DI 41005: Processing Instructions
BASIC (03-86)
| Exhibit 1 | Title II Cessation Basis Codes (Item 11 of SSA-833-U5) |
| Exhibit 2 | Title II Continuance Basis Codes (Item 12 of SSA-833-U5) |
| Exhibit 3 | Occupation Codes (Item 15 of SSA-833-U5 |
| Exhibit 4 | Industry Codes (Item 15 of SSA-833-U5) |
| Exhibit 5 | Why Review Was Made (WRM) (Item 20 of SSA-833-U5 |
| Exhibit 6 | International Classification of Diseases (ICD) Codes for Visual Impairments (Items 21 and 22 of SSA-833-U5) |
| Exhibit 7 | SSA-833-U5 Completed for DIB Attainment, DIB Allowed |
| Exhibit 8 | SSA-833-U5 Completed for DIB Attainment Freeze Continuance, DIB Denied |
| Exhibit 9 | Notice for Freeze Continuance, DIB Denied Cases - Statutorily Blind Individual Under Age 55 and Engaging in SGA |
| Exhibit 10 | Model Language for Freeze Continuance, DIB Denial Cases - Statutorily Blind Individual Age 55 or Over and Engaging in Comparable SGA |
| Exhibit 11 | SSA-833-U5 Completed for Statutorily Blind Individual, Work Continuance |
| Exhibit 12 | SSA-833-U5 Completed for Statutorily Blind Individual, Entitled to a TWP, (1) Under Age 55 and Engaging in SGA or (2) DIB or CDB Beneficiary Age 55 or Over and Engaging in Comparable SGA |
| Exhibit 13 | SSA-833-U5 Completed for Statutorily Blind Individual, Not Entitled to a TWP, (1) Under Age 55 and Engaging in SGA or (2) DIB or CDB Beneficiary Age 55 or Over and Engaging in Comparable SGA |
| Exhibit 14 | SSA-833-U5 Completed for Statutorily Blind DIB or CDB Beneficiary Age 55 or Over, Entitled to a TWP, Engaging in Noncomparable SGA |
| Exhibit 15 | Model Letter “W” - Redetermination Under 1972 Amendments - No Increase in PIA |
Exhibit 1 - Title II cessation basis codes (Item 11 of SSA-833-U5)
Title II cessation basis codes (Item 11 of SSA-833-U5)
| 01 | Medical Condition Not Disabling—Medical Improvement Demonstrated—Able to Engage in SGA |
| 02 | Medical Condition Not Disabling—Medical Improvement Not Demonstrated but Individual Has Benefited from Advances in Medical or Vocational Therapy or Technology—Able to Engage in SGA |
| 03 | Medical Condition Not Disabling—Medical Improvement Not Demonstrated but Vocational Profile Enhanced by Vocational Therapy—Able to Engage in SGA |
| 04 | Medical Condition Not Disabling—New or Improved Diagnostic Techniques or Evaluation Show Impairment(s) Not as Disabling as Considered to be at Time of Most Recent Prior Favorable Medical Determination—Able to Engage in SGA |
| 05 | Medical Condition Not Disabling—Substantial Evidence that Any Prior Favorable Medical Determination of Entitlement to Benefits was Based on Error—Now Able to Engage in SGA |
| 06 | Future Use |
| 07 | Prior Determination was Fraudulently Obtained |
| 08 | Widow(er)'s Impairment No Longer Meets or Equals the Listing of Impairments—Medical Improvement Demonstrated |
| 09 | Widow(er)'s Impairment No Longer Meets or Equals the Listing of Impairments—Medical Improvement Not Demonstrated, but Individual Has Benefited from Advances in Medical Therapy or Technology |
| 10 | Widow(er)'s Impairment No Longer Meets or Equals the Lisitng of Impairments—New or Improved Diagnostic Techniques or Evaluation Show Impairment(s) Not as Disabling as Considered to be at Time of Most Recent Prior Favorable Medical Determination |
| 11 | Future Use |
| 12 | Widow(er)'s Impairment No Longer Meets or Equals the Listing of Impairments—Substantial Evidence that Any Prior Favorable Medical Determination of Entitlement to Benefits Was Based on Error |
