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Alphabetical list of common diseases
Notes on using the Incapacity Reference Guide (IRG)
1 The IRG is designed to tell you:
• the code number to record the incapacity on PSCS
• the control action to take for the Own Occupation Test
• the action to take when the Personal Capability Assessment is due
• whether the incapacity is infectious/contagious
• whether the incapacity indicates a pregnancy complication
• whether the incapacity is, or may be, pregnancy related
2 If any incapacity is not recorded on the list:
1 record the incapacity on PSCS as code 0700; and
2 seek advice from Medical Services (the reference type is CU). If you don’t check, there isno way of knowing if you are taking the right action.
3 Remember that things like ‘bereavement’, ‘looking after relatives’ and ‘broken
Notes on the column headings
Number
4 If the code number shown is 0700, PSCS (INCAP) will not recognise the incapacity and willdecode to ‘other specified incapacity’. You will need to enter any R4 or R10 control date inRP303 680. For all other code numbers the system will set the appropriate Own Occupation Testor Personal Capability Assessment control date. You will need to enter any R4 or R10 controldate in RP303 680. For all other code numbers the system will set the appropriate OwnOccupation Test or Personal Capability Assessment control date.
5 Self explanatory.
Control Own Occupation Test
6 If the Own Occupation Test applies, this column tells you whether control
• R4 means refer to Medical Services after 4 weeks
• R10 means refer to Medical Services after 10 weeks
• Immediate reference (IR) means refer straight away
• none means no control action is required for the Own Occupation Test period
• See Part 5 means see Part 5 of the STB Guides
Control Personal Capability Assessment
7 If the Own Occupation Test does not apply, this column tells you when control action isnecessary for the Personal Capability Assessment and when to begin the Personal CapabilityAssessment process:
• R4 means after 4 weeks
• R10 means after 10 weeks
• Immediate reference (IR) means refer straight away
Action when prompted to apply the Personal Capability Assessment
8 This column tells you what to do when you are prompted to apply the Personal CapabilityAssessment:
• ensure that the Personal Capability Assessment applies, rather than the OwnOccupation Test
• exempt refer to DM –This means the customer is treated as incapable of work by theDecision Maker (DM) without having to go through the assessment or being referred tomedical services
• exempt refer to medical services – This means the customer is treated as incapablewithout having to go through the assessment , but this requires confirmation of thecustomer's incapacity by a doctor approved by the Secretary of State
• issue an IB113DL/S (ref type CP) – Potentially exempt (physical incapacity) – Thecustomer may be suffering from a serious illness that means they can be treated asincapable of work without having to satisfy the assessment. The letter is sent to the GP tofind out more about the customer's condition.
• Issue an IB50 – Self explanatory
• PTI – see part 33 – The customer may be suffering from a terminal illness that meansthey may be treated as incapable of work without having to satisfy the assessment. SeePart 33 of the STB Guides
• issue an IB113DL/S (ref type CM) – Potentially exempt (mental health incapacity) – Thecustomer may be suffering from a severe mental illness that means they can be treatedas incapable of work without having to satisfy the assessment . The letter is sent to theGP to find out more about the customer’s condition
• See Part 5 – This means see Part 5 of the STB Guides
Is the incapacity certifiable as infectious or contagious?9 A customer is treated as incapable of work on any day they are excluded from working on the
basis of a certificate supplied by a Medical Officer for Environmental Health showing they areunder medical observation because they are a carrier, or have been in contact with, a case of aninfectious or contagious disease.
10 They are not treated as incapable just because they are suffering from the disease.
Pregnancy complication – refer to DM
11 If the incapacity indicates a pregnancy complication, refer to the DM before considering
For MA/SMP purposes is the incapacity pregnancy related?
12 This gives an indication of whether an incapacity is likely to be pregnancy related. It is usedto help DMs decide if MA/SMP should be put into payment six weeks before the EWC.
Incapacity Reference Guide
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0001 Abdominal pain R4 R4 Issue an IB50 No No Probably not
0002 Abortion R4 R4 Issue an IB50 No No No
0004 Abrasion(s), septic R4 R4 Issue an IB50 No No No
0744 Abrasion(s), other IR IR Issue an IB50 No No No
0887 Abruptio Placenta None R10 Issue an IB50 No Yes Yes
0888 Abruption None R10 Issue an IB50 No Yes Yes
0007 Abcess R4 R4 Issue an IB50 No No No
0008 Acne IR IR Issue an IB50 No No No
0889 Acoustic Neuroma None R10 Issue an IB113DL/S No No No(ref type CP)
0014 Acquired Immune Deficiency None R10 Issue an IB113DL/S No No Probably notSyndrome (ref type CP)
0745 Acromioclavicular subluxation R4 R4 Issue an IB50 No No No
0009 Acute anterior poliomyelitis None R10 Issue an IB113DL/S Yes No No(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0702 Addison’s disease R10 R10 Issue an IB50 No No No
0010 Adenitis, of any kind R4 R4 Issue an IB50 No No No
0011 Affective disorder* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0013 Agoraphobia* None R10 Issue an IB113DL/S No No No(ref type CM)
0014 AIDS None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0015 Albuminuria R4 R4 Issue an IB50 No No Probably not
0900 Alcohol abuse* None R10 Issue an IB113DL/S No No No(ref type CM)
0016 Alcoholism* None R10 Issue an IB113DL/S No No No(ref type CM)
0746 Algodystrophy None R10 Issue an IB50 No No No
0017 Allergic rash R4 R4 Issue an IB50 No No No
0703 Alzheimer’s disease None R10 Exempt refer No No Noto DM
0018 Amenorrhoea IR IR Issue an IB50 No No Probably not
0019 Amputation; of arm, hand, None R10 Issue an IB50 No No Noleg or foot
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0020 Amputation, of part only of None R10 Issue an IB50 No No Nohand, or foot unspecified
0747 Anaemia, R4 R4 Issue an IB50 No No Probably notiron deficiency
0748 Anaemia, R4 R4 Issue an IB50 No No Yesof pregnancy
0022 Anaemia, other R4 R4 Issue an IB50 No No Probably not
0021 Anaemia, pernicious R10 R10 Issue an IB50 No No No
0901 Anaemia, severe R10 R10 Issue an IB50 No No Probably not
0023 Anal fissure or fistula R10 R10 Issue an IB50 No No No
0902 Aneurysm R10 R10 Issue an IB50 No No No
0024 Angina R10 R10 Issue an IB50 No No Probably not
0903 Angina, crescendo None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0026 Angina Pectoris (AP) R10 R10 Issue an IB50 No No Probably not
0904 Angina, unstable None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0028 Angioneurotic oedema R4 R4 Issue an IB50 No No No
0905 Angioplasty R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0749 Ankylosing spondylitis R10 R10 Issue an IB50 No No No
0029 Anorexia* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0030 Anorexia nervosa* None R10 Issue an IB113DL/S No No No(ref type CM)
0906 Anoxia None R10 Issue an IB113DL/S No No No(ref type CP)
0907 Anoxic brain injury None R10 Issue an IB113DL/S No No No(ref type CP)
0911 Antepartum haemorrhage None R10 Issue an IB50 No Yes Yes
0908 Anthrax R10 R10 Issue an IB50 Yes No No
0032 Anxiety neurosis* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0034 Anxiety reaction* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0036 Anxiety state* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0909 Aortic aneurysm None R10 Issue an IB50 No No No
0751 Aortic incompetency None R10 Issue an IB50 No No Probably not
0752 Aortic stenosis None R10 Issue an IB50 No No Probably not
