How long can sick leave be extended and on what grounds?

25.06.2019

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6 min.

Everyone experiences health problems to one degree or another. Workaholics and young people prefer to have pain on their feet, but the more experienced and sensible a person is, the more careful he treats himself. The presence of certain grounds allows you to increase the period of absence due to illness. In particular, it is possible to extend sick leave after hospitalization, as well as for outpatient recovery. If everything is done correctly and in accordance with the law, the organization will pay for the submitted document.

What are the grounds for extending the certificate of incapacity for work?

Extension of the certificate of incapacity for work is possible only if there is no improvement in health. The grounds for extending sick leave are established at the next appointment with a doctor, who conducts an examination, prescribes additional diagnostics, and identifies new symptoms. The following circumstances may serve as grounds for extension:

• the need for surgery;
• complication after acute respiratory viral infection in the form of pneumonia, sore throat, otitis media, sinusitis;
• identification of a new disease requiring treatment;
• complications during pregnancy;
• other circumstances.

After medical procedures, a decision is made to extend the ballot.

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Extension after childbirth and cesarean

A pregnant woman at 30 weeks has the right to take maternity leave. It is issued for a period of 140 days. If the birth occurs with complications - bleeding, the development of various types of inflammation, or the birth of the child occurs through cesarean section, the woman is required to extend her sick leave.

The decision to extend is made by the attending obstetrician who monitored the woman during pregnancy.

After discharge from the maternity hospital, you must provide the doctor with an extract from the maternity hospital. Then the doctor assesses the woman’s condition and concludes whether there are grounds for extending sick leave. If they exist, it issues another sheet.

Caesarean section gives the right to extend the period of sick leave by 16 days.

Who makes the decision to extend sick leave?

After the expiration of the certificate of incapacity for work, the issue of extending sick leave is submitted to the medical commission for consideration.

The competence of the medical commission includes the following issues:

• examination of the patient;
• studying medical documentation;
• referral of a citizen to ITU to establish disability.

The medical commission is approved by the head of the medical institution. It consists of at least three specialists qualified in the field of examination of temporary disability.

How is sick leave extended?

Extension of the certificate of incapacity for work is carried out taking into account the requirements of Order of the Ministry of Health of Russia dated September 1, 2020 No. 925n.

The procedure includes several stages:

1. During the examination of the patient, reasons for extending sick leave are identified.
2. The attending physician applies to the head physician of the medical institution with a request to create a medical commission.
3. The chief physician approves the medical commission.
4. The medical commission examines the patient, gets acquainted with his medical record and examination results.
5. Next, in the absence of the patient, a meeting is held to discuss the issue of extending sick leave.
6. Finally, a decision is made to extend the sick leave or to close it.

Important! If the medical commission has extended the certificate of incapacity for work, the citizen is obliged to come to see the attending physician for examination every 15 days. If there are grounds, sick leave is again extended to the maximum possible time.

For how long can it be extended?

The duration of sick leave depends on who issued it:

• The attending physician can extend sick leave several times, but the total duration of sick leave cannot exceed 15 days.
• After two weeks, to extend sick leave, you will have to assemble a medical commission, which, if there is a reason, can extend the certificate of incapacity for work up to 30 days. It includes doctors who already have a license that allows them to practice medicine and who have completed courses that explain the rules for conducting an examination of temporary disability.
• A dentist, in the presence of dental disease requiring outpatient or surgical treatment, has the right to issue sick leave and extend it, but the total period of the temporary work certificate cannot exceed 10 days.
• The paramedic can also issue sick leave, the total period of which, including extensions, cannot exceed 10 days.

At the next visit, the doctor can extend the sheet for a period of no more than three days per visit. That is, if, after the opening of sick leave, you came to renew your leave, for example, on Monday, then it will be extended to you until Thursday. On Thursday you should come to the hospital again, and if necessary, your treatment period will be extended for another three days (until Monday).

Please note that if the illness is particularly serious, instead of extending your sick leave, you may be sent to the MSEC, where you will be assigned a disability.

Additionally, read about the period for which sick leave is issued. From the article you will learn about the maximum and minimum duration of sick leave, the validity period and provision.

For what maximum period can a certificate of incapacity for work be extended?

Extension of sick leave is subject to the deadlines established by law.

If the patient has not regained health, he is sent to medical examination to establish disability. The sick leave will not be extended in the future.

Features of extending sick leave if the sick leave is open in another locality

It happens that an employee gets sick while visiting, on vacation or on a business trip in another city. Here he is forced to seek medical help and issue a certificate of incapacity for work. After his health improves, he can go home and continue treatment there.

READ Can you be fired from your job for frequent sick leave?

Extension of sick leave opened in another city is carried out as follows:

1. The citizen closes the certificate of incapacity for work in the medical organization where he applied for medical help.
2. Upon arrival home, you must go to the clinic at your place of residence and provide a medical certificate from your previous medical institution.
3. Based on the examination, the doctor issues a new certificate of incapacity for work, which is a continuation of the first sick leave.
4. Next, the patient undergoes treatment, is observed by a doctor and, if necessary, extends sick leave.

When transferring a patient from hospital to hospital, the issue of extending sick leave is resolved in a similar way.

Prolongation after surgery or hospital treatment

Often, in severe forms of illness, patients have to be operated on and treated in an inpatient setting. Since surgery is not an easy procedure, the patient needs some time after it to recuperate. A sick leave certificate is issued for a citizen admitted to the hospital from the day of admission to the ward. Closing, respectively, from the day of departure from the inpatient medical facility.