| 13 | Failure to Cooperate |
| 14 | Whereabouts Unknow |
| 15 | Failure to Follow Prescribed Treatment |
| 16 | Improvement Expected—Work SGA (Clear-Cut) |
| 17 | TWP Completed—Work SGA—No Medical Issue |
| 18 | TWP Completed—Work SGA—Medical Issue |
| 19 | Not Entitled to a TWP—Work SGA |
| 20 | EPE Reinstatement Denied—Work SGA |
| 21 | EPE Suspension After Reinstatement—Work SGA |
| 22 | EPE Termination—SGA After Reentitlement Period |
| ESRD | |
| 26 | ESRD - Dialysis Ceased |
| 27 | ESRD - Transplant, No Dialysis |
Exhibit 2 - Title II continuance basis codes (Item 12 of SSA-833-U5)
| 30 | Impairment Meets Listings |
| 31 | Impairment Meets Listings (DWB) |
| 32 | Impairments Equals Listings |
| 33 | Impairment Equals Listings (DWB) |
| 34 | Impairment Plus Vocational Factors |
| 35 | 35-40 Years of Arduous Work |
| 36 | Disability Continues—Medical Improvement Not Demonstrated and No Exception Applies |
| 37 | Disability Continues—Data from Most Recent Prior Favorable Medical Determination Insufficient to Assess Medical Improvement |
| 38 | EPE Reinstatement—Work Not SGA |
| 39 | TWP Not Completed |
| 40 | TWP Completed—Work Not SGA |
| 43 | Periodic Review Pre-CDR Review Rediary (ODO, PSC-DRS and INTPSC) |
| 44 | Reported Income Does Not Constitute Service Months |
| 45 | Not Entitled to a TWP—Work Doesn't Demonstrate Ability for SGA |
| ESRD | |
| 47 | Dialysis |
| 48 | Transplant—Severity Continues |
Exhibit 3 - Occupation codes (Item 15 of SSA-833-U5)
|
PROFESSIONAL TECHNICAL AND MANAGERIAL OCCUPATIONS | |
| 01 | Occupation in architecture, engineering, and surveying |
| 02 | Occupation in mathematics and physical sciences |
| 04 | Occupation in life sciences |
| 07 | Occupation in medicine and health |
| 09 | Occupation in education |
| 10 | Occupation in museum, library, and archival sciences |
| 11 | Occupation in law and jurisprudence |
| 12 | Occupation in religion and theology |
| 13 | Occupation in writing |
| 14 | Occupation in art |
| 15 | Occupation in entertainment and recreation |
| 16 | Occupation in administrative specializations |
| 18 | Managers and officials |
|
CLERICAL AND SALES OCCUPATIONS | |
| 19 | Other professional, technical, and managerial occupations |
| 20 | Stenography, typing, filing, and related occupations |
| 21 | Computing and account-recording occupations |
| 22 | Production and stock clerks and related occupations |
| 23 | Information and message distribution occupation |
| 25 | Sales occupation, services |
| 26 | Sales occupation, consumable commodities |
| 27 | Sales occupation, commodites other than consumable |
| 28 | Other clerical occupation |
|
SERVICE OCCUPATIONS | |
| 29 | Other sales occupation |
| 30 | Domestic service occupations |
| 31 | Food and beverage prepartion and service occupation |
| 32 | Lodging and related service occupation |
| 33 | Barbering, cosmetology, and related service occupation |
| 34 | Amusement and recreation service occupation |
| 35 | Other personal service occupation (e.g., hostesses, stewards, hospital attendants, practical nurses, etc.) |
| 36 | Apparel and furnishings service occupation |
| 37 | Protective service occupation |
| 38 | Office service occupation |
|
AGRICULTURAL, FISHERY, FORESTRY, AND RELATED OCCUPATIONS | |
| 39 | Other nonpersonnel service occupation |
| 40 | Plant farming occupation |
| 41 | Animal farming occupation |
| 44 | Fishery and related occupation |
| 45 | Forestry occupation |
| 46 | Hunting, trapping, and related occupation |
