Disability Living Allowance/Attendance Allowance

Disability Living Allowance/Attendance Allowance DIALOGUES AND INPUT CODES DESKAID For use by all DLA and AA staff Disability codes End reason types Exclusion reasons Payability adjustment reason types Payment adjustment types Payment suspension reason codes Reason codes

Disability codes

Code Name Including +D01 Arthritis Ankylosing spondylitis, Gout, Osteoarthritis, Polyarthritis, Psoriatic, Reactive, Reiter’s Syndrome, Rheumatoid +D02 Spondylosis Cervical Spondylosis, Lumbar Spondylosis +D03 Back Pain Back Ache, Cervical Disc Disease, Dorsalgia, Facet Joint Syndrome, Low Back Pain, Laminectomy, Lumbago, Prolapsed/Slipped/Displaced/Invertebral Disc, Sciatica, Scoliosis, Spinal Fusion, Spinal Stenosis +D05 Disease to the Muscles, Bones Benign Neoplasm, Brittle Bone Disease Bursitis, or Joints Deformity, Dislocation, Dysplasia, Flat Foot, Hypermobilty Syndrome, Joint Pain, Muscular Dystrophy, Myotonic Disorders, Osteomyelitis, Osteoporosis, RSI, Rupture Of Tendon, Sprain/Strains, Synovitis, Tenosynovitis +D06 Trauma to Limbs Loss of Fingers/Toes/Amputation (excluding D97), Fractures +D08 Blindness Cataracts, Glaucoma, Low Vision, Macular Degeneration +D09 Deafness Hearing Loss, Labyrinthitis, Presbyacusis, Menieres Disease, Otitis Media, Perforation, Tinnitus, Vertigo +D11 Heart Disease Angina, Aortic Valve Disease, Arrhythmia, Cardiac Aneurysm, Cardiomyopathy, Chest Pain, Coronary, Endocarditis, Heart Failure, Heart Transplant Failure/Rejection, Hypertension, Ischaemic, Mitral Valve Disease/Stenosis, Myocardial Infarction, Heart Attack, Pericarditis, Pulmonary Heart Disease, Valvular Heart Disease +D12 Chest Disease Asbestos related lung disease, Bronchiectasis, Bronchitis, COAD, COPD, Diphtheria, Emphysema, Pleurisy, Pneumonia, Pneumoconiosis, Pulmonary Embolism, Pulmonary Fibrosis, Respiratory Failure +D13 Asthma +D14 Cystic Fibrosis +D16 Cerebrovascular Disease CVA, Hemiplegia, Stroke, Cerebral Haemorrhage, Cerebral Infarction +D17 Peripheral Vascular Disease Aneurysm, Arterial Embolism and Thrombosis, Atherosclerosis, Claudication, Phlebitis +D19 Frailty Senility not specified +D20 Epilepsy Grand Mal, Petit Mal, Status Epilepticus, Febrile Convulsions +D23 Neurological Diseases – not Cerebral Palsy, Meningitis, Encephalitis, specified Huntington’s Disease, Hydrocephalus, Polio, Spina Bifida, Spinal Muscular Atrophy +D24 Multiple Sclerosis +D25 Parkinson’s Disease +D26 Motor Neurone Disease +D28 Chronic Fatigue ME/Post Viral, Malaise and Fatigue +D30 Diabetes Mellitus +D33 Metabolic Disease PKU

