculated underpayments. Created by the payment recalculation process in dialogue DA/AA105. It will only appear if the payment of an underpayment has been withheld by the user on the RECALCULATION RESULTS screen DA/AA105 406

802 Replacement - system generated, appears when a full replacement payment is authorised in dialogue DA/AA105

820 Replacement - Christmas bonus, appears after the Christmas bonus scan

831 WFP £100 – paid by system

832 WFP £200 – paid by system

835 WFP £50 extra payment 80+

836 WFP £100 extra payment 80+

850 Created when a MOps/r2m agreement is set in dialogue DA315 - DLA Mota only

852 Mobility offset awaiting new agreement. Created in dialogue DA315, following completion of a Wednesday date in the contra agreement EDD field in screen DA315 317

860 Christmas bonus – system created

900 System calculated overpayments. Created by the payment recalculation process in dialogue DA/AA105

951 Created by the DLACS/AACS as a result of the user specifying in dialogue DA/AA330 that they wish to override the system calculated overpayment

Adjustment created as a result of

901 Clerical recalculation required

Deductions created from an underpayment (set in dialogue DA/AA330)

102 Lump sum entitlement which cannot be paid, e.g. no payee details held when arrears are due following the beneficiary’s death

Payment suspension reason codes

00 Other

10 Hospitalisation/ care home

15 Suspected fraud

16 Absence abroad

17 On remand/imprisonment

28 Voluntary relinquishment

29 Reported improvement (not confirmed)

30 Age 16 - details of appointee required - DLA only

31 Conversion

39 Gone Away - Full suspension

40 Failure to comply - Full suspension only

Reason codes

Care Reason codes

Favourable indefinite award - Care reason codes DLA only

CO1 Low Limit care - child

CO2 Low Limited care in connection with bodily functions

CO3 Low Limited care to plan or prepare main meal

C20 Middle Day attention

C21 Middle Day supervision

C22 Middle Night attention

C24 Middle Renal dialysis

C27 Middle Night watching over

C30 High Night attention/Day attention

C31 High Night attention/Day supervision

C32 High Night watching over/Day attention

C34 High Night watching over/Day supervision

C37 High Award under SR

Favourable fixed award – Care reason codes DLA only

C41 Low Limit care – child

C42 Low Limited care in connection with bodily functions

C43 Low Limited care to plan or prepare main meal

C80 Middle Day attention

C81 Middle Day supervision

C82 Middle Night attention

C84 Middle Renal dialysis

C87 Middle Night watching over

C90 High Night attention/Day attention

C91 High Night attention/Day supervision

C92 High Night watching over/Day attention

C94 High Night watching over/Day supervision

C97 High SR – 3 year award

Unfavourable – Care reason codes DLA only

C50 Conditions not satisfied

C51 Disability condition not satisfied prior to age 65

C52 Prospective test not satisfied

C53 Failure to establish conditions satisfied

C54 Child - conditions not satisfied

C55 Qualifying period not satisfied

C65 Not exportable

C70 Not considered

C71 Not decided - TSMC interim

C72 Not considered - for renewal

Favourable indefinite award – Care reason codes AA only

C20 Low Day attention

C21 Low Day supervision

C22 Low Night attention

C24 Low Renal dialysis

C27 Low Night watching over

C30 High Night attention/Day attention

C31 High Night attention/Day supervision

C32 High Night watching over/Day attention

C34 High Night watching over/Day supervision

C37 High Award under SR

Favourable fixed award – Care reason codes AA only

C80 Low Day attention

C81 Low Day supervision

C82 Low Night attention

C84 Low Renal dialysis

C87 Low Night watching over

C90 High Night attention/Day attention

C91 High Night attention/Day supervision

C92 High Night watching over/Day attention

C94 High Night watching over/Day supervision

C97 High SR – 3 year award

Unfavourable - Care reason codes AA only

C50 Conditions not satisfied

C53 Failure to establish conditions satisfied

C55 Qualifying period not satisfied

C65 Not exportable

Favourable – Care reason codes DLA reference only

C05 Low Claimed - not SR

C13 Low Social needs

C23 Middle Social needs

C25 Middle Claimed – not SR

C26 Middle Conversion case

C28 Middle Conversion – not paid by AA