0910 Aortic valve disease None R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0026 AP (Angina Pectoris) R10 R10 Issue an IB50 No No Probably not
0911 APH(antepartum haemorrhage) None R10 Issue an IB50 No Yes Yes
0040 Appendicectomy R10 R10 Issue an IB50 No No No
1061 Arachonoiditis None R10 Issue an IB50 No No No
0041 Appendicitis, including R10 R10 Issue an IB50 No No Noacute or subacute
0753 Arrythmia R10 R10 Issue an IB50 No No Probably not
0042 Arteriosclerosis R10 R10 Issue an IB50 No No No
0043 Arthralgia R4 R4 Issue an IB50 No No No
0044 Arthritis (unspecified) R10 R10 Issue an IB50 No No No
0046 Asbestosis None R10 Issue an IB113DL/S No No No(ref type CP)
0914 ASD(Atrial Septal Defect) R10 R10 Issue an IB113DL/S No No Probably not(ref type CP)
0912 Aspergers syndrome* None R10 Issue an IB113DL/S No No No(ref type CM)
0047 Asthenia R4 R4 Issue an IB50 No No No
0048 Asthma R10 R10 Issue an IB50 No No Probably not
0913 Astrocytoma None R10 PTI see part 33 No No No
0754 Ataxia None R10 Issue an IB113DL/S No No No(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0049 Atheroma R10 R10 Issue an IB50 No No No
0050 Atherosclerosis R10 R10 Issue an IB50 No No No
0051 Athletes foot R4 R4 Issue an IB50 No No No
0914 Atrial Septal Defect (ASD) R10 R10 Issue an IB113DL/S No No Probably not(ref type CP)
0052 Auricular fibrillation R10 R10 Issue an IB50 No No No
0053 Backache R10 R10 Issue an IB50 No No Probably not
0915 Back pain R10 R10 Issue an IB50 No No Probably not
0916 Bad obstetric history None R10 Issue an IB50 No Yes Yes
0755 Baker’s cyst R4 R4 Issue an IB50 No No No
0054 Beat knee, hand or elbow R4 R4 Issue an IB50 No No No
0055 Bell’s palsy or paralysis R10 R10 Issue an IB50 No No Probably not
0756 Biliary cirrhosis R10 R10 Issue an IB50 No No No
0057 Bilious attack R4 R4 Issue an IB50 No No Probably not
0917 Blackouts R10 R10 Issue an IB50 No No Probably not
0058 Blepharitis R4 R4 Issue an IB50 No No No
0059 Blindness(registered) None R10 Exempt refer to DM No No No
0060 Blindness(not registered) None R10 Issue an IB50 No No No
0061 Blister(s), septic R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0757 Blister(s), other R4 R4 Issue an IB50 No No No
0062 Blood poisoning R10 R10 Issue an IB50 No No No
0063 Blood pressure R4 R4 Issue an IB50 No No Probably not
0064 Boil(s) R4 R4 Issue an IB50 No No No
0918 Bone marrow failure None R10 PTI see part 33 No No Probably not
0704 Brain damage None R10 Issue an IB113DL/S No No No(ref type CP)
0758 Brain tumour None R10 Issue an IB113DL/S No No No(ref type CP)
0759 Breast abscess R10 R10 Issue an IB50 No No Probably not
0919 Breast cancer None R10 PTI see part 33 No No No
0068 Broken(bones), any part R10 R10 Issue an IB50 No No Noof upper limb, collar bone,scapula (shoulder), facial bone,rib, foot or toe
0070 Broken (bones), any lower None R10 Issue an IB50 No No Nolimb including pelvis,femur (thigh), tibia, fibular,ankle but not foot or toe
0072 Bronchial asthma R10 R10 Issue an IB50 No No Probably not
0073 Bronchial catarrh R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0074 Bronchiectasis R10 R10 Issue an IB50 No No No
0075 Bronchitis, acute or unspecified R4 R4 Issue an IB50 No No No
0760 Bronchitis, chronic R10 R10 Issue an IB50 No No No
0076 Bronchopneumonia R10 R10 Issue an IB50 No No No
0077 Bronchospasm R10 R10 Issue an IB50 No No Probably not
0078 Brucellosis R10 R10 Issue an IB50 Yes No No
0761 Bruise(s), any site R4 R4 Issue an IB50 No No No
0920 Bulimia* None R10 Issue an IB113DL/S No No No(ref type CM)
0079 Burn(s), electricity R10 R10 Issue an IB50 No No No
0080 Burn(s), of eye(s) or orbits R10 R10 Issue an IB50 No No No
0081 Burn(s), other R4 R4 Issue an IB50 No No No
0082 Bursa, removal of R10 R10 Issue an IB50 No No No
0083 Bursitis R4 R4 Issue an IB50 No No No
0084 Ca None R10 PTI see part 33 No No No
0762 CABG (Coronary Artery None R10 Issue an IB50 No No NoBypass Graft)
0922 Cachexia None R10 PTI see part 33 No No No
0923 Campylobacter R10 R10 Issue an IB50 Yes No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0084 Cancer None R10 PTI see part 33 No No Probably not
0705 Capsulitis R4 R4 Issue an IB50 No No No
0086 Carbuncle R4 R4 Issue an IB50 No No No
0087 Carcinoma None R10 PTI see part 33 No No Probably not
0088 Carcinomatosis None R10 Exempt refer to No No Probably notmedical services
0763 Cardiac arrythmia R10 R10 Issue an IB50 No No Probably not
0089 Cardiac debility R10 R10 Issue an IB50 No No Probably not
0091 Cardiac failure None R10 Issue IB113DLS No No Probably not(ref type CP)
0092 Cardiac infarct R10 R10 Issue an IB50 No No Probably not
0764 Cardiac transplant None R10 Issue an IB113DL/S No No No(ref type CP)
0765 Cardiac pain R10 R10 Issue an IB50 No No Probably not
0766 Cardiomyopathy None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0094 Carditis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0095 Carrier of infectious disease None R10 See part 5 Yes No No
0706 Carpal tunnel syndrome R10 R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0096 Cartilage lesion R10 R10 Issue an IB50 No No No
0097 Cartilage of knee, removal of R10 R10 Issue an IB50 No No No
0924 Cataplexy* None R10 Issue an IB113DL/S No No No(ref type CM)
0098 Cataract None R10 Issue an IB50 No No No
0099 Cataract extraction R10 R10 Issue an IB50 No No No
0101 Catarrh, other R4 R4 Issue an IB50 No No No
0102 Catarrhal jaundice R10 R10 Issue an IB50 Yes No No
0103 Catarrhal laryngitis R4 R4 Issue an IB50 No No No
0104 Cellulitis R4 R4 Issue an IB50 No No No
0767 Cerebellar ataxia None R10 Issue an IB113DL/S No No No(ref type CP)
0925 Cerebral abscess None R10 Issue an IB113DL/S No No No(ref type CP)
0106 Cerebral haemorrhage None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0768 Cerebral ischaemia R10 R10 Issue an IB50 No No Probably not
0769 Cerebral palsy None R10 Issue an IB113DL/S No No No(ref type CP)
0108 Cerebral thrombosis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0110 Cerebral tumour None R10 Issue an IB113DL/S No No No(ref type CP)
0111 Cerebrospinal fever R10 R10 Issue an IB50 No No No
0174 CerebroVascular Accident (CVA) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0926 CerebroVascular Insufficiency R10 R10 Issue an IB50 No No No
0927 Cervical disc lesion R10 R10 Issue an IB50 No No Probably not
0707 Cervical Spondylosis R10 R10 Issue an IB50 No No No
0112 Cervicitis R4 R4 Issue an IB50 No No Probably not
0770 CFS (Chronic Fatigue Syndrome)* R10 R10 Issue an IB113DL/S No No No(ref type CM)
0921 C2/H5/OH abuse* None R10 Issue an IB113DL/S No No No(ref type CM)
0113 Cheiropompholyx R10 R10 Issue an IB50 No No No
0771 Chemotherapy (with None R10 PTI see Part 33 No No Nocytotoxic drugs)
0114 Chest disease R4 R4 Issue an IB50 No No No
0115 Chest pain R4 R4 Issue an IB50 No No Probably not
0116 Chicken Pox (CP) R4 R4 Issue an IB50 No No No
0117 Chill IR IR Issue an IB50 No No No
0123 Chipped bone R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0124 Cholecystectomy R10 R10 Issue an IB50 No No No
0125 Cholecystitis R4 R4 Issue an IB50 No No Probably not
0126 Cholera R10 R10 Issue an IB50 Yes No No
0928 Chondromalacia R10 R10 Issue an IB50 No No Probably not
0929 Chondromalacia patellae R10 R10 Issue an IB50 No No Probably not
0930 Chondrosarcoma None R10 PTI see Part 33 No No No
0127 Chorea None R10 Issue an IB113DL/S No No No(ref type CP)
0772 Chronic bronchitis R10 R10 Issue an IB50 No No No
0770 Chronic Fatigue Syndrome (CFS)* R10 R10 Issue an IB113DL/S No No No(ref type CM)
0774 Chronic Lymphatic Leukaemia None R10 PTI see Part 33 No No No(CLL)
0775 Chronic Myeloid Leukaemia None R10 PTI see Part 33 No No No(CML)
0708 Chronic Obstructive Airways R10 R10 Issue an IB50 No No NoDisease (COAD)
0931 Chronic Obstructive R10 R10 Issue an IB50 No No NoPulmonary Disease (COPD)
0932 Chronic renal failure None R10 Issue an IB50 No No Probably not
0776 Cirrhosis None R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0777 Claudication None R10 Issue an IB50 No No Probably not
0128 Climacteric R4 R4 Issue an IB50 No No No
