What does code 32 mean on a sick leave certificate?

Examination at the ITU bureau during a period of temporary incapacity for work

In accordance with clause 28 of the Procedure for issuing certificates of incapacity for work when disability is established, the period of temporary incapacity for work ends on the date immediately preceding the day of registration of documents at the medical and social examination institution (hereinafter referred to as MSE). The period of examination at the ITU bureau is not included in the period of temporary disability and benefits are not paid for this period.

In this case, the certificate of incapacity for work is drawn up as follows:

· the following lines are filled in: “Date of sending to the ITU Bureau”, “Date of registration of documents in the ITU Bureau”, “Certified by the ITU Bureau”, “Disability group set/changed”;

· the “Get Started” line is not filled in;

· in the line “Disability group established/changed,” the disability group (1, 2, 3) is indicated in Arabic numerals in the event of a disability group being established or changed. In the case where the disability group is not set, the line “Disability group set/changed” is not filled in;

· in the “Other” line it is indicated:

— code 32 – determination of disability and the date of its determination (coincides with the date of registration of documents in the ITU bureau).

— code 33 – disability group changed

The employee must begin work the next day after the date indicated in the line “Certified by the ITU Bureau.” If he is unable to start work due to temporary incapacity for work, he is issued a new certificate of incapacity for work. If the employee is not recognized as disabled and remains temporarily incapacitated, then the insured event continues by decision of the medical commission until his ability to work is restored or until he is re-referred to medical insurance.

The procedure for paying sick leave with code 09 in 2019

In 2021, minor changes are predicted in the procedure for accounting calculations and actual payment of BL benefits, including special cases corresponding to code 09 (caring for a sick minor child or other relative). The innovations will concern the following points:

1. Due to the upcoming increase in the minimum wage (minimum wage), the amount of sick pay will also be greater
2. When using code 05, corresponding to maternity leave, the amount of benefits will be calculated based on the agreed 730 days.
3. The maximum earnings limit will be expanded, which will affect the amount of temporary disability benefits.

Payment of sick leave benefits also continues to depend on the length of service of the insured person:

• 60% of the average wage per month with a total work experience of up to 6 years;
• 80% of the average monthly wage with a total work experience of up to 8 years;
• 100% of the average monthly wage with a total work experience of 8 years or more.

When calculating sick leave, other indicators are used:

• Length of stay on sick leave;
• the average daily earnings of the insured person;
• calculation period, which in 2021 will also correspond to 730 days.

Important! If the insured person has not previously received payments under the BC, the work experience is considered short - compensation for temporary inability to perform his professional duties should be calculated based on the minimum wage indicator.

Hospital benefits are accrued in favor of the insured persons within 10 days after the relevant documentation is provided to the accountant.

All about certificates of incapacity for work

Ekaterina Breeva, an expert in the field of compulsory social insurance with 14 years of experience in the Moscow regional branch of the FSS of Russia, answers your questions.

A patient who was issued a certificate of incapacity for work in Yaroslavl contacted a medical organization in the Moscow region. Treatment was continued in a medical organization in the Moscow region, where the certificate of incapacity for work was closed. Upon discharge, in the process of filling out a certificate of incapacity for work, the doctor made a mistake and the document was damaged. In such a situation, does a medical organization in the Moscow region have the right to independently issue the patient a new certificate of incapacity to replace the damaged one, or does the patient need to go to Yaroslavl for a new document?

In accordance with clause 56 of the Procedure for issuing certificates of incapacity for work, approved. By order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n (hereinafter referred to as the Procedure for issuing certificates of incapacity for work), if there are errors in filling out a certificate of incapacity for work, it is considered damaged and a duplicate is issued in its place.

Considering that when issuing a duplicate certificate of incapacity for work in the “Exemption from work” table, the entire period of incapacity for work is indicated in one line (clause 60 of the Procedure for issuing certificates of incapacity for work), a duplicate certificate of incapacity for work must be issued by a medical organization in the Moscow region.

A new outpatient procedure has been introduced at a public medical institution: invasive prenatal diagnosis (choriobiopsy, amniocentesis). The procedure does not require special preparation for the woman, and after it is completed, two to three hours of observation of the patient is sufficient. In such a situation, does a medical organization have the right to issue a certificate of incapacity for work to the patient and in what category (since in this case it is not a disease)?

