DI 24501: General - Medical Evaluation
TN 3 (05-15)
A. When medical specialty codes are required
Include the responsible medical or psychological consultant’s specialty code on each of the following:
1. Medical assessment forms
The following are disability program medical assessment forms:
SSA-2506-BK (Psychiatric Review Technique)
SSA-4734-BK (Physical Residual Functional Capacity Assessment)
SSA-4734-F4-SUP (Mental Residual Functional Capacity Assessment)
SSA-538-F6 (Childhood Disability Evaluation Form) for Title XVI childhood disability cases
SSA-416 (Medical Evaluation)
2. Disability determination forms
The following are agency disability determination forms:
SSA-831 C3/U3 (Disability Determination and Transmittal)
SSA-832 C3/U3 (Cessation or Continuance of Disability or Blindness Determination and Transmittal Title XVI), or
SSA-833 C3/U3 (Cessation or Continuance of Disability or Blindness Determination and Transmittal Title II).
B. List of Social Security disability programs medical specialty codes
|
Code |
Specialty |
|---|---|
|
01 |
Anesthesiology |
|
02 |
Ambulatory Medicine |
|
03 |
Audiology |
|
04 |
Cardiology |
|
05 |
Cardiopulmonary |
|
06 |
Dermatology |
|
07 |
E.E.N.T. (Eye, Ear, Nose and Throat) |
|
08 |
E.N.T. (Ear, Nose and Throat) |
|
09 |
E.T. (Ear and Throat) |
|
10 |
Emergency Room Medicine |
|
11 |
Endocrinology |
|
12 |
Family or General Practice |
|
13 |
Gastroenterology |
|
14 |
Geriatrics |
|
15 |
Gynecology |
|
16 |
Hematology |
|
17 |
Industrial Medicine |
|
18 |
Infectious Diseases |
|
19 |
Internal Medicine |
|
20 |
Neurology |
|
21 |
Neuro-Ophthalmology |
|
22 |
Neuro-Psychiatry |
|
23 |
Neonatology |
|
24 |
Nephrology |
|
25 |
Obstetrics |
|
26 |
Occupational Medicine |
|
27 |
Oncology |
|
28 |
Ophthalmology |
|
29 |
Orthopedics |
|
30 |
Osteopathy |
|
31 |
Pathology |
|
32 |
Pediatrics |
|
33 |
Physiatry |
|
34 |
Physical Medicine |
|
35 |
Plastic Surgery |
|
36 |
Preventive Medicine |
|
37 |
Psychiatry |
|
38 |
Psychology |
|
39 |
Public Health |
|
40 |
Pulmonary |
|
41 |
Radiology |
|
42 |
Rehabilitative Medicine |
|
43 |
Rheumatology |
|
44 |
Special Senses |
|
45 |
Surgery |
|
46 |
Urology |
|
47 |
Other |
|
48 |
Speech - Language Pathology |
|
49 |
Child and Adolescent Psychiatry |
C. References
DI 24501.006 Medical Evaluation Form (SSA-416)
DI 24505.025 Evaluation of Mental Impairments
DI 24510.000 Residual Functional Capacity (RFC)
DI 24510.060 Mental Residual Functional Capacity Assessment (MRFC)
DI 25230.001 Childhood Disability Evaluation Form - (SSA-538)
DI 81020.110 Medical Evaluation