+D35 Traumatic Spinal Injury Paraplegia/Tetraplegia +D36 Major Trauma Burns, Crush Injury, Head Injury, Multiple Fractures, Traumatic Amputations +D40 Learning Disability Autism, Asperger Syndrome, Downs Syndrome, Fragile X Syndrome, Retts Syndrome, Speech and Language Disorders +D44 Psychosis Bipolar Affective Disorder, Hallucinations, Manic Depression, Schizoaffective Disorder, Schizophreniform Psychosis, Schizophrenia +D45 Psychoneurosis Agoraphobia, Anxiety, Depression, Hysteria, Obsessive Compulsive Disorder, Panic Disorder, Phobia, Posttraumatic Stress, Stress +D46 Personality Disorder +D48 Dementia Alzheimer’s Disease, Lewy Body, Pre-senile, Senile, Vascular +D50 Behavioural Disorder Eating Disorders, Encopresis, Enuresis +D51 Alcohol Abuse Alcohol dependency, Alcoholic Liver Disease (cirrhosis), Drug dependency +D52 Hyperkinetic Syndrome Attention Deficit Hyperactivity Disorder +D55 Renal Disorder Renal Failure +D60 Inflammatory Bowel Disease Crohn’s, Ulcerative Colitis +D61 Bowel and Stomach Disease Constipation, Hernia, Hepatitis, IBS, Pancreatitis, Peritonitis, Ulcer +D62 Total Parenteral Nutrition +D65 Blood Disorders Anaemia, Clotting Disorder, Sickle Cell, Thalassaemia +D66 Haemophilia +D70 AIDS +D75 Multi System Disorders Sarcoidosis, SLE/DLE, Scleroderma +D76 Multiple Allergy Syndrome +D78 Skin Disease Dermatitis, Eczema, Psoriasis, Urticaria +D80 Malignant Disease Carcinoma, Lymphoma, Myeloma, Sarcoma +K99 Conversion +These codes are for reference only. Their existence ceased from 20/10/08 and should not be used for live cases. Deeming provisions D95 Severely visually impaired – DLA only – will be available from 11/04/2011 D96 Severely mentally impaired – DLA only D97 Double amputee – DLA only D98 Deaf/Blind – DLA only D99 Haemodialysis D00 Terminally ill

End reason types N05 Change of benefit week N99 Uprating indicator T01 Death T02 Absence abroad/R& P – claim terminated T03 Transfer to NI/IOM – claim terminated T04 Failure to comply – claim terminated

Exclusion reasons E01 R&P conditions not satisfied E02 Defective claim E03 Withdrawal E04 Withdrawal following death E10 Death during qualifying period E11 Death before start of first possible benefit week E12 Death between end of qualifying period and first payday E13 Death between start of entitlement and first payday (no qualifying period) E14 Death before receipt of claim/conversion claim effective date E15 Posthumous claim E20 Miscellaneous ORD E65 Under age 65 – AA only E66 Over age 66 – DLA only

Payment adjustment types Recovery of overpayments 001 Attendance Allowance 002 Child Benefit +004 Family Credit 006 Industrial Death Benefit 007 Industrial Disablement Pension – including CAA (Constant Attendance Allowance) components 008 Carer’s Allowance +009 Invalidity Benefit 010 Maternity Allowance 011 Mobility Allowance 012 One Parent Benefit 013 Pneumoconiosis, Byssinosis and Miscellaneous Diseases Benefit 014 Default Accounting Code 015 Retirement pension 016 Severe Disablement Allowance 017 Sickness Benefit 018 Income Support 019 Unemployment Benefit 020 War Pension –including CAA (Constant Attendance Allowance) component 021 Widow’s Benefit 023 Social Fund 029 Housing Benefit 032 War Disablement Pension 033 War Widows Pension 044 Disability Living Allowance 046 Disability Working Allowance 048 Child Tax Credit 049 Pension Credit 056 Reduced Earnings Allowance 061 Incapacity Benefit 062 Jobseeker’s Allowance 063 Earning’s Top Up +074 Supplementary Benefit +075 Council Tax +076 Widowed Mothers Allowance 085 Employment and Support Allowance Contributory 086 Employment and Support Allowance Income Related +091 Passport to IB 092 Bereavement Allowance 093 Widowed Parents Allowance