Extension of sick leave after hospitalization is carried out in the outpatient department based on the decision of the attending physician and certificates from the inpatient clinic. The doctor’s decision must be submitted for discussion to a medical commission, which will determine the final verdict regarding the issue of extending BL for a specific period.

When concluding a commission, two factors are taken into account:

• prolongation of LVN is allowed for a period of up to ten months;
• it is possible only if the patient recovers.

The list is closed.

Thus, the stages of prolonging sick leave are as follows:

1. Receiving a document from a stationary clinic.
2. Visiting a clinic at your place of registration. The required treating specialist is presented with a sheet from the hospital.
3. After this, an expert committee of doctors is convened, which determines the need to prolong the LVN.

After the validity of the certificate of incapacity for work has been extended after inpatient treatment, the patient must see a doctor every two weeks to monitor the condition and further prolong the validity of the document. When there are no signs of improvement and the patient’s health is still unsatisfactory, a decision is made to assign the citizen a degree of disability. Disability is determined after an examination.

If doctors recommend that a person complete his recovery in a sanatorium, then the patient has the right to receive BC for all days of rehabilitation in the institution. The deadline for such a certificate of incapacity for work is twenty-four days. An increase in the period of prevention and rehabilitation is possible by decision of the commission of the institution where the citizen is undergoing further treatment.

What are the consequences if sick leave is not extended?

If an employee does not extend his sick leave in a timely manner, he does not have valid grounds for not showing up for work and receiving temporary disability benefits. He will have to justify the reasons for absenteeism, provide documents confirming that he had the right not to fulfill his official duties.

Expert opinion

Orlov Igor Severinovich

Practicing lawyer with 7 years of experience. Specialization: criminal law. Law teacher.

Typically, a certificate of incapacity for work is not extended during recovery and when a healthy patient is deliberately on sick leave. To avoid problems with the employer, it is advisable not to miss a doctor’s appointment.

It happens that a patient does not show up for the next extension of sick leave for valid reasons. In such a situation, the doctor will accommodate you and extend the certificate of incapacity retroactively.

How is sick leave extended?

Having a ballot opened due to illness gives a working citizen the right to temporarily stop performing work duties. The document is issued for a fixed period and subsequently presented to the employer.

If there are grounds, then extension of sick leave is allowed. However, the period cannot exceed the period established by law.

True, there are exceptions when the ballot can be extended, but only by decision of a specially convened commission.

Sick leave after hospital

Many patients have to think about how to extend their sick leave.

a sheet from a therapist or other doctor, if the law establishes
a specific period
of possible disability, and the body has not yet had time to recover.

This review will help you understand the main issues that arise in such situations.

The article also contains information about what awaits the patient if he missed an appointment at the clinic, and for what maximum period the ballot can be extended.

What guarantees does a certificate of incapacity for work provide?

Officially employed citizens registered with the Social Insurance Fund have the legal right to interrupt their work due to illness or injury. If health problems require serious treatment at home or in a hospital, then the person may temporarily stop performing duties.

However, in the future, the existence of grounds for absence from work will need to be certified. This is why a sick leave is needed.

The document gives the employee the right to the following guarantees:

• maintaining a working position during treatment and recovery;
• calculation of cash payment on the ballot for the period of absence.

In addition, an employee on sick leave has some protection. As Art. 81 of the Labor Code of the Russian Federation, the dismissal of a citizen at this moment is unlawful. The grounds on which the contract is supposed to be terminated do not matter in this case. Only the employee himself can initiate the procedure while on sick leave.

Female employees can also be issued a certificate of incapacity for work in connection with future motherhood. We are talking about maternity leave. The basis here is the very fact of bearing a child, as well as future births. Such a bulletin is issued by an obstetrician-gynecologist or, in his absence, by a family doctor.

Maximum periods of sick leave

Temporary disability certificates are not provided on an indefinite basis. There is a fixed period regulating the duration of sick leave depending on the grounds on which it was discharged. The procedure for opening a document is regulated by the provisions of Order No. 624n.

The maximum values ​​for the sick leave period are:

• for outpatient treatment of injuries, diseases, poisonings and other conditions, the bulletin is provided for up to 15 days;
• registration of sick leave by a dentist or paramedic is allowed for a period of no more than 10 days;
• the period of incapacity for work due to future motherhood is 140 days (based on 70 days before the day of birth and the same amount after the birth of the child).

Sick leave for caring for a family member also has fixed terms. It all depends on the age of the patient and his diagnosis. The periods are indicated in Chapter 5 of Order No. 624n.

The newsletter is provided:

Age and illness of the child

Number of paid days per year

Sick leave was issued over time and then extended

This is prohibited.
But there is an exception to this general rule. In exceptional cases, a certificate of incapacity for work may be issued for the past period of time by decision of the medical commission. In such a sick leave, in the “Exemption from work” table, the second line must contain the signature of not only the attending physician, but also the chairman of the medical commission 8. When such sick leave is subsequently extended by the attending physician for a period of up to 15 calendar days inclusive (by a paramedic - up to 10 calendar days inclusive) from the date from which it was issued retroactively, in the table “Exemption from work” in the second line there should be only the signature of the attending physician (paramedic). The signature of the chairman of the medical commission is not required.