Specifies an additional characteristic of the adjustment reason.
Type
ID
Length
Max 2 / Min 1
Codes
<> 1
Primary Disability - Frozen
<> 2
Primary Disability - Non-frozen
<> 3
Dependent Disability - Frozen
<> 4
Dependent Disability - Non-frozen
<> 5
Retirement - Frozen
<> 6
Retirement - Non-frozen
<> 7
Permanent
<> 8
Temporary
<> 9
Canadian
<> 10
Joint
<> 11
Deferred
<> 12
Eligible
<> 13
Applied
<> 14
Receiving
<> 23
Fatal
<> 24
Permanent Total
<> 25
Permanent Total Supplemental
<> 26
Permanent Partial Scheduled
<> 27
Permanent Partial Unscheduled
<> 28
Temporary Total
<> 29
Temporary Partial
<> 30
Employer Liability
<> 31
Permanent Partial Disfigurement
<> 32
Employer Paid
<> 34
Funeral Expenses Paid to Date
<> 35
Penalties Paid to Date
<> 36
Interest Paid to Date
<> 37
Employer's Legal Expenses Paid to Date
<> 38
Claimant's Legal Expenses Paid to Date
<> 39
Total Payments to Physicians to Date
<> 40
Hospital Costs Paid to Date
<> 41
Other Medical Paid to Date
<> 42
Vocational Rehabilitation Evaluation Paid to Date
<> 43
Vocational Rehabilitation Education Paid to Date
<> 44
Other Vocational Rehabilitation Paid to Date
<> 45
Total Temporary Catastrophic
<> 46
Undefined Lump Sum
<> 47
Wage Loss without Impairment
<> 48
Supplemental Earnings and Permanent Partial
<> 49
Scheduled Disabilities
<> 50
Economic Recovery
<> 51
Wage Loss and Impairment
<> 52
Supplemental Earnings without Permanent Partial
<> 53
Other Partial Disability
<> 54
Impairment without Wage Loss
<> 55
Permanent Partial without Supplemental Earnings
<> 56
Impairment Compensation
<> 57
Vocational Rehabilitation Maintenance