A certificate of incapacity for work is issued only in cases determined by the Procedure for issuing certificates of incapacity for work, namely:

• in case of illnesses, occupational diseases, injuries, including those received as a result of an industrial accident, poisoning;
• when referred for a medical and social examination;
• for the period of sanatorium-resort treatment in established cases;
• for the period of caring for a sick family member;
• during quarantine;
• for prosthetics;
• on pregnancy and childbirth.

However, it should be noted that in some cases (complex urological, gynecological, proctological and other studies, manipulations, procedures) during outpatient treatment using the intermittent method, a certificate of incapacity for work can be issued by decision of the medical commission for the days of the relevant study (manipulations, procedures) (Clause 21 of the Procedure for issuing certificates of incapacity for work).

Thus, the issue of issuing a certificate of incapacity for work for the period of invasive prenatal diagnostics (choriobiopsy, amniocentesis) is decided by a medical commission, taking into account the possibility of classifying this procedure as a complex study, manipulation, or procedure.

The employee submitted a sick leave certificate, which contains a record of his being assigned a second disability group, but does not indicate the date of his return to work. The employee was fired on the basis of clause 5, part 1, art. 83 Labor Code of the Russian Federation. The court reinstated him at work because the head of the ITU bureau stated that the employee simply did not want to go to the attending physician and to the VC, and there was nothing wrong. However, the chairman of the VC explained that in this situation it is necessary to terminate the employment contract with the employee. Who is right in this situation?

Article 83 of the Labor Code of the Russian Federation defines circumstances beyond the control of the parties, in connection with which an employment contract is subject to termination. In accordance with clause 5. Part 1 of Art. 83 of the Labor Code of the Russian Federation, such a circumstance is the recognition of an employee as completely incapable of working in accordance with a medical report issued in accordance with the Procedure for issuing certificates and medical reports by medical organizations (approved by order of the Ministry of Health and Social Development of Russia dated May 2, 2012 No. 441n).

As a general rule, medical reports are issued based on the results of medical examinations, medical examinations, clinical examinations, decisions made by a medical commission and contain a comprehensive assessment of the citizen’s health status, including reasonable conclusions about the compliance of the employee’s health status with the assigned work. Medical reports are drawn up in any form with the stamp of the medical organization or on its letterhead, signed by the medical specialists involved in issuing the medical report, the head of the medical organization, certified by the personal seals of the medical specialists and the seal of the medical organization.

Thus, dismissal under clause 5, part 1, art. 83 of the Labor Code of the Russian Federation is possible only if there is a medical certificate issued in the specified order about the inability to work. Other documents, including a certificate of disability, a certificate of incapacity for work containing information about the referral for a medical and social examination and the establishment of disability, cannot be grounds for dismissal under clause 5 of part 1 of Art. 83 Labor Code of the Russian Federation.

At the same time, in this case we may be talking about dismissal on the basis of subsection. “a” clause 6, part 1, art. 81 of the Labor Code of the Russian Federation, i.e. for absenteeism.

In accordance with clause 28 of the Procedure for issuing certificates of incapacity for work when disability is established, the period of temporary incapacity for work ends on the date immediately preceding the day of registration of documents at the medical and social examination institution (hereinafter referred to as MSE). The period of examination at the ITU bureau is not included in the period of temporary disability, and benefits are not paid for this period.

In this case, the certificate of incapacity for work is drawn up as follows:

• the lines “Date of sending to the ITU Bureau”, “Date of registration of documents in the ITU Bureau”, “Certified by the ITU Bureau”, “Disability group set/changed” are filled in;
• the line “Get Started” is not filled in;
• in the “Other” line, code 32 is indicated - determination of disability and the date of its determination (coincides with the date of registration of documents in the ITU bureau).

The employee must begin work the next day after the date indicated in the line “Certified by the ITU Bureau.” If he is unable to start work due to temporary incapacity for work, he is issued a new certificate of incapacity for work.

Based on what is stated in this case, a certificate of incapacity for work was issued and executed in the manner prescribed by current legislation.

An adult patient with the first group of disabilities is being observed in a medical institution. Is it permissible to issue a certificate of incapacity for work to relatives to care for him?

Clause 35 of the Procedure for issuing certificates of incapacity for work allows for the issuance of a certificate of incapacity for caring for a sick family member over 15 years of age: for outpatient treatment - for up to three days, by decision of the medical commission - up to seven days for each disease.

For inpatient treatment and for caring for chronic patients during the period of remission, a certificate of incapacity for work is not issued (clause 40 of the Procedure for issuing certificates of incapacity for work).

