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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

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 is
no way of knowing if you are taking the right action.

Remember that things like


bereavement
,
looking after relativesand
broken

Notes on the column headings


Number
4

If the code number shown is 0700, PSCS (INCAP) will not recognise the incapacity and will
decode to
other specified incapacity
. You will need to enter any R4 or R10 control date in
RP303 680. For all other code numbers the system will set the appropriate Own Occupation Test
or Personal Capability Assessment control date. You will need to enter any R4 or R10 control
date in RP303 680. For all other code numbers the system will set the appropriate Own
Occupation Test or Personal Capability Assessment control date.

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 is
necessary for the Personal Capability Assessment and when to begin the Personal Capability
Assessment 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 Capability
Assessment:
ensure that the Personal Capability Assessment applies, rather than the Own
Occupation Test
exempt refer to DM This means the customer is treated as incapable of work by the
Decision Maker (DM) without having to go through the assessment or being referred to
medical services
exempt refer to medical services This means the customer is treated as incapable
without having to go through the assessment , but this requires confirmation of the
customer's incapacity by a doctor approved by the Secretary of State
issue an IB113-DL/S (ref type CP) Potentially exempt (physical incapacity) The
customer may be suffering from a serious illness that means they can be treated as
incapable of work without having to satisfy the assessment. The letter is sent to the GP to
find 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 means
they may be treated as incapable of work without having to satisfy the assessment. See
Part 33 of the STB Guides
issue an IB113-DL/S (ref type CM) Potentially exempt (mental health incapacity) The
customer may be suffering from a severe mental illness that means they can be treated
as incapable of work without having to satisfy the assessment . The letter is sent to the
GP 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 are
under medical observation because they are a carrier, or have been in contact with, a case of an
infectious 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 used


to 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

No

0014

Acquired Immune Deficiency


Syndrome

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0745

Acromio-clavicular subluxation

R4

R4

Issue an IB50

No

No

No

0009

Acute anterior poliomyelitis

None

R10

Issue an IB113-DL/S
(ref type CP)

Yes

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

Probably not

0013

Agoraphobia*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0014

AIDS

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0015

Albuminuria

R4

R4

Issue an IB50

No

No

Probably not

0900

Alcohol abuse*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0016

Alcoholism*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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
to DM

No

No

No

0018

Amenorrhoea

IR

IR

Issue an IB50

No

No

Probably not

0019

Amputation; of arm, hand,


leg or foot

None

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0020

Amputation, of part only of


hand, or foot unspecified

None

R10

Issue an IB50

No

No

No

0747

Anaemia,
iron deficiency

R4

R4

Issue an IB50

No

No

Probably not

0748

Anaemia,
of pregnancy

R4

R4

Issue an IB50

No

No

Yes

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 IB113-DL/S
(ref type CP)

No

No

Probably not

0026

Angina Pectoris (AP)

R10

R10

Issue an IB50

No

No

Probably not

0904

Angina, unstable

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0028

Angioneurotic oedema

R4

R4

Issue an IB50

No

No

No

0905

Angioplasty

R10

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0749

Ankylosing spondylitis

R10

R10

Issue an IB50

No

No

No

0029

Anorexia*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0030

Anorexia nervosa*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0906

Anoxia

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0907

Anoxic brain injury

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0911

Ante-partum 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 IB113-DL/S
(ref type CM)

No

No

Probably not

0034

Anxiety reaction*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0036

Anxiety state*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0026

AP (Angina Pectoris)

R10

R10

Issue an IB50

No

No

Probably not

0911

APH(ante-partum 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
acute or sub-acute

R10

R10

Issue an IB50

No

No

No

0753

Arrythmia

R10

R10

Issue an IB50

No

No

Probably not

0042

Arterio-sclerosis

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 IB113-DL/S
(ref type CP)

No

No

No

0914

ASD(Atrial Septal Defect)

R10

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0912

Aspergers syndrome*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0049

Atheroma

R10

R10

Issue an IB50

No

No

No

0050

Athero-sclerosis

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 IB113-DL/S
(ref type CP)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

No

0758

Brain tumour

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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


of upper limb, collar bone,
scapula (shoulder), facial bone,
rib, foot or toe

R10

R10

Issue an IB50

No

No

No

0070

Broken (bones), any lower


limb including pelvis,
femur (thigh), tibia, fibular,
ankle but not foot or toe

None

R10

Issue an IB50

No

No

No

0072

Bronchial asthma

R10

R10

Issue an IB50

No

No

Probably not

0073

Bronchial catarrh

R4

R4

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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

Broncho-pneumonia

R10

R10

Issue an IB50

No

No

No

0077

Broncho-spasm

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 IB113-DL/S
(ref type CM)