C29 Middle Conversion – paid by AA

C33 High Social needs

C35 High

C36 High

C38 High Claimed – not SR

Conversion case

Conversion– not paid by AA

C39 High Conversion – paid by AA

Favourable – Care reason codes AA reference only

C23 Low Social needs

C25 Low Claimed – not SR

C26 Low Conversion case

C33 High Social needs

C35 High Claimed – not SR

C36 High Conversion case

Mobility Reason Codes

Favourable indefinite award - Mobility reason codes DLA only

MO1 Low Limited mobility needs

M30 High Virtually unable to walk

M31 High Double amputee

M32 High Deaf and blind

M33 High SMC (S of S certificate)

M34 High Severe mental impairment

M36 High Serious deterioration

M37 High Unable to walk

M38 High Severe visual impairment – will be available from 11/04/2011

Favourable decisions fixed award – Mobility reason codes DLA only

M41 Low Limited mobility needs

M90 High Virtually unable to walk

M91 High Double amputee

M92 High Deaf and blind

M94 High Severe mental impairment

M96 High Serious deterioration

M97 High Unable to walk

M98 High Severe visual impairment – will be available from 11/04/2011

Favourable – Mobility reason codes DLA reference only

M35 High Conversion case

M39 High Conversion - paid by Mob A

Unfavourable – Mobility reason codes DLA only

M50 Conditions not satisfied

M51 Disability conditions not satisfied prior to age 65

M52 Prospective test not satisfied

M53 Failure to establish conditions satisfied

M54 Child – conditions not satisfied

M55 Qualifying period not satisfied

M56 Unable to benefit

M57 Child - HR conditions not satisfied

M60 Not decided – SR interim

M61 Not considered – under age (periods up to and including 08/04/01)

M62 Not considered - under age (for periods starting on or after 09/04/01)

M65 Not exportable

M70 Not considered

M72 Not considered - for renewal

[Zorago365]

In what way would the codes be able to help ???

[Offcut in reply to Zorago365]

It allows you to talk in their language and maybe get them to put the right info regading your case. I have 6 of the conditions shown. At my ATOS meeting I fully explained my conditions and they did not put any of them down. If I knew the codes they used before I could of asked that they take these into account when I filled the form in. They are under quilified box tickers trying save the government money.

[security]

Interesting, I have worked out I have 6 code's for my health condition, However Atos health Dr's assess your condition by computer tick list, Your health opinion/or knowlege of your condition is not taken or noted. This is why when you receive your assessment report it look's like it belongs to someone else or lie's about you......

Would it be better to write a letter with your condition codes along with your esa 50 / PIP form ???

[Offcut in reply to security]

any doctors consultant notes should be sent with the forms so they have them there and ask that they have that info as well. I won my ESA appeal under regulations 29 and 35

[Zorago365]

I have just received my esa form through the post, i have been on incapacity benefit, but obv now all changing, the comp that assess for my area actually get a bonus from gov for every person the get off the esa, even though on appeal 50% of people can win their appeal, doesnt matter bcoz that doesnt register on Atos' results, stressing about it since they sent letter telling me to expect form :-(((

[Offcut in reply to Zorago365]

stress the reasons why you were getting IB and you should be okay unless you have improved?

[Jake364]

Can you get DLA for asthma

[Offcut]

They have very strict rules I have Restrictive Lung Disease Heart problems and arthritis and cannot get DLA /PIP

[mason]

i have osteo arthritus bursitus and tendonitus in my shoulders and arms cataracts on both eyes vertigo copd acute anxiety eating phobia ,i also have tennis elbow fibromyalgia perifual neuropathy osteophorisis overactive bladder overactive thyroid , dont know if i can claim .

[Offcut]

I would say you can as since I posted this I am now on Enhanced PIP on both sections. It is all down to what you say in the face to face and put on the forms. I was surprised how many aids I do use just to do daily living tasks. Long handled shoe horn, jar openers and pick up sticks to name a few.

Never say on a good day only a better day.

Be well