Sick leave for coronavirus: what code is put on sick leave? What is the diagnosis for Covid?

A sick leave issued for illness or for caring for a child (another disabled family member) must contain a disease code. The coding system allows you to maintain medical confidentiality, and also simplifies accounting and payment calculations. The system has 15 main and 5 additional codes indicating the causes and nature of the disease.

The pandemic caused by the spread of the new strain of coronavirus SARS-CoV-2 has made changes in all areas of life, including the medical and legal sphere. A COVID-19 (COVID-19) bulletin is sent not only to the person who has become infected with the virus, but also to the person who has been in contact with the patient, and therefore is subject to temporary isolation.

In this regard, the coronavirus code on the sick leave is indicated in different versions. The rules for issuing certificates of incapacity for work, their payment, registration, and assigning a disease code were adjusted in accordance with the Decree of the Government of the Russian Federation, adopted in March-April of this year.

To draw up the bulletin, the national code of the cause of disability and coding according to ICD-10 (International Classification of Diseases, Tenth Revision) are used.

Sick leave and a new virus

Currently, there are two versions of the certificate of incapacity for work: regular (paper) and electronic BL. Regardless of the form, the document is drawn up when seeking medical help. In the column the disease code is written:

• 01 – in the case when the patient himself is diagnosed with a coronavirus infection;
• 03 – if a person was in forced quarantine after contact with people infected with COVID-19, or upon arrival from a region with an unfavorable epidemic situation for coronavirus.

Any corrections to the sick leave certificate are prohibited by law. The medical institution must transfer information about the document issued on the basis of an examination and laboratory examination to the Social Insurance Fund (FSS) the next day.

Possible error codes

The employer will receive information about the certificate of incapacity for work only with a certain status.
Otherwise, the protocol will be returned - sick leave is unavailable due to an error and its code. To understand the reason, refer to the list of statuses of the electronic certificate of incapacity for work. Decoding status codes

The electronic number that is still being processed at a medical institution has limited access, which means status 010 in the email. sick leave, as well as 020, 040 and 050. Neither the employee nor the employer will be able to see this sheet until the registration is completed by the medical institution.

Registration of a certificate of incapacity for work remotely

You can issue an electronic certificate of incapacity for work without a personal visit to a doctor during quarantine. The reason is considered to be returning from a territory unfavorable due to the coronavirus situation or contact with patients with COVID-19. To complete the procedure, you must have a verified account on the Social Insurance Fund website.

To register an electronic ballot, you need to go to your personal account, fill out an application and attach photographs of supporting documents:

• travel tickets;
• the first page of the international passport and the border crossing mark;
• travel certificates (for a work trip);
• certificates of joint residence with people who were abroad.

Depending on your specific situation, electronic copies of other documents may be required. Then the FSS interacts with the medical institution that issues the sick leave and determines the employer.

Next, personal information about the employee is requested. The information must be provided to the Social Insurance Fund within two days of receiving the request. BC on home self-isolation is opened for a period of 2 weeks.

Where and why do you indicate the ELN status?

The document flow of electronic certificates of incapacity for work (ELN) is regulated by Federal Law No. 86-FZ of May 1, 2021. ELN is equivalent in importance to its paper counterpart. The digital version is issued only at the request and with the written permission of the insured and is signed by the enhanced digital signature of the doctor and medical institution. The rules for the interaction of all users of the system for issuing electronic certificates of incapacity for work are described in Government Decree No. 1567 of December 16, 2017, as amended. dated November 20, 2018.

Who is involved in the process of issuing an electronic LN:

• medical institution that creates the document;
• policyholder (employer organization);
• insurer - Social Insurance Fund of the Russian Federation.

After discharge, the insured person receives at the clinic a coupon for a digital certificate of incapacity for work; the coupon contains the ELN number (consists of 12 characters, like a paper document), SNILS of the individual and the current digital code. The coupon does not have a unified form.

The employee transfers this information to the employer’s accounting department for further processing and calculation of compensation. Accountants in an organization know how to check the status of an electronic sick leave certificate; this is done using the electronic sick leave number received from the employee. In the personal account on the FSS website, the policyholder, knowing the assigned number, has the opportunity to obtain data on the certificate of incapacity for work. More often the question arises where a patient can view the status of an electronic sick leave; this can be done on the State Services portal or on the Social Insurance Fund website in their personal account.

How to fill out sick leave according to the new rules

From December 14, you need to work with sick leave in a new way!
The rules were changed by Order of the Ministry of Health No. 925n dated September 1, 2020. ConsultantPlus experts have prepared an overview of the amendments and new instructions. Use it for free.

Payment of sick leave for COVID-19

If all formalities are completed correctly, the Foundation will pay for sick leave for COVID-19 at its own expense. The amount of payment for a whole month, according to the new rules, cannot be less than the minimum wage for a full-time employee (rate). Regional coefficients for charges are also taken into account.

If an employee provides a paper BC with code “01”, received on a general basis (when diagnosing coronavirus in a clinic), payment will be made:

• by the employer - the first three days of incapacity for work;
• SS Fund – remaining days.

The minimum wage (minimum wage) from January of this year is 12,130 rubles.

How to respond to error messages

Having received a protocol with an error instead of an ELN, act depending on the error code. For example, what does status 020 mean in an electronic sick leave? This error indicates that the certificate of incapacity for work has not been closed by the medical institution, the illness has not ended, and the employee has not started work. Wait until the employee is discharged and submit your request again. Proceed in the same way if you receive an error with code 010; 040 or 050.

IMPORTANT!

Special situation - what does status 090 mean in email. sick leave is the cancellation of the ELN. Such sick leave is not subject to payment. In this case, inform the employee that his ELI has been canceled and the benefit will not be assigned or paid.