No

No

No

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


Bypass Graft)

None

R10

Issue an IB50

No

No

No

0922

Cachexia

None

R10

PTI - see part 33

No

No

No

0923

Campylobacter

R10

R10

Issue an IB50

Yes

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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
medical services

No

No

Probably not

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 IB113-DLS
(ref type CP)

No

No

Probably not

0092

Cardiac infarct

R10

R10

Issue an IB50

No

No

Probably not

0764

Cardiac transplant

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0765

Cardiac pain

R10

R10

Issue an IB50

No

No

Probably not

0766

Cardio-myopathy

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0094

Carditis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

0925

Cerebral abscess

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0106

Cerebral haemorrhage

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0768

Cerebral ischaemia

R10

R10

Issue an IB50

No

No

Probably not

0769

Cerebral palsy

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0108

Cerebral thrombosis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0110

Cerebral tumour

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0111

Cerebro-spinal fever

R10

R10

Issue an IB50

No

No

No

0174

Cerebro-Vascular Accident (CVA) None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0926

Cerebro-Vascular 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 IB113-DL/S
(ref type CM)

No

No

No

0921

C2/H5/OH abuse*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0113

Cheiropompholyx

R10

R10

Issue an IB50

No

No

No

0771

Chemotherapy (with
cytotoxic drugs)

None

R10

PTI - see Part 33

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

No

0772

Chronic bronchitis

R10

R10

Issue an IB50

No

No

No

0770

Chronic Fatigue Syndrome (CFS)* R10

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0774

Chronic Lymphatic Leukaemia


(CLL)

None

R10

PTI - see Part 33

No

No

No

0775

Chronic Myeloid Leukaemia


(CML)

None

R10

PTI - see Part 33

No

No

No

0708

Chronic Obstructive Airways


Disease (COAD)

R10

R10

Issue an IB50

No

No

No

0931

Chronic Obstructive
Pulmonary Disease (COPD)

R10

R10

Issue an IB50

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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


Leukaemia)

None

R10

PTI - see Part 33

No

No

No

0775

CML (Chronic Myeloid


Leukaemia)

None

R10

PTI - see Part 33

No

No

No

0708

COAD (Chronic Obstructive


Airways Disease)

R10

R10

Issue an IB50

No

No

No

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


(febrile)

IR

IR

Issue an IB50

No

No

No

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

Collesfracture

R10

R10

Issue an IB50

No

No

No

0136

Colostomy

None

R10

Issue an IB50

No

No

No

0934

Coma

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0935

Complications of pregnancy

None

R10

Issue an IB50

No

Yes

Yes

0137

Concussion, including
cerebral or brain

R4

R4

Issue an IB50

No

No

No

0138

Confusional state*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0139

Congestion, pleural or
pulmonary

R10

R10

Issue an IB50

No

No

Probably not

0778

Congestive cardiac failure

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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
Pulmonary Disease)

R10

R10

Issue an IB50

No

No

No

0937

Cor pulmonale

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0148

Corneal ulcer

R4

R4

Issue an IB50

No

No

No

0938

Coronary angioplasty

R10

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 by-pass 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 (Chicken-pox)

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 IB113-DL/S
(ref type CP)

No

No

No

0903

Crescendo angina

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0166

Crohn
s disease

R10

R10

Issue an IB50

No

No

No

0168

CSOM (Chronic Suppurative


Otitis Media)

R4

R4

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 (Cerebro-Vascular Accident) None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0186

Debility, nervous*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0188

Debility, post operative

R10

R10

Issue an IB50

No

No

Probably not

0189

Debility, post partum or


following confinement

R10

R10

Issue an IB50

No

No

No

0190

Debility, other

R4

R4

Issue an IB50

No

No

Probably not

0942

Deep X-Ray 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 IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CM)

No

No

Probably not

0198

Depression, post natal*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0199

Depression, unspecified*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0201

Depressive illness*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0203

Depressive reaction*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

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,


slipped, displaced, lesion

R10

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

Probably not

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
medical services

No

No

No

0944

Drug abuse*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0221

Drug addiction*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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 X-Ray 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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

Probably not

0785

Dystonia

R10

R10

Issue an IB50

No

No

No

0949

Eating disorder*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

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


bronchitis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0237

Empyema

None

R10

Issue an IB50

No

No

No

0238

Encephalitis

None

R10

Issue an IB113-DL/S
(ref type CP)

Yes

No

No

0239

Endocarditis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0196

Endogenous depression*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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


of, or septic

R4

R4

Issue an IB50

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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

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,


collar bone, scapula (shoulder),
facial bone, rib, foot of toe

R10

R10

Issue an IB50

No

No

No

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

Gall-stones

R4

R4

Issue an IB50

No

No

No

0280

Ganglion

IR

IR

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where Own Occupation Test does not apply apply PCA according to the guidance given in the column headed Control PCA