+ These codes are for reference only. Their existence has ceased and should not be used for live cases Deductions recorded in DA/AA310 102 Weekly rate deduction which cannot be paid e.g. – no payee details held when arrears are due following the beneficiary’s death Offsets 202 Offset to show entitlement paid as IS/JSA 203 Offset to show entitlement already paid off system 204 Offset to show entitlement already paid by the system to correct the system payment calculation e.g. for offsetting arrears within the common period when an overpayment is present (dialogue DA/AA310 only) 211 Offset to show payment of mobility component - DLA only Weekly rate increase to award entitlement 701 Weekly rate increase to offset existing Motability adjustment in dialogue DA315, which cannot be amended - DLA MOTA only Overpayments 902 Used to record clerically calculated overpayments 920 Used to record Christmas bonus overpayments 926 Used to record a boarder overpayment Underpayments 502 Underpayment on current claim due to an increase in the award. Recalculation will usually determine such underpayments, used to pay an underpayment resulting from a change in circumstances 503 Outstanding underpayment on the current claim (not caused by a change in award), used to pay an underpayment on the current claim not due to a change in circumstances 504 Used to pay an underpayment resulting from early termination of a Motability agreement - DLA Mota only 505 Used to pay an underpayment resulting from a provisional Motability agreement being incorrect - DLA Mota only 507 Pre-conversion underpayment of AA, used to cover periods of payments due up to the pay from date on a conversion case 511 Used when an amount of money is to be paid in respect of Mobility Component only whilst care is suspended 512 Used for a Mota specific system adjustment and refers to contra agreements. When a termination date is recorded, and renewal likely field is set to 'Y' the arrears due to the customer are calculated and a payment amendment type 512 is created +513 Used to replace a lost or returned Order Book foil. Also used to replace earlier foils in an Order Book for which partial payment was authorised in DA/AA480 514 Used when an amount of money has been paid to replace a payment which was authorised for manual replacement in dialogue DA/AA480, i.e. customer has no bank account. (Breakdown of cheque required to amounts of £449.99 or less) 520 Used to pay Christmas bonus payments that were not or would not have been paid by the Christmas bonus scan 525 Boarder payment adjustment - created solely by the boarder payments dialogue DA/AA325, but can be deleted in dialogue DA/AA330 526 Payment when a change of circumstances results in an underpayment of a previously paid boarder payment 531 WFP £100 – user paid 532 WFP £200 – user paid 602 Used when an extra-statutory payment has been made, e.g. payment in excess of a DM’s decision 604 WFP & 80+ 894 WFP only + These codes are for reference only. Their existence has ceased and should not be used for live cases System created adjustments 551 Created by the DLACS/AACS as a result of the user specifying in dialogue DA/AA330 that they wish to override the system calculated underpayment 800 System calculated underpayments. Created by the payment recalculation process in dialogue DA/AA105. It will only appear if the payment of an underpayment has been withheld by the user on the RECALCULATION RESULTS screen DA/AA105 406 802 Replacement - system generated, appears when a full replacement payment is authorised in dialogue DA/AA105 820 Replacement - Christmas bonus, appears after the Christmas bonus scan 831 WFP £100 – paid by system 832 WFP £200 – paid by system 835 WFP £50 extra payment 80+ 836 WFP £100 extra payment 80+ 850 Created when a MOps/r2m agreement is set in dialogue DA315 - DLA Mota only 852 Mobility offset awaiting new agreement. Created in dialogue DA315, following completion of a Wednesday date in the contra agreement EDD field in screen DA315 317 860 Christmas bonus – system created 900 System calculated overpayments. Created by the payment recalculation process in dialogue DA/AA105 951 Created by the DLACS/AACS as a result of the user specifying in dialogue DA/AA330 that they wish to override the system calculated overpayment Adjustment created as a result of 901 Clerical recalculation required Deductions created from an underpayment (set in dialogue DA/AA330) 102 Lump sum entitlement which cannot be paid, e.g. no payee details held when arrears are due following the beneficiary’s death

Payment suspension reason codes 00 Other 10 Hospitalisation/ care home 15 Suspected fraud 16 Absence abroad 17 On remand/imprisonment 28 Voluntary relinquishment 29 Reported improvement (not confirmed) 30 Age 16 - details of appointee required - DLA only 31 Conversion 39 Gone Away - Full suspension 40 Failure to comply - Full suspension only