0774 CLL (Chronic Lymphatic None R10 PTI see Part 33 No No NoLeukaemia)
0775 CML (Chronic Myeloid None R10 PTI see Part 33 No No NoLeukaemia)
0708 COAD (Chronic Obstructive R10 R10 Issue an IB50 No No NoAirways Disease)
0129 Coccydinia R10 R10 Issue an IB50 No No Probably not
0933 Coeliac disease R10 R10 Issue an IB50 No No Probably not
0130 Cold, common or catarrhal IR IR Issue an IB50 No No No(febrile)
0131 Colectomy None R10 Isue an IB50 No No No
0132 Colic, abdominal or intestinal R4 R4 Issue an IB50 No No No
0133 Colic, renal R4 R4 Issue an IB50 No No Probably not
0134 Colic, other R4 R4 Issue an IB50 No No No
0135 Colitis R10 R10 Issue an IB50 No No No
0271 Colles’ fracture R10 R10 Issue an IB50 No No No
0136 Colostomy None R10 Issue an IB50 No No No
0934 Coma None R10 Issue an IB113DL/S No No No(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0935 Complications of pregnancy None R10 Issue an IB50 No Yes Yes
0137 Concussion, including R4 R4 Issue an IB50 No No Nocerebral or brain
0138 Confusional state* None R10 Issue an IB113DL/S No No No(ref type CM)
0139 Congestion, pleural or R10 R10 Issue an IB50 No No Probably notpulmonary
0778 Congestive cardiac failure None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0142 Conjunctivitis R4 R4 Issue an IB50 No No No
0936 Connective tissue disorder None R10 Issue an IB50 No No Probably not
0143 Constipation R4 R4 Issue an IB50 No No Probably not
0146 Contact with infectious disease None R10 See Part 5 Yes No No
0147 Contusions R4 R4 Issue an IB50 No No No
0931 COPD(Chronic Obstructive R10 R10 Issue an IB50 No No NoPulmonary Disease)
0937 Cor pulmonale None R10 Issue an IB113DL/S No No No(ref type CP)
0148 Corneal ulcer R4 R4 Issue an IB50 No No No
0938 Coronary angioplasty R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0939 Coronary artery disease R10 R10 Issue an IB50 No No Probably not
0779 Coronary atheroma R10 R10 Issue an IB50 No No Probably not
0149 Coronary bypass surgery None R10 Issue an IB50 No No No
0150 Coronary infarct R10 R10 Issue an IB50 No No Probably not
0780 Coronary ischaemia R10 R10 Issue an IB50 No No Probably not
0152 Coronary occlusion R10 R10 Issue an IB50 No No Probably not
0154 Coronary pain R10 R10 Issue an IB50 No No Probably not
0156 Coronary thrombosis R10 R10 Issue an IB50 No No Probably not
0158 Coryza IR IR Issue an IB50 No No Probably not
0159 Cough R4 R4 Issue an IB50 No No No
0116 CP (Chickenpox) R4 R4 Issue an IB50 No No No
0781 Cracked bone R10 R10 Issue an IB50 No No No
0940 Craniotomy None R10 Issue an IB113DL/S No No No(ref type CP)
0903 Crescendo angina None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0166 Crohn’s disease R10 R10 Issue an IB50 No No No
0168 CSOM (Chronic Suppurative R4 R4 Issue an IB50 No No NoOtitis Media)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0169 Curettage R4 R4 Issue an IB50 No No No
0170 Cut nerve None R10 Issue an IB50 No No No
0171 Cut, septic R4 R4 Issue an IB50 No No No
0172 Cut, tendon R10 R10 Issue an IB50 No No No
0173 Cut, other IR IR Issue an IB50 No No No
0174 CVA (CerebroVascular Accident) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0176 Cyst, ovarian R10 R10 Issue an IB50 No No Probably not
0177 Cyst, pilonidal R10 R10 Issue an IB50 No No No
0178 Cyst, septic R4 R4 Issue an IB50 No No No
0179 Cyst, other R4 R4 Issue an IB50 No No No
0782 Cystic fibrosis None R10 Issue an IB113DL/S No No No(ref type CP)
0180 Cystitis R4 R4 Issue an IB50 No No Probably not
0941 Cytotoxic therapy None R10 PTI see Part 33 No No No
0183 (D and C) Dilation and Curettage R4 R4 Issue an IB50 No No No
0184 (D and V) Diarrhoea and Vomiting R4 R4 Issue an IB50 No No Probably not
0185 Deafness None R10 Issue an IB50 No No No
0089 Debility cardiac R10 R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0186 Debility, nervous* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0188 Debility, post operative R10 R10 Issue an IB50 No No Probably not
0189 Debility, post partum or R10 R10 Issue an IB50 No No Nofollowing confinement
0190 Debility, other R4 R4 Issue an IB50 No No Probably not
0942 Deep XRay Treatment (DXRT) None R10 PTI see Part 33 No No No
0191 Defective vision R4 R4 Issue an IB50 No No No
0709 Degenerative disease R4 R4 Issue an IB50 No No No
0193 Dementia None R10 Exempt refer to DM No No No
0943 Demyelination None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0194 Dental abscess or sepsis R4 R4 Issue an IB50 No No No
0195 Dental extraction R4 R4 Issue an IB50 No No No
0196 Depression, endogenous* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0198 Depression, post natal* None R10 Issue an IB113DL/S No No No(ref type CM)
0199 Depression, unspecified* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0201 Depressive illness* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0203 Depressive reaction* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0204 Deranged knee joint R10 R10 Issue an IB50 No No No
0205 Dermatitis of any kind R10 R10 Issue an IB50 No No No
0783 Dermatomyositis None R10 Issue an IB50 No No No
0206 Dermatophytosis R4 R4 Issue an IB50 No No No
0207 Detached retina None R10 Issue an IB50 No No No
0208 Diabetes R10 R10 Issue an IB50 No No Probably not
0209 Diabetes mellitus R10 R10 Issue an IB50 No No Probably not
0210 Dialysis, renal None R10 Issue an IB50 No No Probably not
0211 Diarrhoea R4 R4 Issue an IB50 No No Probably not
0184 Diarrhoea and Vomiting (D and V) R4 R4 Issue an IB50 No No Probably not
0183 Dilation and Curettage (D and C) R4 R4 Issue an IB50 No No No
0212 Diptheria R10 R10 Issue an IB50 Yes No No
0784 Discectomy R10 R10 Issue an IB50 No No No
0213 Discharging ear R4 R4 Issue an IB50 No No No
0214 Disc, intervertebral prolapsed, R10 R10 Issue an IB50 No No Noslipped, displaced, lesion
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0215 Dislocation of any kind R10 R10 Issue an IB50 No No No
0216 Displaced cartilage R10 R10 Issue an IB50 No No No
0218 Disseminated sclerosis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0219 Diverticulitis R10 R10 Issue an IB50 No No No
0710 Dizziness R4 R4 Issue an IB50 No No No
0220 Down’s syndrome None R10 Exempt refer to No No Nomedical services
0944 Drug abuse* None R10 Issue an IB113DL/S No No No(ref type CM)
0221 Drug addiction* None R10 Issue an IB113DL/S No No No(ref type CM)
0222 DU(Duodenal Ulcer) R4 R4 Issue an IB50 No No No
0223 Duodenitis R4 R4 Issue an IB50 No No No
0942 DXRT (Deep XRay Treatment) None R10 PTI see Part 33 No No No
0224 Dysentery R10 R10 Issue an IB50 Yes No No
0945 Dysentery, amoebic R10 R10 Issue an IB50 Yes No No
0946 Dysentery, bacillary R10 R10 Issue an IB50 Yes No No
0947 Dysentery, shigella R10 R10 Issue an IB50 Yes No No
0225 Dysmenorrhoea R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0226 Dyspepsia R4 R4 Issue an IB50 No No Probably not
0948 Dysphagia None R10 PTI see Part 33 No No No
0227 Dyspnoea R10 R10 Issue an IB113DL/S No No Probably not(ref type CP)
0785 Dystonia R10 R10 Issue an IB50 No No No
0949 Eating disorder* None R10 Issue an IB113DL/S No No No(ref type CM)
0950 Eclampsia None R10 Issue an IB50 No Yes Yes
0229 Eczema R4 R4 Issue an IB50 No No No
0254 Educationally Subnormal (ESN) None R10 Issue an IB113DL/S No No No(ref type CP)
0232 Embolism R10 R10 Issue an IB50 No No Probably not
0233 Emesis R4 R4 Issue an IB50 No No Probably not
0234 Emesis (vomiting) of pregnancy R4 R4 Issue an IB50 No No Yes
0235 Emphysema, with or without None R10 Issue an IB113DL/S No No Nobronchitis (ref type CP)
0237 Empyema None R10 Issue an IB50 No No No
0238 Encephalitis None R10 Issue an IB113DL/S Yes No No(ref type CP)
0239 Endocarditis None R10 Issue an IB113DL/S No No No(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0196 Endogenous depression* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0711 Endometriosis R10 R10 Issue an IB50 No No Probably not
0241 Enlarged prostate R10 R10 Issue an IB50 No No No
0243 Enteric fever R10 R10 Issue an IB50 Yes No No
0244 Enteritis R4 R4 Issue an IB50 No No No