|
PROCESSING OCCUPATIONS | |
| 47 | Other agricultural, fishery, forestry and related occupation |
| 50 | Occupation in processing of metal |
| 51 | Ore refining and foundry occupation |
| 52 | Occupation in processing of food, tobacco, and related products |
| 53 | Occupation in processing of paper and related materials |
| 54 | Occupation in processing of petroleum, coal, natural and manufactured gas, and related products |
| 55 | Occupation in processing of chemicals, plastics, synthetics, rubber, paint, and related products |
| 56 | Occupation in processing of wood and wood products |
| 57 | Occupation in processing of stone, clay, glass, and related products |
| 58 | Occupation in processing of leather, textiles, and related products |
|
MACHINE TRADES OCCUPATIONS | |
| 59 | Other processing occupation |
| 60 | Metal machining occupation |
| 61 | Metalworking occupation |
| 62 | Mechanics and machinery repairers |
| 64 | Paperworking occupation |
| 65 | Printing occupation |
| 66 | Wood machining occupation |
| 67 | Occupation in machining stone, clay, glass, and related materials |
| 68 | Textile occupation |
|
BENCHWORK OCCUPATIONS | |
| 69 | Other machine trades occupation |
| 70 | Occupation in fabrication, assembly, and repair of metal products |
| 71 | Occupation in fabrication and repair of scientific, medical, photographic, optical horological, and related products |
| 72 | Occupation in assembly and repair of electrical equipment |
| 73 | Occupation in fabrication and repair of products made from assorted materials |
| 74 | Painting, decorating, or related occupation |
| 75 | Occupation in fabrication and repair of plastics, synthetics, rubber and related products |
| 76 | Occupation in fabrication and repair of wood products |
| 77 | Occupation in fabrication and repair of sand, stone, clay, and glass products |
| 78 | Occupation in fabrication and repair of textile, leather, and related products |
|
STRUCTURAL WORK OCCUPATIONS | |
| 79 | Other benchwork occupation |
| 80 | Occupation in metal fabricating |
| 81 | Welder, cutter, or related occupation |
| 82 | Electrical assembling, installing, and repairing occupation |
| 84 | Painting, plastering, waterproofing, cementing, or related occupation |
| 85 | Excavating, grading, paving, or related occupation |
| 86 | Construction occupation |
|
MISCELLANEOUS OCCUPATIONS | |
| 89 | Other structural work occupation |
| 90 | Motor freight occupation |
| 91 | Transportation occupation |
| 92 | Packaging and materials handling occupation |
| 93 | Occupation in extraction of minerals |
| 95 | Occupation in production an distribution of utilities (e.g., energy, water, sewage) |
| 96 | Amusement, recreation, motion picture, radio and television occupations not included in the proceedings |
Exhibit 4 - Industry codes (Item 15 of SSA-833-U5)
|
AGRICULTURE, FORESTRY, FISHING, HUNTING AND TRAPPING | |
| 01 | Agricultural production - crops |
| 02 | Agricultural production - livestock |
| 07 | Agricultural services |
| 08 | Forestry |
|
MINING AND COAL AND GAS EXTRACTION (INCLUDING URANIUM | |
| 09 | Fishing, hunting, and trapping |
| 10 | Metal mining |
| 11 | Anthractie mining |
| 12 | Bituminous coal and lignite mining |
| 13 | Oil and gas extraction |
|
CONSTRUCTION | |
| 14 | Mining and quarrying of nonmetallic minerals, except fuels |
| 15 | Building construction - general contractors and operative builders |
| 16 | Construction other than building construction - general contributors |
