Hi there, mkeator.
I'm glad you reach out here in the Community. I'm here to lend a hand with your concern about the PTO balance in QuickBooks Desktop.
When creating the payroll item, you'll need to select Sick Pay or Vacation Pay for the wages. Since you're unable to edit this option, you can delete and recreate the item in the Payroll Item List window.
For the detailed steps on how to set up the payroll item correctly, please visit the article I'm adding below:
Set up and pay sick and vacation time.
If the PTO balance is still not reducing when used, please give us a call. One of our Payroll Support Specialists will be taking over to perform additional troubleshooting to fix the issue.
You can reach them through these steps:
- Go to: https://payroll.intuit.com/support/contact/.
- Select your subscription.
- Choose a topic.
- Click View Contact Info.
Please know I'm always available here to help you succeed with using QuickBooks for payroll.