0786 Epicondylitis R4 R4 Issue an IB50 No No No
0245 Epidermophytosis R4 R4 Issue an IB50 No No No
0246 Epididymitis R4 R4 Issue an IB50 No No No
0247 Epilepsy R10 R10 Issue an IB50 No No No
0249 Epistaxis R4 R4 Issue an IB50 No No No
0250 Eruption of skin R4 R4 Issue an IB50 No No Probably not
0251 Erysipelas, any site R4 R4 Issue an IB50 No No No
0253 Erythema nodosum R10 R10 Issue an IB50 No No No
0254 ESN(Educationally Sub Normal) None R10 Issue an IB113DL/S No No No(ref type CP)
0787 Evacuation (of uterus) R4 R4 Issue an IB50 No No No
0256 Eye, black IR IR Issue an IB50 No No No
0788 Eye, condition, disease or injury R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0554 Eye infection R4 R4 Issue an IB50 No No No
0157 Eye septic R4 R4 Issue an IB50 No No No
0258 Eye ulcer R4 R4 Issue an IB50 No No No
0789 Eyelid, infection or inflammation R4 R4 Issue an IB50 No No Noof, or septic
0790 Facet joint syndrome R10 R10 Issue an IB50 No No Probably not
0259 Facial paralysis R10 R10 Issue an IB50 No No Probably not
0260 Fainting R4 R4 Issue an IB50 No No Probably not
0951 Farmer’s lung R10 R10 Issue an IB50 No No No
0952 Fatigue R4 R4 Issue an IB50 No No Probably not
0261 FB in eye (Foreign body in eye) R4 R4 Issue an IB50 No No No
0262 Fever, unspecified R4 R4 Issue an IB50 No No Probably not
0791 Fibromyalgia R10 R10 Issue an IB50 No No No
0263 Fibrosis of lung R10 R10 Issue an IB50 No No No
0792 Fibrosing alveolitis R10 R10 Issue an IB50 No No No
0264 Fibrositis R4 R4 Issue an IB50 No No No
0265 Fissure in ano R10 R10 Issue an IB50 No No No
0266 Fistula R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0267 Fits R10 R10 Issue an IB50 No No Probably not
0269 Food poisoning R4 R4 Issue an IB50 Yes No No
0261 Foreign body, in eye(s) (FB in eye) R4 R4 Issue an IB50 No No No
0270 Foreign body, in finger(s) R4 R4 Issue an IB50 No No No
0271 Fracture, Colles' R10 R10 Issue an IB50 No No No
0272 Fracture, Potts None R10 Issue an IB50 No No No
0273 Fracture, any part of upper limb, R10 R10 Issue an IB50 No No Nocollar bone, scapula (shoulder),facial bone, rib, foot of toe
0274 Fracture, femur (thigh) None R10 Issue an IB50 No No No
0793 Fracture, pelvis or skull None R10 Issue an IB50 No No No
0275 Fracture, of lower limb,including tibia, fibular or ankle None R10 Issue an IB50 No No No
0276 Fracture, unspecified site R4 R4 Issue an IB50 No No No
0712 Frozen shoulder None R10 Issue an IB50 No No No
0277 Furuncle(s) R4 R4 Issue an IB50 No No No
0278 Furunculosis R4 R4 Issue an IB50 No No No
0279 Gallstones R4 R4 Issue an IB50 No No No
0280 Ganglion IR IR Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0282 Gastrectomy None R10 PTI see Part 33 No No No
0284 Gastric Ulcer (GU) R10 R10 Issue an IB50 No No No
0285 Gastric upset R4 R4 Issue an IB50 No No No
0286 Gastritis R4 R4 Issue an IB50 No No No
0287 Gastroenteritis R4 R4 Issue an IB50 No No No
0288 Gastroenterostomy R10 R10 Issue an IB50 No No No
0290 German Measles (GM) R4 R4 Issue an IB50 Yes No No
0291 Giddiness R4 R4 Issue an IB50 No No Probably not
0292 Gingivitis R4 R4 Issue an IB50 No No No
0293 Glandular fever R10 R10 Issue an IB50 No No No
0294 Glaucoma R10 R10 Issue an IB50 No No No
0953 Glioma None R10 PTI see Part 33 No No No
0954 Glomerulonephritis None R10 Issue an IB50 No No Probably not
0290 GM (German Measles) R4 R4 Issue an IB50 Yes No No
0295 Goitre R10 R10 Issue an IB50 No No No
0794 Golfer’s elbow R4 R4 Issue an IB50 No No No
0296 Gout R10 R10 Issue an IB50 No No No
0297 Grand Mal R10 R10 Issue an IB50 No No No
0284 GU(Gastric Ulcer) R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0713 GuillainBarre syndrome None R10 Issue an IB113DL/S No No No(ref type CP)
0299 Gum boil(s) R4 R4 Issue an IB50 No No No
0300 Gynaecological operation R10 R10 Issue an IB50 No No Probably not
0796 Haemarthrosis None R10 Issue an IB50 No No Probably not
0301 Haematemesis R10 R10 Issue an IB50 No No Probably not
0303 Haematoma, subdural None R10 Issue an IB113DL/S No No No(ref type CP)
0305 Haematoma, other R4 R4 Issue an IB50 No No No
0306 Haematuria R10 R10 Issue an IB50 No No No
0797 Haemophilia None R10 Issue an IB50 No No No
0308 Haemoptysis R10 R10 Issue an IB50 No No No
0798 Haemorrhage, cerebral, None R10 Issue an IB113DL/S No No Probably notsubdural or subarachnoid (ref type CP)
0309 Haemorrhage, other R4 R4 Issue an IB50 No No Probably not
0310 Haemorrhoidectomy R10 R10 Issue an IB50 No No No
0311 Haemorroids R4 R4 Issue an IB50 No No Probably not
0312 Hammer toe(s) R4 R4 Issue an IB50 No No No
0313 Hay fever R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0955 Head injury None R10 Issue an IB113DL/S No No No(ref type CP)
0314 Headache(s) R4 R4 Issue an IB50 No No Probably not
0799 Heart attack R10 R10 Issue an IB50 No No Probably not
0956 Heart block R10 R10 Issue an IB50 No No Probably not
0315 Heart disease R10 R10 Issue an IB50 No No Probably not
0440 Heart failure None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0800 Heart transplant None R10 Issue an IB113DL/S No No No(ref type CP)
0714 Hemiparesis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0316 Hemiplegia None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0801 Hepatic cirrhosis None R10 Issue an IB50 No No No
0957 Hepatic failure None R10 PTI see Part 33 No No Probably not
0318 Hepatitis R10 R10 Issue an IB50 Yes No Probably not
0319 Hernia repair R10 R10 Issue an IB50 No No No
0320 Hernia, strangulated R10 R10 Issue an IB50 No No No
0321 Hernia, other R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0443 Herniotomy(hernia repair) R10 R10 Issue an IB50 No No No
0322 Herpes or Herpes simplex R4 R4 Issue an IB50 No No No
0323 Herpes ophthalmicus R4 R4 Issue an IB50 No No No
0324 Herpes zoster R4 R4 Issue an IB50 No No No
0802 Hiatus hernia R10 R10 Issue an IB50 No No Probably not
0715 Hip replacement None R10 Issue an IB50 No No No
0325 HIV Infection None R10 Issue an IB113DL/S No No No(ref type CP)
0326 HIV positive None R10 Issue an IB113DL/S No No No(ref type CP)
0327 HMK (Housemaids knee) R4 R4 Issue an IB50 No No No
0328 Hodgkin’s disease None R10 PTI see Part 33 No No No
0958 Hospital investigations R10 R10 Issue an IB50 No No Probably not
0960 Hospital treatment R10 R10 Issue an IB50 No No Probably not
0959 Hospitalisation None R10 Refer to DM No No Probably not
0332 Huntington’s chorea None R10 Exempt refer to DM No No No
0333 Hydrocele R4 R4 Issue an IB50 No No No
0961 Hydrocephalus None R10 Issue an IB113DL/S No No No(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0962 Hypercholesterolaemia R4 R4 Issue an IB50 No No No
0334 Hyperemesis R4 R4 Issue an IB50 No No Probably not
0335 Hyperemesis gravidarum None R10 Issue an IB50 No Yes Yes
0963 Hyperlipidaemia R4 R4 Issue an IB50 No No No
0337 Hypertension R4 R4 Issue an IB50 No No Probably not
0964 Hypertension in pregnancy None R10 Issue an IB50 No Yes Yes
0965 Hypertension, malignant None R10 Issue an IB50 No No Probably not
0966 Hypertension, severe None R10 Issue an IB50 No No Probably not
0967 Hypertension, uncontrolled None R10 Issue an IB50 No No Probably not
0338 Hyperthyroidism R10 R10 Issue an IB50 No No No
0968 Hypoglycaemia R10 R10 Issue an IB50 No No Probably not
0716 Hypomania* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0339 Hypothyroidism R10 R10 Issue an IB50 No No No
0340 Hysterectomy R10 R10 Issue an IB50 No No No
0341 Hysteria* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0717 IBS (Irritable Bowel Syndrome) R10 R10 Issue an IB50 No No No
0803 IDDM (Insulin Dependent R10 R10 Issue an IB50 No No Probably notDiabetes)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0343 IDK (Internal Derangement R10 R10 Issue an IB50 No No Noof Knee)
0969 IHD (Ischaemic Heart Disease) R10 R10 Issue an IB50 No No Probably not
0804 Ileostomy None R10 Issue an IB50 No No No
0970 Impaired memory None R10 Issue an IB113DL/S No No No(ref type CP)
0344 Impetigo R4 R4 Issue an IB50 No No No
0345 Indigestion R4 R4 Issue an IB50 No No No