Reason codes Care Reason codes Favourable indefinite award - Care reason codes DLA only CO1 Low Limit care - child CO2 Low Limited care in connection with bodily functions CO3 Low Limited care to plan or prepare main meal C20 Middle Day attention C21 Middle Day supervision C22 Middle Night attention C24 Middle Renal dialysis C27 Middle Night watching over C30 High Night attention/Day attention C31 High Night attention/Day supervision C32 High Night watching over/Day attention C34 High Night watching over/Day supervision C37 High Award under SR Favourable fixed award – Care reason codes DLA only C41 Low Limit care – child C42 Low Limited care in connection with bodily functions C43 Low Limited care to plan or prepare main meal C80 Middle Day attention C81 Middle Day supervision C82 Middle Night attention C84 Middle Renal dialysis C87 Middle Night watching over C90 High Night attention/Day attention C91 High Night attention/Day supervision C92 High Night watching over/Day attention C94 High Night watching over/Day supervision C97 High SR – 3 year award Unfavourable – Care reason codes DLA only C50 Conditions not satisfied C51 Disability condition not satisfied prior to age 65 C52 Prospective test not satisfied C53 Failure to establish conditions satisfied C54 Child - conditions not satisfied C55 Qualifying period not satisfied C65 Not exportable C70 Not considered C71 Not decided - TSMC interim C72 Not considered - for renewal Favourable indefinite award – Care reason codes AA only C20 Low Day attention C21 Low Day supervision C22 Low Night attention C24 Low Renal dialysis C27 Low Night watching over C30 High Night attention/Day attention C31 High Night attention/Day supervision C32 High Night watching over/Day attention C34 High Night watching over/Day supervision C37 High Award under SR Favourable fixed award – Care reason codes AA only C80 Low Day attention C81 Low Day supervision C82 Low Night attention C84 Low Renal dialysis C87 Low Night watching over C90 High Night attention/Day attention C91 High Night attention/Day supervision C92 High Night watching over/Day attention C94 High Night watching over/Day supervision C97 High SR – 3 year award Unfavourable - Care reason codes AA only C50 Conditions not satisfied C53 Failure to establish conditions satisfied C55 Qualifying period not satisfied C65 Not exportable Favourable – Care reason codes DLA reference only C05 Low Claimed - not SR C13 Low Social needs C23 Middle Social needs C25 Middle Claimed – not SR C26 Middle Conversion case C28 Middle Conversion – not paid by AA C29 Middle Conversion – paid by AA C33 High Social needs C35 High Claimed – not SR C36 High Conversion case C38 High Conversion– not paid by AA C39 High Conversion – paid by AA Favourable – Care reason codes AA reference only C23 Low Social needs C25 Low Claimed – not SR C26 Low Conversion case C33 High Social needs C35 High Claimed – not SR C36 High Conversion case Mobility Reason Codes Favourable indefinite award - Mobility reason codes DLA only MO1 Low Limited mobility needs M30 High Virtually unable to walk M31 High Double amputee M32 High Deaf and blind M33 High SMC (S of S certificate) M34 High Severe mental impairment M36 High Serious deterioration M37 High Unable to walk M38 High Severe visual impairment – will be available from 11/04/2011 Favourable decisions fixed award – Mobility reason codes DLA only M41 Low Limited mobility needs M90 High Virtually unable to walk M91 High Double amputee M92 High Deaf and blind M94 High Severe mental impairment M96 High Serious deterioration M97 High Unable to walk M98 High Severe visual impairment – will be available from 11/04/2011 Favourable – Mobility reason codes DLA reference only M35 High Conversion case M39 High Conversion - paid by Mob A

Unfavourable – Mobility reason codes DLA only M50 Conditions not satisfied M51 Disability conditions not satisfied prior to age 65 M52 Prospective test not satisfied M53 Failure to establish conditions satisfied M54 Child – conditions not satisfied M55 Qualifying period not satisfied M56 Unable to benefit M57 Child - HR conditions not satisfied M60 Not decided – SR interim M61 Not considered – under age (periods up to and including 08/04/01) M62 Not considered - under age (for periods starting on or after 09/04/01) M65 Not exportable M70 Not considered M72 Not considered - for renewal