| 17 | Construction - special trade contracts (e.g., plumbing, heating, electrical, carpentry, etc.) |
|
MANUFACTURING | |
| 18 | Other construction |
| 20 | Food and kindred products |
| 21 | Tobacco manufacturers |
| 22 | Textile mill products |
| 23 | Apparel and other finished products made from fabrics and similar materials |
| 24 | Lumber and wood products, except furniture. |
| 25 | Furniture and fixtures |
| 26 | Paper and allied products |
| 27 | Printing, publishing and allied industries |
| 28 | Chemicals and allied products |
| 29 | Petroleum refining and related industrices |
| 30 | Rubber and miscellaneous plastic products |
| 31 | Leather and leather products |
| 32 | Stone, clay, glass, and concrete products |
| 33 | Primary metal industries |
| 34 | Fabricated metal products, except machinery and transportation equipment |
| 35 | Machinery, except electrical |
| 36 | Electrical and electronic machinery, equipment, and supplies |
| 37 | Transportation equipment |
| 38 | Measuring, analyzing, and controlling instruments; photographic, medical, and optical goods; watches and clocks |
|
NON-MANUFACTURING | |
| 39 | Other manufacturing industries |
| 40 | Railroad transportation |
| 41 | Local and suburban transit and interurban highway passenger transportation |
| 42 | Motor freight transportation and warehousing |
| 43 | U.S. postal service |
| 44 | Water transportation |
| 45 | Transportation by air |
| 46 | Pipe lines, except natural gas |
| 47 | Transportation services |
| 48 | Communication |
| 49 | Electric, gas, and sanitary services |
| 50 | Wholesale trade - durable goods |
| 51 | Wholesale trade - nondurable goods |
| 52 | Building materials, hardware, garden supply, and mobile home dealers |
| 53 | General merchandise stores |
| 54 | Food stores |
| 55 | Automotive dealers and gasoline service stations |
| 56 | Apparel and accessory stores |
| 57 | Furniture, home furnishings and equipment stores |
| 58 | Eating and drinking places |
| 59 | Miscellaneous Retail |
| 60 | Banking |
| 61 | Credit agencies other than banks |
| 62 | Security and commodity brokers, dealers, exchanges, and services |
| 63 | Insurance companies |
| 64 | Insurance agents, brokers, and service |
| 65 | Real estate |
| 66 | Combinations of real estate, insurance, loans, law offices |
| 67 | Holding and other investment offices |
| 70 | Hotels, rooming houses, camps, and other lodging places |
| 72 | Personal services |
| 73 | Business services |
| 75 | Automotive repair, services, and garages |
| 76 | Miscellaneous repair services |
| 78 | Motion pictures |
| 79 | Amusement and recreation services, except motion pictures |
| 80 | Health services |
| 81 | Legal services |
| 82 | Educational services |
| 83 | Social Services |
| 84 | Museum, art gallaries, botanical and zoological gardens |
| 86 | Membership organizations |
| 88 | Private households |
| 89 | Miscellaneous services |
| 91 | Executive, legislative, and general government, except finance |
| 92 | Justice, public order, and safety |
| 93 | Public finance, taxation, and monetary policy |
| 94 | Administration of human resources programs |
| 95 | Administration of environmental quality and housing programs |
| 96 | Administration of economic programs |
| 97 | National security and international affairs |
| 99 | Nonclassifiable establishments |
Exhibit 5 - Why review was made (WRM) (Item 20 of SSA-833-U5)
| 01 | Court Remand (Based on Social Security Disability Benefits Reform Act of 1984) |