0346 Infantile paralysis None R10 Issue an IB113DL/S Yes No No(ref type CP)
0347 Infected (or infection of) R4 R4 Issue an IB50 No No Noear, external
0348 Infected (or infection of), other R4 R4 Issue an IB50 No No No
0349 Infective hepatitis R10 R10 Issue an IB50 Yes No No
0971 Infective jaundice R10 R10 Issue an IB50 Yes No No
0350 Infective mononucleosis R10 R10 Issue an IB50 No No No
0351 Infective parotitis R10 R10 Issue an IB50 Yes No No
0352 Inflamed, or inflammation of... R4 R4 Issue an IB50 No No No
0354 Influenza of any kind R4 R4 Issue an IB50 No No No
0356 Ingrowing nail(s) R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0357 Injury (nature unspecified), R4 R4 Issue an IB50 No No Noto a limb, face, neck, trunk,joint, back or shoulder
0358 Injury, (nature and site R4 R4 Issue an IB50 No No Nounspecified)
0972 Inpatient None R10 Refer to DM No No Probably not
0359 Insomnia* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0805 Insulin dependent diabetes R10 R10 Issue an IB50 No No Probably notmyelitis
0360 Intermittent claudication None R10 Issue an IB50 No No No
0343 Internal Derangement of R10 R10 Issue an IB50 No No NoKnee (IDK)
0361 Internal semilunar cartilage R10 R10 Issue an IB50 No No Noof knee
0362 Intestinal obstruction None R10 Issue an IB50 No No No
0363 Investigation R10 R10 Issue an IB50 No No Probably not
0364 Iritis R10 R10 Issue an IB50 No No No
0717 Irritable Bowel Syndrome (IBS) R10 R10 Issue an IB50 No No No
0969 Ischaemic Heart Disease (IHD) R10 R10 Issue an IB50 No No Probably not
0365 Ischaemia of any kind R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0806 ISC (Internal Semilunar R10 R10 Issue an IB50 No No NoCartilage of knee)
0366 Jaundice R10 R10 Issue an IB50 No No Probably not
0367 Keratitis R10 R10 Issue an IB50 No No No
0973 Kidney dialysis None R10 Issue an IB50 No No Probably not
0368 Kidney disease R10 R10 Issue an IB50 No No Probably not
0807 Kidney infection R10 R10 Issue an IB50 No No Probably not
0808 Kidney transplant None R10 Issue an IB50 No No No
0371 Labyrinthitis R10 R10 Issue an IB50 No No No
0372 Laceration R4 R4 Issue an IB50 No No No
0718 Laminectomy R10 R10 Issue an IB50 No No Probably not
0373 Laparotomy R10 R10 Issue an IB50 No No Probably not
0374 Laryngitis of any kind R4 R4 Issue an IB50 No No No
0974 Lassa Fever R10 R10 Issue an IB50 Yes No No
0719 LBP (Low Back Pain) R10 R10 Issue an IB50 No No Probably not
0441 Lead intoxication (poisoning) R10 R10 Issue an IB50 No No No
0809 Learning difficulties None R10 Issue an IB113DL/S No No No(ref type CP)
0978 Left Heart Failure (LHF) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0979 Left Ventricular Failure (LVF) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0975 Leg ulcer R10 R10 Issue an IB50 No No No
0976 Leprosy None R10 Issue an IB50 Yes No No
0977 Leptospirosis R10 R10 Issue an IB50 Yes No No
0375 Leptospiral jaundice R10 R10 Issue an IB50 Yes No No
0376 Leucorrhoea R4 R4 Issue an IB50 No No Probably not
0377 Leukaemia None R10 PTI see Part 33 No No No
0378 Leukorrhoea R4 R4 Issue an IB50 No No No
0978 LHF (Left Heart Failure) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0379 LIH (Left Inguinal Hernia) R10 R10 Issue an IB50 No No No
0380 Lipoma R4 R4 Issue an IB50 No No No
0381 Liver disease R10 R10 Issue an IB50 No No Probably not
0980 Liver failure None R10 PTI see Part 33 No No Probably not
0810 Liver transplant None R10 Issue an IB50 No No No
0383 Lobectomy None R10 Issue an IB113DL/S No No No(ref type CP)
0719 Low back pain R10 R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0720 Lower disc syndrome R10 R10 Issue an IB50 No No Probably not
0385 Lumbago R10 R10 Issue an IB50 No No Probably not
0386 Lumbar fibrositis R10 R10 Issue an IB50 No No Probably not
0981 Lumbar spondylolisthesis R10 R10 Issue an IB113DL/S No No Probably not(ref type CP)
0721 Lumbar spondylosis R10 R10 Issue an IB50 No No Probably not
0387 Lupus None R10 Issue an IB50 No No Probably not
0982 LV aneurysm None R10 Issue an IB113DL/S No No No(ref type CP)
0982 Left Ventricular Aneurysm None R10 Issue an IB113DL/S No No No(ref type CP)
0979 LVF (Left Ventricular Failure) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0388 Lymphadenitis R4 R4 Issue an IB50 No No No
0811 Lymphangitis R4 R4 Issue an IB50 No No No
0812 Lymphoedema R10 R10 Issue an IB50 No No No
0389 Lymphoma None R10 PTI see Part 33 No No No
0813 Lymphosarcoma None R10 PTI see Part 33 No No No
0390 Malaria R10 R10 Issue an IB50 Yes No No
0391 Malignant disease None R10 PTI see Part 33 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0965 Malignant hypertension None R10 Issue an IB50 No No Probably not
0983 Malignant tumour None R10 PTI see Part 33 No No No
0814 Mammary abscess R10 R10 Issue an IB50 No No Probably not
0984 Marburg disease R10 R10 Issue an IB50 Yes No No
0393 Mastectomy None R10 PTI see Part 33 No No No
0394 Mastitis R4 R4 Issue an IB50 No No Probably not
0395 Mastoidectomy R10 R10 Issue an IB50 No No No
0396 Mastoiditis R10 R10 Issue an IB50 No No No
0431 ME (Myalgic Encephalomyelitis)* R10 R10 Issue an IB113DL/S No No No(ref type CM)
0397 Measles R10 R10 Issue an IB50 Yes No No
0398 Melaena R10 R10 Issue an IB50 No No No
0399 Melancholia* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0401 Melanoma None R10 PTI see Part 33 No No No
0985 Memory impairment None R10 Issue an IB113DL/S No No No(ref type CP)
0985 Memory problems None R10 Issue an IB113DL/S No No No(ref type CP)
0402 Meniere’s disease R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0986 Meningioma None R10 Issue an IB113DL/S No No No(ref type CP)
0403 Meningitis R10 R10 Issue an IB50 Yes No No
0987 Meningococcal septicaemia R10 R10 Issue an IB50 Yes No No
0404 Menisectomy R10 R10 Issue an IB50 No No No
0405 Menopause R4 R4 Issue an IB50 No No No
0406 Menorrhagia R10 R10 Issue an IB50 No No No
0407 Menstruation, any disorder of R10 R10 Issue an IB50 No No No
0408 Mental defective or deficiency None R10 Issue an IB113DL/S No No No(ref type CP)
0409 Mental disorder* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0413 Mental illness* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0988 Mental retardation None R10 Issue an IB113DL/S No No No(ref type CP)
0815 Mentally handicapped None R10 Issue an IB113DL/S No No No(ref type CP)
0988 Mentally retarded None R10 Issue an IB113DL/S No No No(ref type CP)
0989 Mesothelioma None R10 Exempt refer to DM No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0990 Metastases None R10 Exempt refer to DM No No No
0991 Metastatic disease None R10 Exempt refer to DM No No No
0992 Metastatic lesions None R10 Exempt refer to DM No No No
0993 Metastatic tumour None R10 Exempt refer to DM No No No
0994 Metatarsalgia R10 R10 Issue an IB50 No No Probably not
0434 MI (Myocardial Infarction) R10 R10 Issue an IB50 No No Probably not
0416 Migraine R4 R4 Issue an IB50 No No Probably not
0417 Miscarriage R4 R4 Issue an IB50 No No No
0995 Mitotic lesion None R10 PTI see Part 33 No No No
0816 Mitral incompetence None R10 Issue an IB50 No No Probably not
0418 Mitral stenosis None R10 Issue an IB50 No No Probably not
0996 Mixed connective tissue disorder None R10 Issue an IB50 No No Probably not
0420 Mongolism None R10 Exempt refer to No No Nomedical services
0422 Morning sickness R4 R4 Issue an IB50 No Yes Yes
0423 Motorneurone disease None R10 Exempt refer to No No Nomedical services
0424 Multiple injuries, nature and site R10 R10 Issue an IB50 No No Nounspecified
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0425 Multiple myeloma None R10 PTI see Part 33 No No No
0997 Multiple pregnancy None R10 Issue an IB50 No Yes Yes
0426 Multiple sclerosis None R10 Issue an IB113DL/S No No No(ref type CP)
0427 Mumps R10 R10 Issue an IB50 Yes No No
0429 Muscular dystrophy None R10 Issue an IB113DL/S No No No(ref type CP)
0722 Musculoskeletal pains R4 R4 Issue an IB50 No No Probably not
0430 Myalgia R4 R4 Issue an IB50 No No No
0431 Myalgic encephalomyelitis (ME)* R10 R10 Issue an IB113DL/S No No No(ref type CM)