The ELN available for calculating benefits has the status “Closed”, which means status 030 in the electronic sick leave certificate. Only after receiving a document with such a code, the employer has the right to begin calculating benefits.

When will the money from the Social Insurance Fund arrive?

The most pressing and common question asked by workers awaiting benefits is how long to wait for the money to be transferred? Fortunately, in recent years, the Russian FSS has strictly regulated the rules for processing documentation and the timing of direct payment. According to the established rules, the following terms are calculated:

1. The employee submits an application for benefits and all accompanying documents at the place of work.
2. The direct responsibility of the employer is to transfer the entire set of documents to the regional office of the Social Insurance Fund. According to the laws, the policyholder is given 5 working days (from the date of signing the application) to submit documents.
3. In turn, the FSS department is obliged to process the submitted documentation and pay money to the employee within 10 working days.

If we talk about the actual accrual time after the “Document sent for payment” status, then on average they range from 3 to 7 days. But we are talking about a transfer to a bank account or card. There are situations when money is transferred to an employee via postal transfer. In such cases, payment may be slightly delayed, and the period will directly depend on the speed of transfer of money to the postal department and even on its work schedule. When receiving a payment through a post office, the recipient needs to wait for an email notification of the arrival of the funds.

Answers to questions about the electronic certificate of incapacity for work

FREQUENTLY ASKED QUESTIONS 1.Error calling the data transmission/reception service. The message does not conform to XML Encryption format.

Contact the developer of the software that was used to encrypt the data.

Provide the following information: The EncryptedData class element is missing ru.ibs.cryptopro.jcp.crypt.CryptoException Reasons: You are trying to send a message without specifying “Encrypt message” in the electronic signature settings; Incorrect crypto provider settings. What to do: 1. Configure the automated workplace of the healthcare facility 1.1. In the Administration menu - FSS service settings - Connection string, specify the following service address: - For work (productive circuit) - For testing: · With encryption · Without encryption (Please note that when sending to a service without encryption, the electronic signature must be removed in the settings flag “Encrypt message”) 1.2.

How to read codes?

The sick leave has the following line: “reason for incapacity for work.” The line contains cells for entering two-digit codes, which are filled out by the doctor.

The codes indicate the reason for which sick leave is issued to the employee. Here are the reasons and designation codes:

• general illness - 01;
• domestic injury (outside of work) - 02;
• quarantine (being among infectious patients) - 03;
• occupational injury or its consequences - 04;
• maternity leave - 05;
• prosthetics in hospital - 06;
• occupational disease - 07;
• sanatorium treatment - 08;
• caring for a relative - 09;
• poisoning - 10;
• sick leave due to a child’s illness - 12;
• socially significant disease - 11.

In this case, three-digit additional codes can also be indicated:

• being in a special sanatorium - 017;
• stay at a research institute - 019;
• additional maternity leave - 020;
• for a disease resulting from intoxication (alcoholic or other) - 021.

If the cause of illness with code 11 is indicated on the sick leave, it means that there is a dangerous illness that can cause critical harm to both the sick person and others.

The coding of such diseases occurs on the basis of Decree No. 715, which came into force at the end of 2014.

Time-based wages - what is it and when is it profitable to use it? Find out more about salary transactions in our material!

You can find out how sick leave is paid if it falls on a weekend by following the link.

Working with electronic sick leave. What should an accountant pay attention to?

When working with electronic certificates of incapacity for work (ELS), the accountant needs to pay attention to the following:

1. THE ELECTRONIC CARD OF DISABILITY IS CLOSED AND HAS STATUS 030.

To pay for temporary disability benefits, the employee provides the sick leave number to the accounting accountant. To process and calculate ELN, the accountant, based on the sick leave number and SNILS of the employee, requests this certificate of incapacity for work in a specialized accounting program or FSS services.

An electronic certificate of incapacity for work will be available for editing by the policyholder only if it is closed by a medical organization. Closed sick leave has status - 030. This means that benefits can be calculated and paid.

Please pay attention! A “signal” coupon (foil) with the number and status of sick leave 010 (open) or 020 (continued), as well as the date of the next appearance for an appointment with a doctor, IS NOT A BASIS FOR PAYMENT of temporary disability benefits. Before starting work on calculating insurance coverage, an accountant must ALWAYS request an ENL from the FSS information system!

2. THE ELECTRONIC CARD OF DISABILITY WAS SENT TO THE FSS SYSTEM.

Before starting to process his part of the electronic document, the employer must ensure that the information entered by the medical organization is correct. Then proceed to draw up your part of the sick leave.

When all the necessary data is entered into the electronic sick leave, the policyholder SENDS the document to the FSS information system. This action is mandatory, otherwise this certificate of incapacity for work in the Social Insurance Fund system will remain unfilled by the policyholder. An employee of the regional branch of the Fund may ask the policyholder who has submitted documents for reimbursement of insurance coverage regarding the legality of accruing benefits to the employee.

Because While there is a wide range of software tools for issuing an electronic certificate of incapacity for work, the function of sending sick leave to the Social Insurance Fund is implemented differently by different manufacturers. In any case, you must make sure that the document is sent to the FSS information system and has status 060 (filled out by the policyholder).

Please pay attention! After sending the document to the Social Insurance Fund, it acquires status - 060 (checked and closed by the policyholder). In such a document, the part that is filled out by the doctor of the medical organization is closed for editing. For example, the policyholder, after sending the personal insurance policy to the FSS database, discovered an error in the employee’s patronymic. The certificate of incapacity for work will be considered damaged, and the employer will have to pay benefits at his own expense. Be careful!

T.ANDREEVA,

Commissioner for Puchezhsky District.