No

If the incapacity is not listed - refer to medical services for advice (reference type CU)
Number

Full description of
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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

Gastro-enteritis

R4

R4

Issue an IB50

No

No

No

0288

Gastro-enterostomy

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0713

Guillain-Barre syndrome

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

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,
subdural or subarachnoid

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0955

Head injury

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

Probably not

0800

Heart transplant

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0714

Hemiparesis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0316

Hemiplegia

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

No

0326

HIV positive

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

Probably not

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 IB113-DL/S
(ref type CM)

No

No

Probably not

0717

IBS (Irritable Bowel Syndrome)

R10

R10

Issue an IB50

No

No

No

0803

IDDM (Insulin Dependent


Diabetes)

R10

R10

Issue an IB50

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0343

IDK (Internal Derangement


of Knee)

R10

R10

Issue an IB50

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CP)

Yes

No

No

0347

Infected (or infection of)


ear, external

R4

R4

Issue an IB50

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0357

Injury (nature unspecified),


to a limb, face, neck, trunk,
joint, back or shoulder

R4

R4

Issue an IB50

No

No

No

0358

Injury, (nature and site


unspecified)

R4

R4

Issue an IB50

No

No

No

0972

In-patient

None

R10

Refer to DM

No

No

Probably not

0359

Insomnia*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0805

Insulin dependent diabetes


myelitis

R10

R10

Issue an IB50

No

No

Probably not

0360

Intermittent claudication

None

R10

Issue an IB50

No

No

No

0343

Internal Derangement of
Knee (IDK)

R10

R10

Issue an IB50

No

No

No

0361

Internal semi-lunar cartilage


of knee

R10

R10

Issue an IB50

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0806

ISC (Internal Semilunar


Cartilage of knee)

R10

R10

Issue an IB50

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

0978

Left Heart Failure (LHF)

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0979

Left Ventricular Failure (LVF)

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

No

0719

Low back pain

R10

R10

Issue an IB50

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

No

0982

Left Ventricular Aneurysm

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0979

LVF (Left Ventricular Failure)

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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

Lympho-sarcoma

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

No

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 IB113-DL/S
(ref type CM)

No

No

Probably not

0401

Melanoma

None

R10

PTI - see Part 33

No

No

No

0985

Memory impairment

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0985

Memory problems

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0402

Meniere
s disease

R10

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0986

Meningioma

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

0409

Mental disorder*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0413

Mental illness*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0988

Mental retardation

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0815

Mentally handicapped

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0988

Mentally retarded

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0989

Mesothelioma

None

R10

Exempt - refer to DM

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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
medical services

No

No

No

0422

Morning sickness

R4

R4

Issue an IB50

No

Yes

Yes

0423

Motor-neurone disease

None

R10

Exempt - refer to
medical services

No

No

No

0424

Multiple injuries, nature and site


unspecified

R10

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

No

0427

Mumps

R10

R10

Issue an IB50

Yes

No

No

0429

Muscular dystrophy

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0722

Musculo-skeletal 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 IB113-DL/S
(ref type CM)

No

No

No

0432

Myasthenia

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0817

Myasthenia gravis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0433

Myelitis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0436

Myocarditis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CM)

No

No

Probably not

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
exhaustion*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0186

Nervous Debility (ND)*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0458

Nervous depression*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0460

Nervous disease or disorder*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0819

Nervous dyspepsia

R4

R4

Issue an IB50

No

No

Probably not

0463

Nervous shock*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0464

Nervousness*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0465

Neuralgia (except trigemina


neuralgia)

R4

R4

Issue an IB50

No

No

No

0466

Neurasthenia*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CM)

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

1005

Neutropenia

None

R10

PTI - see Part 33

No

No

No

0820

NIDD (Non Insulin


Dependant Diabetes)

R4

R4

Issue an IB50

No

No

Probably not

0470

Non-Hodgkin
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 (Osteo-arthritis)

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 IB113-DL/S
(ref type CM)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0485

Orchitis

R10

R10

Issue an IB50

No

No

No

0473

Osteo-arthritis (OA)

R10

R10

Issue an IB50

No

No

No

1008

Osteogenesis imperfecta

None

R10

Issue an IB50

No

No

No

0486

Osteo-myelitis

None

R10

Issue an IB50

No

No

No

0725

Osteo-porosis

R10

R10

Issue an IB50

No

No

No

1009

Osteo-sarcoma

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 IB113-DL/S
(ref type CM)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

No

0496

Paranoia*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

0500

Parkinson
s disease or syndrome None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

Yes

No

No

0729

Polyarthritis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

1019

Polyarthropathy

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 IB113-DL/S
(ref type CM)