| 02 | Reopened Mental Impairment Case (Based on Social Security Disability Benefits Reform Act of 1984) |
| 03 | Decision Reviews Required by the Social Security Disability Benefits Reform Act of 1984. Other than those included in 01 and 02 above. |
| 04 | Medical Improvement Expected (Medical Reexamination Diary) |
| 05 | Medical Improvement Possible (3 Year Periodic Review Diary) |
| 06 | Medical Improvement Not Expected (5 Year Periodic Review Diary) |
| 07 | Medical Improvement Not Expected (7 Year Periodic Review Diary) |
| 08 | EPE Medical Review |
| 09 | Adoption Issue |
| 10 | TWP Diary Matured |
| 11 | Voluntary Report of Medical Improvement |
| 12 | Earnings Posted—Medical Reexamination Set |
| 13 | Earnings Posted—No Medical Reexamination Set |
| 14 | Voluntary Report of Work—Medical Reexamination Set |
| 15 | Voluntary Report of Work—Medical Reexamination Not Set |
| 16 | Third Party Report |
| 17 | State VR Report |
| 18 | Court Order (Other Than Medical Improvement—Individual or Class Member) |
| 19 | Post Transplant ESRD |
| 20 | Special (Use only when specifically instructed) |
| 21 | Other (If “Other” code used, indicate why review was made (WRM) in item 24) |
| 22 | “301” Case Review Diary |
| 00 | Vocational Rehabilitation Diary Maturity (not “301” case) |
| For Possible Future Use (DO NOT USE UNLESS SPECIFICALLY INSTRUCTED) | |
| 23 | Medical Improvement Expected (Medical Reexamination Diary)—Moratorium Case |
| 24 | Medical Improvement Possible (3 Year Periodic Review Diary)—Moratorium Case |
| 25 | Medical Improvement Not Expected (7 Year Periodic Review Diary)—Moratorium Case |
| 26 | EPE Medical Review—Moratorium Case |
| 27 | Voluntary Report of Medical Improvement—Moratorium Case |
| 28 | Third Party Report—Moratorium Case |
| 29 | State VR Report—Moratorium Case |
| 30 | “Clear Cut” Case—Moratorium Case |
| 31 | Mental Impairment—Moratorium Case |
Exhibit 6 - Impairment codes for visual impairments (Items 21 and 22 of SSA-833-U5)
| Listing | Diagnostic Category |
Impairment Code |
|---|---|---|
| 2.02 | Retinal Detachments and Defects | 3610 |
| 2.02 | Glaucoma | 3650 |
| 2.02 | Cataract | 3660 |
| 2.02 | Low Vision | 3690 |
| 2.02 | Statutory Blindness | 3694 |
| 2.03A | Statutory Blindness | 3694 |
| 2.03 | Visual Disturbances | 3680 |
| 2.04 | Visual Disturbances | 3680 |
| 9.08D | Other Retinal Disorder (Diabetic Retinopathy) | 3620 |
Exhibit 7 - SSA-833-U5 Completed for DIB Attainment, DIB Allowed
Exhibit 8 - SSA-833-U5 Completed for DIB Attainment, Freeze Continuance, DIB Denied
Exhibit 9 - Notice for Freeze Continuance, DIB Denial Cases - Statutorily Blind Individual Under Age 55 and Engaging in SGA
See NL 00705.330A
Exhibit 10 - Model Language for Freeze Continuance, DIB Denied Cases - Statutorily Blind Individual Age 55 or Over and Engaging in Comparable SGA
Exhibit 11 - SSA-833-U5 Completed for Statutorily Blind Individual, Work Continuance
Exhibit 12 - SSA-833-U5 Completed for Statutorily Blind Individual, Entitled to a TWP, (1) Under Age 55 and Engaging in SGA or (2) DIB or CDB Beneficiary Age 55 or Over and Engaging in Comparable SGA
Exhibit 13 - SSA-833-U5 Completed for Statutorily Blind Individual, Not Entitled to TWP, (1) Under Age 55 and Engaging in SGA or (2) DIB or CDB Age 55 or Over and Engaging in Comparable SGA
Exhibit 14 - SSA-833-U5 Completed for Statutorily Blind DIB or CDB Beneficiary Entitled to a TWP Age 55 or Over, Engaging in Noncomparable SGA