0432 Myasthenia None R10 Issue an IB113DL/S No No No(ref type CP)
0817 Myasthenia gravis None R10 Issue an IB113DL/S No No No(ref type CP)
0433 Myelitis None R10 Issue an IB113DL/S No No No(ref type CP)
0998 Myelodysplasia None R10 PTI see Part 33 No No No
0999 Myelofibrosis None R10 PTI see Part 33 No No No
1000 Myeloma None R10 PTI see Part 33 No No No
0434 Myocardial Infarction (MI) R10 R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0436 Myocarditis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0438 Myositis R10 R10 Issue an IB50 No No No
0439 Myxoedema R10 R10 Issue an IB50 No No No
1001 Narcolepsy R10 R10 Issue an IB50 No No No
0444 Nasal abscess R4 R4 Issue an IB50 No No No
0445 Nasal catarrh R4 R4 Issue an IB50 No No No
0446 Nasal polypus R4 R4 Issue an IB50 No No No
0447 Nasopharyngitis R4 R4 Issue an IB50 No No No
0448 Nausea R4 R4 Issue an IB50 No No Probably not
0449 Nausea of pregnancy R4 R4 Issue an IB50 No No Yes
0186 ND (Nervous Debility)* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0450 Neoplasm None R10 PTI see Part 33 No No No
0451 Nephrectomy None R10 PTI see Part 33 No No No
0452 Nephritis None R10 Issue an IB50 No No Probably not
0818 Nephrotic syndrome None R10 Issue an IB50 No No Probably not
0456 Nervous breakdown or None R10 Issue an IB113DL/S No No Probably notexhaustion* (ref type CM)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0186 Nervous Debility (ND)* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0458 Nervous depression* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0460 Nervous disease or disorder* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0819 Nervous dyspepsia R4 R4 Issue an IB50 No No Probably not
0463 Nervous shock* None R10 Issue an IB113DL/S No No No(ref type CM)
0464 Nervousness* None R10 Issue an IB113DL/S No No No(ref type CM)
0465 Neuralgia (except trigemina R4 R4 Issue an IB50 No No Noneuralgia)
0466 Neurasthenia* None R10 Issue an IB113DL/S No No No(ref type CM)
1002 Neuritis, unspecified R4 R4 Issue an IB50 No No Probably not
0468 Neuritis, any specified form R10 R10 Issue an IB50 No No No
0723 Neurological disorder None R10 Issue an IB113DL/S No No No(ref type CP)
1004 Neuroma R4 R4 Issue an IB50 No No No
1003 Neuropathy None R10 Issue an IB50 No No No
0469 Neurosis* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1005 Neutropenia None R10 PTI see Part 33 No No No
0820 NIDD (Non Insulin R4 R4 Issue an IB50 No No Probably notDependant Diabetes)
0470 NonHodgkin’s lymphoma None R10 PTI see Part 33 No No No
0471 NYD (Not Yet Diagnosed) R4 R4 Issue an IB50 No No Probably not
0472 Nystagmus R10 R10 Issue an IB50 No No No
0473 OA (Osteoarthritis) R10 R10 Issue an IB50 No No No
0474 Obesity IR IR Issue an IB50 No No No
0475 Observation R4 R4 Issue an IB50 No No Probably not
1006 Obstetric complications None R10 Issue an IB50 No Yes Yes
1007 Obstructive jaundice R10 R10 Issue an IB50 No No Probably not
0821 OD (Overdose)* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0477 Oedema R10 R10 Issue an IB50 No No Probably not
0724 Oesophagitis R10 R10 Issue an IB50 No No Probably not
0478 Open heart surgery None R10 Issue an IB113DL/S No No No(ref type CP)
0479 Open wound R4 R4 Issue an IB50 No No No
0483 Operation R10 R10 Issue an IB50 No No Probably not
0823 Optic atrophy R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0485 Orchitis R10 R10 Issue an IB50 No No No
0473 Osteoarthritis (OA) R10 R10 Issue an IB50 No No No
1008 Osteogenesis imperfecta None R10 Issue an IB50 No No No
0486 Osteomyelitis None R10 Issue an IB50 No No No
0725 Osteoporosis R10 R10 Issue an IB50 No No No
1009 Osteosarcoma None R10 PTI see Part 33 No No No
0824 Otitis, media R4 R4 Issue an IB50 No No No
0488 Otitis, other R4 R4 Issue an IB50 No No No
0825 Ovarian cyst R10 R10 Issue an IB50 No No Probably not
0821 Overdose of drugs (OD)* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0826 Over use syndrome R4 R4 Issue an IB50 No No No
0490 Paget’s disease R10 R10 Issue an IB50 No No No
0491 Pain, in abdomen R4 R4 Issue an IB50 No No Probably not
0827 Pain in chest R4 R4 Issue an IB50 No No Probably not
0492 Pain, cardiac R10 R10 Issue an IB50 No No Probably not
0493 Pain, coronary R10 R10 Issue an IB50 No No Probably not
0494 Pain, sternal or substernal R4 R4 Issue an IB50 No No No
0495 Pain, other or unspecified R4 R4 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0726 Palpitations R4 R4 Issue an IB50 No No Probably not
0727 Pancreatitis R10 R10 Issue an IB50 No No Probably not
1010 Panic attacks* None R10 Issue an IB113DL/S No No No(ref type CM)
0496 Paranoia* None R10 Issue an IB113DL/S No No No(ref type CM)
0497 Paraplegia None R10 Exempt refer to DM No No Probably not
0498 Paratyphoid fever R10 R10 Issue an IB50 Yes No No
0499 Parkinsonism None R10 Issue an IB113DL/S No No No(ref type CP)
0500 Parkinson’s disease or syndrome None R10 Issue an IB113DL/S No No No(ref type CP)
0501 Paronychia R4 R4 Issue an IB50 No No No
0502 Parotitis R10 R10 Issue an IB50 No No No
0503 Partial sight None R10 Issue an IB50 No No No
0828 Pathological fracture None R10 PTI see Part 33 No No No
1011 Pelvic inflammatory disease R10 R10 Issue an IB50 No No Probably not
0505 Peptic ulcer R4 R4 Issue an IB50 No No No
0506 Perforated ulcer R10 R10 Issue an IB50 No No No
0507 Perforation of eardrum R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0508 Pericarditis R10 R10 Issue an IB50 No No No
1012 Peripheral neuropathy None R10 Issue an IB50 No No Probably not
0510 Peripheral vascular disease None R10 Issue an IB50 No No No
0513 Peritonitis R10 R10 Issue an IB50 No No No
0514 Peritonsillar abscess R4 R4 Issue an IB50 No No No
0515 Pernicious anaemia R10 R10 Issue an IB50 No No No
0829 Persistent vegetative state None R10 Exempt refer to DM No No No
0830 Personality disorder* None R10 Issue an IB113DL/S No No No(ref type CM)
0516 Pertussis R10 R10 Issue an IB50 Yes No No
1013 Pes planus IR IR Issue an IB50 No No Probably not
0517 Petitmal R10 R10 Issue an IB50 No No No
0518 Pharyngitis of any kind R4 R4 Issue an IB50 No No No
0519 Phlebitis R10 R10 Issue an IB50 No No Probably not
0524 PID (Prolapsed Invertebral Disc) R10 R10 Issue an IB50 No No Probably not
1014 Pigeon fancier’s lung R10 R10 Issue an IB50 No No No
0525 Piles R4 R4 Issue an IB50 No No Probably not
1015 Placenta praevia None R10 Issue an IB50 No Yes Yes
1016 Placental abruption None R10 Issue an IB50 No Yes Yes
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1017 Placental insufficiency None R10 Issue an IB50 No Yes Yes
1018 Plague R10 R10 Issue an IB50 Yes No No
0728 Plantar fascitis R4 R4 Issue an IB50 No No No
0528 Pleural effusion None R10 PTI see Part 33 No No No
0530 Pleurisy R10 R10 Issue an IB50 No No No
0553 Pleurodynia R10 R10 Issue an IB50 No No No
0534 Pneumoconiosis R10 R10 Issue an IB50 No No No
0535 Pneumonectomy None R10 PTI see Part 33 No No No
0537 Pneumonia R10 R10 Issue an IB50 No No No
0539 Pneumonitis R10 R10 Issue an IB50 No No No
0540 Pneumothorax R10 R10 Issue an IB50 No No No
0062 Poisoning, blood R10 R10 Issue an IB50 No No No
0269 Poisoning, food R4 R4 Issue an IB50 No No No
0831 Poisoning, any chemical R4 R4 Issue an IB50 No No No
0541 Poliomyelitis None R10 Issue an IB113DL/S Yes No No(ref type CP)
0729 Polyarthritis None R10 Issue an IB113DL/S No No No(ref type CP)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1019 Polyarthropathy None R10 Issue an IB113DL/S No No Probably not(ref type CP)
1020 Polycythaemia None R10 Issue an IB50 No No No
0832 Polymyositis None R10 Issue an IB50 No No No
0833 Polymyalgia rheumatica R10 R10 Issue an IB50 No No No
0542 Polyneuritis None R10 Issue an IB50 No No No
0543 Polypectomy R4 R4 Issue an IB50 No No No
0544 Polypus R4 R4 Issue an IB50 No No No
1021 Post menopausal bleeding R10 R10 Issue an IB50 No No No
0834 Post natal depression* None R10 Issue an IB113DL/S No No No(ref type CM)
0730 Postop(eration) R10 R10 Issue an IB50 No No Probably not
0835 Post partum debility R10 R10 Issue an IB50 No No No
