POMS Reference

DI 26510: Completion of Form SSA-831-C3/U3 -- Title II, Title XVI and Concurrent Claims

TN 10 (04-09)

A. Required entry

Enter a three-digit code to identify cases with specific characteristics for later review.

B. Multiple codes

Enter each code in a separate block (A-F) of item 26.

C. Coding order

Enter codes in Item 26 in any order, except when procedures indicate otherwise (e.g., OQA list codes which identify cases for automatic sample selection in special review situations, must be entered in Block 26C, even when there are no other codes entered in Blocks 26A and 26B).

D. Code maximum

Enter a maximum of 6 codes in Item 26.

E. Reference

DI 33530.005, Disability-Related List Codes (Active)