It should be noted that although this is not directly established by law, a certificate of incapacity for caring for a sick adult is issued in exceptional cases when the patient requires outside care and cannot be hospitalized. This explains the fact that a certificate of incapacity for work is issued only for a short period, during which the patient’s condition is stabilized either until he is able to take care of himself independently, or until he can be hospitalized.

Disabled people of the first group, as a rule, need constant outside care, and a certificate of incapacity for caring for such patients is not issued. This rule applies in this case as well.

When checking our medical organization (narcological clinic) by the territorial department of the FSS, we were pointed out the need to enter an additional code “021” in the column “Causes of disability” in cases where we treat patients with alcoholism and drug addiction. How justified is this requirement, since alcoholism is caused not by intoxication, but by chronic alcohol intoxication?

This requirement is unfounded, since code “021” in the column “Causes of disability” is entered for illnesses or injuries resulting from alcohol, drug, toxic intoxication or actions related to such intoxication. For example, poisoning, injuries from falling and other cases caused by alcohol, drug, or toxic intoxication.

In this case we are talking about diseases - alcoholism and drug addiction, the cause of which is the regular use of alcohol and drugs. The patient can undergo treatment for these diseases without being intoxicated.

In the period between the opening and closing of the certificate of incapacity for work, I changed my last name due to marriage. What consequences will this fact have for issuing a certificate of incapacity for work and submitting it to the employer?

The “Name” line is filled in when issuing a certificate of incapacity for work in accordance with the identity document (clause 58 of the Procedure for issuing certificates of incapacity for work).

If, at the time of recovery and presentation of the certificate of incapacity to the employer, the identity document is replaced due to marriage and change of surname, then replacement of the certificate of incapacity is not required. You just need to submit documents that are the basis for changing your surname, in this case - a marriage certificate.

The employee took regular leave from October 21, 2013. However, for the period from October 19 to October 28, 2013, the employee provided a certificate of incapacity for work. Article 124 of the Labor Code of the Russian Federation provides for the extension or postponement of the next paid leave in the event of temporary disability of the employee. In the case under consideration, should the organization extend or postpone the employee’s vacation for the period of his incapacity during the vacation from October 21 to 28, 2013, if the disability itself occurred before the start of the vacation - October 19, 2013?

Article 124 of the Labor Code of the Russian Federation does not establish any other conditions for the extension or transfer of annual basic paid leave, except for the very fact of temporary disability of the employee. Therefore, in this case, the vacation must be postponed to another period, determined by the employer, taking into account the wishes of the employee.

In what order and by whom is temporary disability benefits paid to an employee dismissed due to the liquidation of an organization or cessation of activity by an individual entrepreneur and who falls ill before the expiration of 30 days from the date of dismissal, if the enterprise no longer exists at that time?

If, at the time of applying for temporary disability benefits, the organization is liquidated or the individual entrepreneur has ceased operations, the benefit is assigned and paid by the territorial body of the Federal Social Insurance Fund of the Russian Federation at the place of registration of the liquidated organization or individual entrepreneur. To assign and pay benefits, you must submit the following documents:

• certificate of incapacity for work;
• a certificate(s) about the amount of earnings from which the benefit should be calculated;
• documents confirming insurance experience.

This procedure is determined by Art. 13 of the Federal Law of December 29, 2006 No. 255-FZ “On compulsory social insurance in case of temporary disability and in connection with maternity” (hereinafter referred to as Law No. 255-FZ) and applies not only to cases of illness within 30 calendar days after dismissals, but also to cases of illness before the day of dismissal.

At the same time, the first three calendar days of temporary disability are not paid by the territorial body of the Social Insurance Fund of the Russian Federation, since in accordance with Art. 3 of Law No. 255-FZ, this period is paid at the expense of the employer.

The employee was ill for four months. Every 12 days he went through a commission to renew his certificate of incapacity for work, and each time he was issued a new one. He showed up for one of the commissions two days late, and when this certificate of incapacity for work was closed, he was given a note about violating the regime. The employee attended all other commissions on time, and subsequent certificates of incapacity for work do not contain notes about violation of the regime. How should disability benefits be paid to this employee: according to the minimum wage for the period of validity of only one certificate of incapacity for work with a note of violation of the regime, or for all subsequent certificates of incapacity for work until the end of the illness?

Based on the situation described, we can conclude that we are talking about one insured event (one disease), confirmed by several certificates of incapacity for work, one of which is primary, and all the rest are continuations. If, for one disease, each of the certificates of incapacity for work is primary, then there is every reason to recognize such certificates of incapacity for work as issued unreasonably and subject to re-issuance.