1022 Posttraumatic stress disorder* None R10 Issue an IB113DL/S No No No(ref type CM)
1023 Posttraumatic stress syndrome* None R10 Issue an IB113DL/S No No No(ref type CM)
0836 Posttraumatic syndrome* None R10 Issue an IB113DL/S No No No(ref type CM)
0731 Post Viral Fatigue Syndrome R10 R10 Issue an IB113DL/S No No No(PVFS)* (ref type CM)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1024 Preeclampsia None R10 Issue an IB50 No Yes Yes
0732 Pregnancy complications None R10 Issue an IB50 No Yes Yes
1025 Premature labour None R10 Issue an IB50 No Yes Yes
0837 Prolapsed Disc R10 R10 Issue an IB50 No No Probably not
0524 Prolapsed Invertebral Disc (PID) R10 R10 Issue an IB50 No No Probably not
0545 Prostatectomy R10 R10 Issue an IB50 No No No
0547 Prostatic enlargement R10 R10 Issue an IB50 No No No
1026 Prostatism R10 R10 Issue an IB50 No No No
0546 Prostatitis R10 R10 Issue an IB50 No No No
1027 Prosthetic valves R10 R10 Issue an IB50 No No Probably not
0548 Pruritis R4 R4 Issue an IB50 No No Probably not
1028 Psittacosis R10 R10 Issue an IB50 No No No
0549 Psoriasis R10 R10 Issue an IB50 No No No
1029 Psoriatic arthritis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0838 Psoriatic arthropathy None R10 Issue an IB113DL/S No No No(ref type CP)
0550 Psychoneurosis* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0552 Psychosis* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0558 PT (Pulmonary Tuberculosis) R10 R10 Issue an IB50 Yes No No
0555 Puerperal fever R4 R4 Issue an IB50 No No Yes
0839 Puerperal pyrexia R4 R4 Issue an IB50 No No Yes
0557 Pulmonary affection or infection R4 R4 Issue an IB50 No No No
0840 Pulmonary congestion R10 R10 Issue an IB50 No No Probably not
1030 Pulmonary embolism None R10 Issue an IB50 No No Probably not
0695 Pulmonary fibrosis R10 R10 Issue an IB50 No No No
0841 Pulmonary oedema None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0558 Pulmonary Tuberculosis (PT) R10 R10 Issue an IB50 Yes No No
0556 PUO (Pyrexia of Unknown Origin) R4 R4 Issue an IB50 No No No
0731 PVFS (Post Viral Fatigue R10 R10 Issue an IB113DL/S No No NoSyndrome)* (ref type CM)
0560 Pyelitis R10 R10 Issue an IB50 No No Probably not
0842 Pyelonephritis R10 R10 Issue an IB50 No No Probably not
0556 Pyrexia R4 R4 Issue an IB50 No No No
1031 Quadriplegia None R10 Exempt refer to DM No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0562 Quinsy R4 R4 Issue an IB50 No No No
1032 Rabies R10 R10 Issue an IB50 Yes No No
0563 Radiotherapy None R10 PTI see Part 33 No No No
0564 Rash R4 R4 Issue an IB50 No No No
0565 Raynaud’s disease, phenomenon R10 R10 Issue an IB50 No No Noor syndrome
0843 Reactive arthritis R10 R10 Issue an IB50 No No No
0844 Reactive depression* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
1033 Rectal bleeding None R10 Issue an IB50 No No Probably not
0845 Reiter’s syndrome R10 R10 Issue an IB50 No No No
0566 Relapsing fever R10 R10 Issue an IB50 Yes No No
0568 Removal of tonsils and adenoids R10 R10 Issue an IB50 No No No
0569 Renal calculus R4 R4 Issue an IB50 No No Probably not
0846 Renal colic R4 R4 Issue an IB50 No No Probably not
1034 Renal dialysis None R10 Issue an IB50 No No Probably not
0570 Renal failure, chronic or end None R10 Issue an IB50 No No Nostage
1035 Renal transplant None R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1036 Renal Tuberculosis R10 R10 Issue an IB50 Yes No No
0847 Repetitive Strain Injury (RSI) R4 R4 Issue an IB50 No No No
1037 Respiratory failure None R10 Issue an IB113DL/S No No No(ref type CP)
0571 Respiratory tuberculosis R10 R10 Issue an IB50 Yes No No
0573 Retention of urine R10 R10 Issue an IB50 No No Probably not
0574 Rheumatic carditis None R10 Issue an IB50 No No No
0577 Rheumatic fever None R10 Issue an IB50 No No No
1038 Rheumatic heart disease None R10 Issue an IB50 No No Probably not
0578 Rheumatism, acute R4 R4 Issue an IB50 No No No
0579 Rheumatism, other R4 R4 Issue an IB50 No No No
0580 Rheumatoid arthritis None R10 Issue an IB113DL/S No No No(ref type CP)
0583 RHI (Right Inguinal Hernia) R10 R10 Issue an IB50 No No No
0582 Rhinitis R4 R4 Issue an IB50 No No No
0733 Road Traffic Accident (RTA) R10 R10 Issue an IB50 No No No
0584 Rodent ulcer R10 R10 Issue an IB50 No No No
0848 Rotator cuff injury (or syndrome) R4 R4 Issue an IB50 No No No
0847 RSI (Repetitive Strain Injury) R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0733 RTA (Road Traffic Accident) R10 R10 Issue an IB50 No No No
0585 Rubella R4 R4 Issue an IB50 Yes No No
0586 Rupture R10 R10 Issue an IB50 No No No
0587 Rupture of tendon R10 R10 Issue an IB50 No No No
0589 Sacroiliac strain R10 R10 Issue an IB50 No No Probably not
1039 Salmonella R10 R10 Issue an IB50 Yes No No
1040 Salmonellosis R10 R10 Issue an IB50 Yes No No
1041 Salpingitis R10 R10 Issue an IB50 No No Probably not
0590 Sarcoidosis R10 R10 Issue an IB50 No No No
0592 Sarcoma None R10 PTI see Part 33 No No No
0849 SBE (Subacute Bacterial None R10 Issue an IB113DL/S No No NoEndocarditis) (ref type CP)
0593 Scabies R4 R4 Issue an IB50 No No No
0594 Scald(s) R4 R4 Issue an IB50 No No No
0596 Scarlet fever R10 R10 Issue an IB50 Yes No No
0597 Schizophrenia* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0598 Sciatica R10 R10 Issue an IB50 No No Probably not
0850 Scleroderma None R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0599 Sclerosis R10 R10 Issue an IB50 No No Probably not
0600 Scratches, septic R4 R4 Issue an IB50 No No No
0601 Sebaceous cyst R4 R4 Issue an IB50 No No No
0602 Seborrhoea R4 R4 Issue an IB50 No No No
1042 Secondaries None R10 Exempt refer to DM No No No
1043 Secondary spread None R10 Exempt refer to DM No No No
1044 Seminoma None R10 PTI see Part 33 No No No
0603 Sepsis, site unspecified R4 R4 Issue an IB50 No No No
0852 Septic cyst R4 R4 Issue an IB50 No No No
0257 Septic eye R4 R4 Issue an IB50 No No No
0854 Septic eyelid R4 R4 Issue an IB50 No No No
0600 Septic (other external sites) R4 R4 Issue an IB50 No No No
0855 Septicaemia R10 R10 Issue an IB50 No No No
0966 Severe hypertension None R10 Issue an IB50 No No Probably not
0856 Severe learning difficulties None R10 Exempt refer to No No NoMedical Services
0596 SF (Scarlet Fever) R4 R4 Issue an IB50 Yes No No
1045 Shigella R10 R10 Issue an IB50 Yes No No
1046 Shigellosis R10 R10 Issue an IB50 Yes No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0605 Shingles R4 R4 Issue an IB50 No No No
0606 Shock, electric R10 R10 Issue an IB50 No No No
0857 Shock, nervous* None R10 Issue an IB113DL/S No No No(ref type CM)
0858 Shoulderhand syndrome R10 R10 Issue an IB50 No No No
0607 Sickness R4 R4 Issue an IB50 No No Probably not
0859 Sickness of pregnancy R4 R4 Issue an IB50 No No Yes
0608 Silicosis R10 R10 Issue an IB50 No No No
0609 Sinusitis R4 R4 Issue an IB50 No No No
0610 Skin, disease, eruption or lesion R4 R4 Issue an IB50 No No No
0860 SLE (Systemic Lupus None R10 Issue an IB50 No No Probably notErythematosis)
0612 SMR (Submucous resection) R4 R4 Issue an IB50 No No No
1047 SOL (SpaceOccupying Lesion) None R10 PTI see Part 33 No No No
0613 Sore throat R4 R4 Issue an IB50 No No No
1047 SpaceOccupying Lesion (SOL) None R10 PTI see Part 33 No No No
0861 Spasmodic torticollis R10 R10 Issue an IB50 No No No
0614 Spastic limb None R10 Issue an IB113DL/S No No No(ref type CP)
0862 Spastic colon R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1061 Spinal arachnoiditis None R10 Issue an IB50 No No No
0615 Spina bifida None R10 Issue an IB113DL/S No No No(ref type CP)
0734 Spinal fusion R10 R10 Issue an IB50 No No No
0161 Splinter(s) R4 R4 Issue an IB50 No No No
0619 Spondylitis R10 R10 Issue an IB50 No No No
1048 Spondylolisthesis R10 R10 Issue an IB50 No No Probably not
0735 Spondylosis R10 R10 Issue an IB50 No No Probably not
0620 Spontaneous pneumothorax R10 R10 Issue an IB50 No No Probably not
0621 Sprain, back, sacroiliac R10 R10 Issue an IB50 No No Probably not
0622 Sprain, other R4 R4 Issue an IB50 No No No
0863 STD (Sexually Transmitted R4 R4 Issue an IB50 No No Probably notDisease)