No

No

No

0730

Post-op(eration)

R10

R10

Issue an IB50

No

No

Probably not

0835

Post partum debility

R10

R10

Issue an IB50

No

No

No

1022

Post-traumatic stress disorder*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

1023

Post-traumatic stress syndrome* None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0836

Post-traumatic syndrome*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0731

Post Viral Fatigue Syndrome


(PVFS)*

R10

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

1024

Pre-eclampsia

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 IB113-DL/S
(ref type CP)

No

No

Probably not

0838

Psoriatic arthropathy

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0550

Psychoneurosis*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0552

Psychosis*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

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 IB113-DL/S
(ref type CP)

No

No

Probably not

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


Syndrome)*

R10

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0560

Pyelitis

R10

R10

Issue an IB50

No

No

Probably not

0842

Pyelo-nephritis

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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
or syndrome

R10

Issue an IB50

No

No

No

0843

Reactive arthritis

R10

R10

Issue an IB50

No

No

No

0844

Reactive depression*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

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


stage

None

R10

Issue an IB50

No

No

No

1035

Renal transplant

None

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CP)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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

Sacro-iliac 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


Endocarditis)

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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 IB113-DL/S
(ref type CM)

No

No

Probably not

0598

Sciatica

R10

R10

Issue an IB50

No

No

Probably not

0850

Scleroderma

None

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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
Medical Services

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

No

0858

Shoulder-hand 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


Erythematosis)

None

R10

Issue an IB50

No

No

Probably not

0612

SMR (Sub-mucous resection)

R4

R4

Issue an IB50

No

No

No

1047

SOL (Space-Occupying Lesion)

None

R10

PTI - see Part 33

No

No

No

0613

Sore throat

R4

R4

Issue an IB50

No

No

No

1047

Space-Occupying 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 IB113-DL/S
(ref type CP)

No

No

No

0862

Spastic colon

R10

R10

Issue an IB50

No

No

No

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

1061

Spinal arachnoiditis

None

R10

Issue an IB50

No

No

No

0615

Spina bifida

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

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, sacro-iliac

R10

R10

Issue an IB50

No

No

Probably not

0622

Sprain, other

R4

R4

Issue an IB50

No

No

No

0863

STD (Sexually Transmitted


Disease)

R4

R4

Issue an IB50

No

No

Probably not

0864

Stenosis mitral

None

R10

Issue an IB50

No

No

Probably not

1049

Stillbirth*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

0624

Stomatitis

R4

R4

Issue an IB50

No

No

No

0865

Strain, back

R10

R10

Issue an IB50

No

No

Probably not

0866

Strain, sacro-iliac

R10

R10

Issue an IB50

No

No

Probably not

0867

Strain, other

R4

R4

Issue an IB50

No

No

Probably not

*Mental Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0736

Stress*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

Probably not

0868

Stress fracture

R10

R10

Issue an IB50

No

No

No

0625

Stroke

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0627

Stye(s)

R4

R4

Issue an IB50

No

No

No

0849

Subacute Bacterial Endocarditis

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

1050

Subarachnoid haemorrhage

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

0628

SubMucous Resection (SMR)

R4

R4

Issue an IB50

No

No

No

1051

Substance abuse*

None

R10

Issue an IB113-DL/S
(ref type CM)

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CM)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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

Thrombo-phlebitis

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 IB113-DL/S
(ref type CP)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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

Tracheo-laryngitis

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 IB113-DL/S
(ref type CP)

No

No

Probably not

0660

Trigeminal neuralgia

R10

R10

Issue an IB50

No

No

No

0661

Trisomy 21

None

R10

Exempt - refer to
medical services

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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 IB113-DL/S
(ref type CP)

No

No

Probably not

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


Tract infection)

R4

R4

Issue an IB50

No

No

No

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
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


Heart)

None

R10

Issue an IB50

No

No

Probably not

0891

Ventricular aneurysm

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

No

0896

Ventricular Septal Defect (VSD)

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where 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
disease

Control Own
Occupation
Test

Control
PCA

Action when
prompted to
apply the
PCA

Is the incapacity
certifiable as
infectious or
contagious?

Pregnancy
complication
refer to DM

For MA/SMP
purposes, is
the incapacity
pregnancy
related?

0896

VSD (Ventricular Septal Defect)

None

R10

Issue an IB113-DL/S
(ref type CP)

No

No

Probably not

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

X-ray treatment (XRT)

None

R10

PTI - see Part 33

No

No

No

0898

XRT (X-ray 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 Health
Where Own Occupation Test applies PCA will be applicable from 197th day of incapacity
Where Own Occupation Test does not apply apply PCA according to the guidance given in the column headed Control PCA