Article 8 of Law No. 255-FZ establishes that failure to appear without good reason at the appointed time for a medical examination is grounds for reducing the amount of temporary disability benefits. In this case, the benefit is paid in an amount not exceeding the minimum wage for a full calendar month for the period from the day the violation was committed until recovery.

Thus, in this case, temporary disability benefits are paid in an amount not exceeding the minimum wage, from the day of failure to appear for examination until the end of the illness.

Is the employer obligated to extend or postpone leave for an employee who has submitted a certificate of incapacity for child care? The period of incapacity for work began before the start of the vacation and ended during the vacation period. Article 124 of the Labor Code of the Russian Federation indicates that leave is extended or postponed in the event of temporary disability of the employee. Does this rule mean that leave is extended or postponed also in the case of caring for sick family members?

In accordance with Art. 124 of the Labor Code of the Russian Federation, the annual main paid leave is transferred or extended only in the event of temporary disability of the employee himself.

In addition, Art. 9 of Law No. 255-FZ establishes that benefits for temporary disability occurring during the period of annual paid leave are paid only in cases of illness or injury to the employee himself.

Thus, if the need to care for a sick family member arose during the period of annual paid leave, then the leave is not extended or postponed, and temporary disability benefits are paid for periods that do not coincide with the leave granted.

As for the situation when a child gets sick before the start of the vacation, the current legislation does not prohibit the employer from meeting the employee halfway and canceling the vacation already taken, providing it at another time.

The employee presented two certificates of incapacity for work. The first one is closed with the note “31 – continues to be ill”, in the field “A certificate of incapacity for work has been issued (continued)” nothing is indicated and there is no doctor’s signature. The second one was issued by another medical organization without reference to the first sheet. Should the first certificate of incapacity for work be accepted for payment?

In accordance with Art. 13 of Law No. 255-FZ, the basis for the appointment and payment of temporary disability benefits is a certificate of incapacity for work issued by a medical organization in the established form and in the prescribed manner.

In this case, the certificate of incapacity for work was issued in violation of the Procedure for issuing certificates of incapacity for work and is subject to additional registration. Temporary disability benefits can be assigned and paid after filling out all the necessary lines of the certificate of incapacity for work.

Last updated: July 14, 2021

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Home / Labor Law / Payment and benefits / Sick pay

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Published: 05/06/2020

Reading time: 8 min

The sick leave certificate provides for the inclusion of many types of codes; at the same time, both health workers and accountants or personnel officers of organizations must enter the codes.

Understanding the codes is not as difficult as it seems at first, you just need to know where to find the necessary information.

• Why is coding needed?
• How to read codes?
• Codes of dangerous diseases Socially significant
• Dangerous
• String "other"

Dear readers! Each case is individual, so check with our lawyers for more information. It's free. Ask a Question

Classification of codes and their meaning

The BL contains an information block about the insured person, as well as lines that contain encrypted data about the course of the disease, its classification, methods of treatment, etc. Thus, all codes on the sick leave certificate are conditionally divided into the following subgroups:

1. “Cause of disability” - the code consists of two digits (codes 01-15):

Important! Codes 14 and 15 in the BC are indicated only with the written consent of the responsible person.

1. “Cause of disability” – clarifying information, a set of three numbers (codes 017-021):

1. “Date 1” – the beginning of a referral to a sanatorium and other medical institutions, a change in the causes of disability, the expected date of birth
2. “Date 2” – date of completion of the course of treatment, travel voucher, discharge from medical institutions
3. “For care” – personal data of the employee’s relatives who require care are indicated
4. “Mark in case of violation of the regime” (codes 23-28):

7. “Other” (codes 31-37):

8. “Family ties” – in what capacity the employee is related to the person in need of care (codes 38-42):

9. “Calculation conditions” – it is possible to specify several codes at the same time (codes 43-51):

Paragraphs 59 and 50 are provided for workers with disabled status.

Important! While an employee of an organization is on long-term sick leave, for example, during the period of recovery after childbirth followed by leave to care for a young child, he cannot be laid off. Dismissal of an employee while on sick leave is classified as an unlawful action on the part of the employer.

Why are codes written on sick leave?

The certificate of incapacity for work contains a lot of data that doctors and employers cannot do without. First of all, it contains data about the patient, namely, his name, patronymic and surname, company name, TIN. The information is recorded by the doctor, who opens the sheet if the person is unable to work for some time.