0864 Stenosis mitral None R10 Issue an IB50 No No Probably not
1049 Stillbirth* None R10 Issue an IB113DL/S No No No(ref type CM)
0624 Stomatitis R4 R4 Issue an IB50 No No No
0865 Strain, back R10 R10 Issue an IB50 No No Probably not
0866 Strain, sacroiliac R10 R10 Issue an IB50 No No Probably not
0867 Strain, other R4 R4 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0736 Stress* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0868 Stress fracture R10 R10 Issue an IB50 No No No
0625 Stroke None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0627 Stye(s) R4 R4 Issue an IB50 No No No
0849 Subacute Bacterial Endocarditis None R10 Issue an IB113DL/S No No No(ref type CP)
1050 Subarachnoid haemorrhage None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0628 SubMucous Resection (SMR) R4 R4 Issue an IB50 No No No
1051 Substance abuse* None R10 Issue an IB113DL/S No No No(ref type CM)
0870 Sudek’s atrophy R10 R10 Issue an IB50 No No No
0629 Sunburn R4 R4 Issue an IB50 No No No
0630 Surgical treatment R4 R4 Issue an IB50 No No Probably not
0631 Swelling of joint(s) or limb(s) R4 R4 Issue an IB50 No No Probably not
0632 Swollen glands R4 R4 Issue an IB50 No No No
0633 Sympathectomy R10 R10 Issue an IB50 No No No
0634 Syncope R4 R4 Issue an IB50 No No Probably not
0635 Synovitis of any kind R10 R10 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0871 Systemic Lupus Erythematosus None R10 Issue an IB50 No No Probably not
0636 Tachycardia R10 R10 Issue an IB50 No No Probably not
0662 TB (Tuberculosis) R10 R10 Issue an IB50 Yes No No
1052 TCC (Transitional Cell Carcinoma) None R10 PTI see Part 33 No No No
0639 Tear of muscles R4 R4 Issue an IB50 No No No
0641 Teeth, broken, extraction R4 R4 Issue an IB50 No No No
0872 Temporal arteritis None R10 Issue an IB50 No No No
0737 Tendonitis R4 R4 Issue an IB50 No No No
0738 Tennis elbow R4 R4 Issue an IB50 No No No
0642 Tenosynovitis R4 R4 Issue an IB50 No No No
0643 Tension state* None R10 Issue an IB113DL/S No No Probably not(ref type CM)
0873 Terminally ill None R10 Exempt refer to DM No No No
0874 Termination of Pregnancy (TOP) R4 R4 Issue an IB50 No No No
1053 Tetanus R10 R10 Issue an IB50 Yes No No
0875 Tetraplegia None R10 Exempt refer to DM No No No
1054 Thalassaemia R10 R10 Issue an IB50 No No No
0644 Thorocoplasty None R10 Issue an IB50 No No No
0876 Threatened abortion None R10 Issue an IB50 No Yes Yes
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
1055 Threatened miscarriage None R10 Issue an IB50 No Yes Yes
1056 Threatened premature labour None R10 Issue an IB50 No Yes Yes
0645 Thrombophlebitis R10 R10 Issue an IB50 No No Probably not
0646 Thrombosis (except cerebral) R10 R10 Issue an IB50 No No Probably not
0108 Thrombosis, cerebral None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0877 Thrombosis, coronary R10 R10 Issue an IB50 No No Probably not
0647 Thyroid enlargement R10 R10 Issue an IB50 No No Probably not
0648 Thyroidectomy R10 R10 Issue an IB50 No No Probably not
0649 Thyrotoxicosis R10 R10 Issue an IB50 No No No
0650 Tic douloureux R10 R10 Issue an IB50 No No No
0651 Tinea pedis R4 R4 Issue an IB50 No No No
0739 Tinnitus R10 R10 Issue an IB50 No No No
1057 Tiredness R4 R4 Issue an IB50 No No Probably not
0652 Tonsillectomy R10 R10 Issue an IB50 No No No
0653 Tonsillitis of any kind R4 R4 Issue an IB50 No No No
0654 Toothache R4 R4 Issue an IB50 No No No
0874 TOP (Termination of Pregnancy) R4 R4 Issue an IB50 No No No
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0655 Torticollis R10 R10 Issue an IB50 No No No
1058 Toxaemia R4 R4 Issue an IB50 No Yes Yes
0657 Toxaemia of pregnancy None R10 Issue an IB50 No Yes Yes
0658 Tracheitis R4 R4 Issue an IB50 No No No
0659 Tracheolaryngitis R4 R4 Issue an IB50 No No No
0884 Transient ischaemic attack R10 R10 Issue an IB50 No No Probably not
1052 Transitional cell carcinoma (TCC) None R10 PTI see Part 33 No No No
0885 Transverse myelitis None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0660 Trigeminal neuralgia R10 R10 Issue an IB50 No No No
0661 Trisomy 21 None R10 Exempt refer to No No Nomedical services
0662 Tuberculosis (TB) R10 R10 Issue an IB50 Yes No No
0740 Tumour R10 R10 Issue an IB50 No No Probably not
0663 Typhoid fever R10 R10 Issue an IB50 Yes No No
0664 Typhus fever R10 R10 Issue an IB50 Yes No No
0878 Ulcer, corneal R4 R4 Issue an IB50 No No No
0975 Ulcer(s), leg R10 R10 Issue an IB50 No No No
0879 Ulcer(s), perforated R10 R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0665 Ulcer(s), varicose R10 R10 Issue an IB50 No No Probably not
0666 Ulcer(s), other R4 R4 Issue an IB50 No No Probably not
0886 Ulcerative colitis R10 R10 Issue an IB50 No No Probably not
0967 Uncontrolled hypertension None R10 Issue an IB50 No No Probably not
0667 Under investigation R10 R10 Issue an IB50 No No Probably not
0668 Undulant fever R10 R10 Issue an IB50 Yes No No
0904 Unstable angina None R10 Issue an IB113DL/S No No Probably not(ref type CP)
1059 Uraemia None R10 Issue an IB50 No No Probably not
0880 Urinary calculus R4 R4 Issue an IB50 No No No
0741 Urinary infection R4 R4 Issue an IB50 No No Probably not
0671 URTI (Upper Respiratory R4 R4 Issue an IB50 No No NoTract infection)
0672 Urticaria R4 R4 Issue an IB50 No No No
0674 Valvular Disease of Heart (VDH) None R10 Issue an IB50 No No Probably not
0676 Varicella R4 R4 Issue an IB50 No No No
0677 Variocele R4 R4 Issue an IB50 No No No
0678 Varicose eczema R10 R10 Issue an IB50 No No Probably not
0881 Varicose ulcer R10 R10 Issue an IB50 No No Probably not
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0679 Varicose veins R4 R4 Issue an IB50 No No Probably not
0890 Vascular disease R10 R10 Issue an IB50 No No Probably not
0681 Vasovagal attack R4 R4 Issue an IB50 No No Probably not
0674 VDH (Valvular Disease of the None R10 Issue an IB50 No No Probably notHeart)
0891 Ventricular aneurysm None R10 Issue an IB113DL/S No No No(ref type CP)
0896 Ventricular Septal Defect (VSD) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0682 Vertigo R10 R10 Issue an IB50 No No No
0892 Viral fatigue R10 R10 Issue an IB50 No No No
0893 Viral haemorrhagic disease R10 R10 Issue an IB50 Yes No No
0894 Viral illness R4 R4 Issue an IB50 No No No
0895 Viral pericarditis R10 R10 Issue an IB50 No No No
0683 Virus infection R4 R4 Issue an IB50 No No No
0684 Virus pneumonia R10 R10 Issue an IB50 No No No
0685 Vomiting R4 R4 Issue an IB50 No No Probably not
0686 Vomiting of pregnancy R4 R4 Issue an IB50 No No Yes
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA
If the incapacity is not listed refer to medical services for advice (reference type CU)
Number Full description of Control Own Control Action when Is the incapacity Pregnancy For MA/SMPdisease Occupation PCA prompted to certifiable as complication – purposes, is
Test apply the infectious or refer to DM the incapacityPCA contagious? pregnancy
related?
0896 VSD (Ventricular Septal Defect) None R10 Issue an IB113DL/S No No Probably not(ref type CP)
0679 VV (Varicose Veins) R4 R4 Issue an IB50 No No Probably not
0687 Warts R4 R4 Issue an IB50 No No Probably not
0897 Weight Loss R10 R10 Issue an IB50 No No Probably not
0688 Weil’s disease R10 R10 Issue an IB50 Yes No No
0689 WHC (Whooping Cough) R10 R10 Issue an IB50 Yes No No
0742 Whiplash R10 R10 Issue an IB50 No No No
0690 Whitlow R4 R4 Issue an IB50 No No No
0689 Whooping Cough (WHC) R10 R10 Issue an IB50 Yes No No
0480 Wound R4 R4 Issue an IB50 No No No
0696 Wrench of muscles R4 R4 Issue an IB50 No No No
0883 Writer’s cramp R4 R4 Issue an IB50 No No No
0698 Wry neck R4 R4 Issue an IB50 No No No
0898 Xray treatment (XRT) None R10 PTI see Part 33 No No No
0898 XRT (Xray treatment) None R10 PTI see Part 33 No No No
0899 Yellow Fever R10 R10 Issue an IB50 Yes No No
0700 Other specified incapacity
*Mental HealthWhere Own Occupation Test applies – PCA will be applicable from 197th day of incapacityWhere Own Occupation Test does not apply – apply PCA according to the guidance given in the column headed Control PCA