The most important section of the document is the part in which the codes for the reasons for disability are indicated. Several cells have been allocated for them:

• two – the code itself (from 01 to 15);
• three – to indicate an additional cipher (017-021);
• two – the changed code is recorded here, if necessary (the diagnosis has been clarified).

There are several purposes for using codes, in particular:

1. Compact and economical use of the form.
2. Simplifying and optimizing the work of HR staff. There is no need to understand the doctor’s often “unreadable” handwriting.
3. Minimizing the likelihood of errors.
4. Maintaining medical confidentiality.
5. Opportunity to cooperate with medical institutions abroad.

Important! The decoding of the codes is on the back of the form. Therefore, it is not difficult to understand the numbers and clarify the reasons for the employee’s absence.

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Causes of illness and legal consequences for the employer (codes 01, 02, 04)

What is the impact of recording certain codes on the certificate of incapacity in practice? What does sick leave code 01 or 02 mean?

Let's study these issues in the context of the possible legal consequences of indicating certain codes on the certificate of incapacity for work for the employer.

First of all, what specific cause of the employee’s illness is reflected in the sick leave (code “Cause of disability”) may be important:

• One of the most common disease codes on sick leave is 01. It reflects the fact that the employee has contracted a common illness, such as ARVI. If this code is indicated on the sick leave, the employer calculates sick leave compensation in the usual manner established in paragraph 1 of Art. 14 of Law No. 255-FZ.
• In turn, what does sick leave code 02 mean? The fact that the employee suffered an injury not related to work. The presence of sick leave code 02 implies that the employer has the same obligation to calculate the amount of compensation according to the general rules (in particular, taking into account the employee’s length of service).
• The fact of injury at work is reflected on the sick leave using code 04. In this case, the enterprise must pay the employee compensation for sick leave in the amount of 100% of his average earnings (Clause 1, Article 9 of the Law “On Compulsory Social Insurance...” dated July 24, 1998 No. 125-FZ). This is a fundamental difference between the employer’s responsibilities compared to when the cause of incapacity 01 is indicated on the sick leave and the amount of compensation depends on the length of service.

What is hidden behind the cause of disability with code 01?

A new form of certificate of incapacity for work appeared on 07/01/2011. and was approved by the Order of the Ministry of Health and Social Development for a number of reasons. The old form could only be filled out by hand, was small in size, and an impressive amount of information had to be entered on both sides.

The information in the new document is also presented in the form of codes, which saves space and allows the patient’s personal data to be kept secret. Let's look further at what the codes mean and what is hidden behind the cause of disability code 01?

What are they needed for? All the shortcomings have been corrected in the new form, but the important part for basic information remains the same. The procedure for completing the sheet remains the same, but some codes in the new form must be indicated by the manager. The use of codes on a sick leave certificate is convenient for a number of reasons: To maintain confidentiality.

If a certificate of incapacity for work needs to be passed from hand to hand, then you can be calm and confident that a stranger will not find out about the illness.

Types of codes on a sick leave form

All numerical codes reflecting the grounds for disability were developed and prescribed by a special order of the Ministry of Health and Social Development of the Russian Federation. The code is indicated in four places on the hospital form. They contain:

1. Root causes of employee disability.
2. Types of kinship.
3. Indications of violations of the regimen prescribed by the doctor.
4. Other.
5. Calculation conditions.

All codes, except the last one, are entered by the doctor. The conditions for calculating benefits are fixed by the employer.

General information and procedure for registration according to the Labor Code of the Russian Federation

The issuance of sick leave is regulated by Order of the Ministry of Health and Social Development of the Russian Federation No. 624n dated June 29, 2011. The day you apply for medical care will be the date the sick leave is issued.

After examining the patient and determining the diagnosis, the doctor sets the period for which the employee is released from work. Currently, during outpatient treatment, according to clause 11 of Order No. 624n, the doctor can decide and issue sick leave for 15 calendar days.

If it is necessary to release the patient from work beyond the established restrictions, the chairman of the medical commission signs the certificate of incapacity for work.

It is worth noting the categories of persons for whom a certificate of incapacity for work is not issued. Such exceptions include:

• women caring for young children under 3 years of age;
• employees working under a GPC agreement;
• employees on leave without pay;
• women on maternity leave.

A sick leave certificate is drawn up on a universal form, which is filled out by the medical institution, as well as by the employer. When issuing a sick leave certificate, the health worker does not indicate the diagnosis, but enters a numeric code on the form in the appropriate cell in the line “Cause of disability.”

Additional Information

What does sick leave mean? With the help of a sick leave certificate, an illness, injury or other physiological problem of an employee is registered. The form is sometimes called differently - a sheet of temporary incapacity for work. It is allowed to be prescribed only by doctors who have passed a special check by the FSS. An employee can count on payments if the form was correctly filled out and submitted to the enterprise administration within the established time frame.

For a long time now, a single standardized form has been used to fill out sick leave. In 2011, a reform was carried out in this area, the forms began to look slightly different, and new rules for filling out were introduced. Disease codes have become strictly mandatory.

Is the diagnosis written on the sick leave certificate? The diagnosis and cause of disability are now indicated using two special digital designations. The first is the national designation of the cause (01,02,03), the second is the international form of recording the disease according to the ICD-10 system.

Primarily, the reform was carried out to avoid cases of fraud associated with sick leave payments. That's why there's honey in everything. Institutions forms are received directly through FSS branches. The sheets are marked with serial numbers, so it becomes much easier to track illegal fraud. In addition, new sheets of paper are protected with watermarks, micro-text and some other methods.

It is best to fill out the sheet using printed media, as well as a black pen. Entries must be placed exactly within the boundaries of the cells and frames. Such accuracy is necessary so that the form can be processed by a computer - electronic reading is quite sensitive and demanding. The physician must not cross out, sign, or otherwise change the completed form.

If you need to change information, you should take a new sheet. The employer has the right to make mistakes and make corrections to the records, but this is highly undesirable. Corrections are written on the back of the sheet, incorrect data is crossed out.

Then you should sign and date it, recording the fact of the corrections. We also recommend that you read the article “Errors when filling out sick leave”, from which you will learn about inaccuracies that FSS employees will not pay attention to.

The form must be filled out by two people: the doctor and the employer. The doctor is responsible for completing sections 1 and 3. The employer, in turn, is for the second. It should be taken into account that the FSS carries out quality control and conducts random checks. In the future, the Foundation plans to switch completely to an electronic sick leave system, which will further simplify the control task.

When registering/using sick leave, you should rely on the Tax, Labor and Administrative Code. In addition, important documents are Federal Laws N212, N125, N255. In any unclear cases, you should contact the FSS department for advice.

On the back side of the sheet you can always find instructions for filling out, as well as a decoding of all codes.

In addition to the above information, you can see other information on the sick leave in the following cells:

• "Additional code." For example, if code 021 is entered in these boxes (injury caused by drinking alcoholic beverages), then the employee will be paid the smallest amount.
• Violation of the regime. If code 24 is indicated on the sheet, then the accountant must understand that the employee was absent from the clinic on the appointed day.
• Family connection. This code is entered if an employee is absent from the workplace due to caring for a sick relative. For example, if the code is 38, then this means that the mother was sitting with her sick child. The cause of incapacity for work will be indicated on the sheet itself as code 09.
• Additional Information. If the code is 31, this means that the employee has not yet recovered and has been issued a new sick leave.

There is also a subordination code on the certificate of incapacity, which speaks about a specific organization and is needed more for the Social Insurance Fund.

How to decipher the first numeric code

The first two cells contain codes that reflect:

Important! The doctor can enter codes 14 and 15 only after receiving the “okay” of the insured employee.

How to pay for sick leave for child care

The amount of benefits for caring for a sick child who received treatment in a hospital depends on the length of service of the caregiver and is calculated as a percentage of average earnings (AS):

How to calculate length of service for sick leave, read.

If the child’s therapy was carried out at home, then the first 10 days are paid to the caregiver depending on the length of service, the subsequent days of illness - in the amount of ½ of the SZ.

IMPORTANT! Payment of sick leave benefits is carried out at the expense of the Social Insurance Fund starting from the 1st day of the child’s illness. The rule of paying for the first 3 days of sick leave at the expense of the employer is not applicable in this case.

Example

Employee Kotova A.M. provided a bulletin on caring for an 8-year-old child on an outpatient basis from 05/02/2019 to 05/16/2019 (15 calendar days). The worker's experience is 6 years. Earnings for the last 2 years - 948,000 rubles. There were no sick days during this period.

To calculate the benefit amount, you must:

1. Calculate the average daily earnings:

948,000 / 730 = 1,298.63 rubles.

1. Calculate the amount of benefits for the first 10 days of the child’s illness, taking into account the percentage of work experience:

1,298.63 × 10 × 80% = RUB 10,398.04

1. Calculate payment for the last 5 days of sick leave based on ½ average earnings:

1,298.63 / 2 × 5 = 3,246.57 rubles.

The total amount of the benefit will be 13,644.61 rubles.

For an example of how to pay for sick leave for a child if there is a quarantine in the second child’s kindergarten, see the material “How sick leave is paid for child care.”

Features of using additional codes

In the line intended to indicate the cause of disability, an additional code is written (in the next three cells):

If the reason for leave from work is fully reflected in the first code cells, then subsequent cells remain empty. If necessary, the doctor enters both the main code and the additional code into the form.

Features of registration of sick leave

Sick leave is issued by a local doctor, an attached clinic, or a doctor from a private institution with the appropriate license. The doctor’s specialization does not matter; it could be a pediatrician, neurologist, surgeon or ENT specialist, but not an emergency doctor. The sick leave is filled out according to accepted standards.

• Column “Cause of disability” – code 09 (caring for a relative, family member).
• Column “Care” – child’s age (years or months), relationship degree code (mother – 38, father – 39, others – 42). The sheet has enough space for data on two sick children, but if a third one is infected, another sick leave is filled out. If several children in one family are sick at once, it is wiser to issue sick leave to different relatives, especially with a long history.
• In the column “Benefit amount”, the cell “At the expense of the employer” is skipped; the payment is made by the Social Insurance Fund.

When the child did not manage to recover within the allotted time, another loved one should go on sick leave. Doctors do not require documentary proof of relationship, an oral explanation is sufficient, but they may ask for a passport.

To avoid problems with personnel officers, do not take sick leave on weekends and holidays.

Designation of codes for caring for loved ones

The document provides a separate block to highlight the reason for absence from work, such as caring for a sick family member. Two lines are provided for cases where two loved ones may need help at the same time. Kinship is indicated by the following codes:

Example 3. Company employee I. A. Krotnova’s five-year-old child fell ill. Krotnova was absent for five working days and presented sick leave. In the cell reflecting the cause of disability, the code is 09, and in the “Care” block - 38. The company’s accountant received enough information to correctly calculate the sick leave benefit:

• the document was issued to the mother of the sick child;
• payment is made from the funds of the Social Insurance Fund.

If a working grandmother is caring for a sick child, then instead of code 39 the number 42 will be entered.

Who and for how long is entitled to receive sick leave to care for a child from 7 to 15 years old?

Sick leave to care for a child 7 years old until he reaches the age of 15 can also be received by any of the parents, relatives or guardians caring for the sick person. In this case, the period for which a disability certificate is issued may last:

1. 15 days for each case of illness when treating a child at home (outpatient) or in a medical institution when staying together. The treatment period can be extended by decision of the medical commission. Sick leave for the care of 1 child, reimbursed from the Social Insurance Fund, cannot exceed 45 calendar days per year according to all disease precedents.
2. 120 days in total for 1 calendar year in the situation of caring for a disabled child under 15 years of age.
3. The entire period of stay in the hospital during treatment:

• complications after vaccine administration;
• diseases resulting from radiation exposure of the mother or father;
• HIV infection of a child.

A bulletin is not issued if the caregiver is on vacation:

• annual paid (extension of the period of rest is possible only if the employee himself becomes ill);
• without payment;
• for pregnancy and childbirth;
• for child care.

Students and unemployed parents will not receive it either.

Possible violations of the prescribed regime: code designations

The sick leave form contains a line to indicate violations of the patient's regimen. If he ignores the doctor’s instructions, then he has the right to write down a two-digit code indicating:

The presence of such codes in the document gives the accountant the right to accrue benefits in a reduced amount: the minimum wage is taken as the basis. When there are no notes on non-compliance with the prescribed regime in the document, but code 021 is present in the line about the grounds for incapacity for work, the amount of the benefit is also reduced.

Application of a new sick leave (by order of the Ministry of Health and Social Development of Russia No. 347n): nuances

It will be useful to consider a number of other nuances that characterize the use of sick leave certificates of the new type by employers (of course, relatively new - they were approved in 2011, but nevertheless they have specifics that should be paid attention to).

First of all, there are a number of formal requirements for filling out a certificate of incapacity for work. So:

• it must be filled with ink, gel, capillary or fountain pen, but not ballpoint;
• characters are not allowed to go beyond the boundaries of document cells;
• characters must be recorded in the document starting from the very first cell.

The sick leave must be certified with a seal that does not appear on certain cells of the document. The fact that, for example, code 02 and not any other is indicated on the sick leave certificate should be obvious to the inspector. In this case, the check can be carried out using a scanner, which will not be able to recognize the code if the seal is layered on the sick leave information field.

The seal of the medical institution must be clear - so that its name is readable (which must coincide with that indicated in the document).

If there are errors in the sick leave certificate or it is filled out incorrectly, the employer must ask the employee to bring a duplicate of the document, filled out taking into account all the requirements (their full list is given in the order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n).

Disability codes

Reading time: ~6 minutes Ksenia Sorokina 167 Having received a certificate of incapacity for work after an illness, many people wonder what the codes indicated on the forms issued by the doctor mean.

The latter is not always indicated. So, if a citizen comes with a disease that does not require staying in a special sanatorium or hospital, then only a two-digit code will be entered on the sick leave.

Deciphering these numbers on the sick leave certificate by the employer gives him the opportunity to understand the nature of his employee’s temporary disability, and therefore the reason for his absence from work. And thanks to these instructions, you can accurately calculate the amount of insurance payments for a given employee. Since 2011, the Russian Federation has had a special form of sick leave.

It was made primarily to reduce the number of cases of forgery and illegal issuance of this document, as well as to optimize the work and processing of these documents. A sick leave or disability certificate is issued during illness, injury and absence from work for other reasons related to health (for example, undergoing complex serious examinations or necessary sanatorium-resort treatment for the final stage of recovery from a severe disease)

Other codes on the hospital form

The health worker can enter one of seven codes in a separate line of the document (“Other”):

Errors in codes. What to do?

When filling out the sick leave form, you must adhere to the following requirements:

• all entries are made in block letters;
• you cannot go beyond the boundaries of the cells;
• Blots, strikeouts, and corrections are not allowed in the codes.

You cannot use a corrector or cover up incorrectly written codes. If a medical institution employee makes a mistake, he will have to issue a duplicate certificate of incapacity for work.

Who fills it out: accountant or personnel officer

Those responsible for filling out sick leave are the head and chief accountant of the organization. They are the ones who sign the form. Filling out a sick leave certificate or checking that it is filled out correctly is the task of those officials whose signature certifies the form. The responsibilities of a personnel employee may include entering some data into the sick leave sheet: company name, insurance experience and other non-accounting information. The job description of the personnel officer must provide for these powers, otherwise it is unlawful to require him to fill out a sick leave form.

When should an employee start work?

In the event that a temporarily disabled employee has been sent for examination, the following options are possible:

• He is given a disability. In this case, the sick leave is closed on the day on which the examination was carried out. It is this date that is placed next to the code “32”. The employee must start work the next day. If he cannot do this, but there is still an opportunity to become able to work, he can receive a new sick leave.
• Disability is not established. In this case, the sick leave can be extended until recovery or until a new examination at the ITU bureau. You should start working after the extension period has expired.
• The employee refuses to undergo the commission or does not appear for it without good reason. In this case, the sick leave is closed either on the date on which a written refusal to be examined was received, or on the date on which the documents were registered with the bureau. You should begin work immediately after the certificate of incapacity for work is closed.
• In the event that disability excludes the opportunity to work, the employment contract with the patient is terminated on the basis of clause 5 of Art. 83 Labor Code of the Russian Federation. In this case, going to work is excluded.

How do I pay for my newsletter?

Payment for sick leave with code “32” is made as follows:

• Sick leave is paid until the day before the meeting of the ITU Bureau.
• If the patient cannot return to work after the examination, a new sick leave may be issued to him. Payment for it occurs according to general rules.
• If a disability group has been established, the issue of establishing a pension can be decided.

To maintain medical confidentiality, special disability codes have been developed and now the patient’s diagnosis is not indicated in the document itself. What does the cause of disability mean with the numbers , , , , , 05 and 020, we described in our materials.

Subordination code on sick leave

The employer must write down the subordination code. It is assigned by the FSS upon registration of an enterprise or company as an insurer. The Social Insurance Fund sends a notice. It indicates the company's registration number and its subordination code. The latter serves to indicate the insured’s affiliation with a specific territorial branch of the fund.

The code consists of five digits. The first four contain the code of the territorial branch of the Social Insurance Fund to which the insurance company belongs. Fifth digit for:

• enterprises (legal entities) – 1;
• separate divisions – 2;
• individuals and merchants – 3;
• Individual entrepreneurs who registered with the Social Insurance Fund voluntarily – 4.

The subordination code is indicated by the policyholder on the title page of the report according to f. 4-FSS.