LossConnect Workers Comp Injury Code Quick Reference

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1 INJURY CODING LossConnect Workers Comp Injury Code Quick Reference Injury Code Examples No Physical Injury 1 No physical injuries / No apparent injury Amputation 2 Cut off finger at or past the 1st knuckle, includes cutting off the bone. Angina Pectoris 3 Condition associated with heart disease. Asphyxiation 54 Strangulation, drowning Burn 4 1st degree-redness, pain (sunburn), 2nd degree-blisters, pain, 3rd degree-black/charred, poss. no pain. Concussion 7 A head injury does NOT always result in a concussion. Use POB 11 - skull or 12 brain (only) Contusion 10 Bruise, hematoma, "bump" Crushing 13 Mention of paralysis, inability to move or feel arms or legs. POB 23 spinal cord or 47 spinal cord Dislocation 16 Displacement of bone in a joint (also subluxation) Electric Shock 19 Passage of electric current through body Enucleation 22 Violent/sudden removal of eye Foreign Body 25 Dust, metal shavings, etc in eye, staple stuck in hand Fracture 28 Broken bones or teeth Freezing 30 Injury due to exposure to cold, frostbite Hearing Loss or Impairment 31 Sudden hearing loss. Explosion Heat Prostration 32 Heat stroke, heat exhaustion Hernia 34 Abdominal, umbilical, femoral/inguinal, hiatal, POB - 61 abdomen including groin Infection 36 Chicken Pox, Conjunctivitis (Pink Eye), EXPOSURE to Meningitis, TB, ringworm, scabies, rabies Inflammation 37 Most itis like tendonitis, bursitis, epicondylitis, pinched nerve, and cyst Laceration 40 Cut, abrasion, scratch, scrape, rug burn, finger nail ripped off Myocardial Infarction 41 Heart attack. Possible or Diagnosed. POB 49 Heart Poisoning (General, no OD or Cumulative Injury) 42 Sudden, CO (Carbon Monoxide) POB 91 Multiple body systems Puncture 43 Gunshot, needle stick, nails, slivers, insect stings/bites, animal/human bites Rupture 46 Herniated/slipped disc, ear drum, biceps or Achilles tendons Severance 47 Severe cut/laceration, whole finger tip / fleshy part (no bone), may also be to the spinal cord Sprain 49 Injury to joint, torn ligament Strain 52 Pain Syncope 53 Fainting, dizziness, or lightheadedness Vascular 55 Aneurysm, Stroke POB 12 (brain) only, Cause code 99 (other). Vision Loss 58 Double vision, flash burns All Other Injuries 59 Unknown injuries, nausea, vomiting - 91 body systems. Page 1 of 6 Updated 07/07/14 JMN

2 OCCUPATIONAL DISEASE / CUMULATIVE INJURIES Injury Code Examples Dust Disease, No Other Cause 60 All other pneumoconiosis, chronic lung disease due to inhalation of dust. Asbestosis 61 Chronic lung disease from inhaling asbestos fibers. Black Lung 62 Chronic lung disease from inhaling coal dust, miners lung Byssinosis 63 Chronic lung disease from inhaling cotton, flax or hemp fibers. Silicosis 64 Chronic lung disease from inhaling silica dust Respiratory Disorders 65 Poisoning - Chemical 66 Poisoning - Metal 67 Gasses, fumes, chemicals. Sore throat from inhaling fumes, vapors, or smoke. Asthma POB 60 lungs, shortness of breath (Other than metals) Cumulative, Long term exposure to any substance that causes injury, illness or death when exposed to man made or organic chemicals which could be ingested (eat/drink), inhaled (breathed in), or absorbed (contact w/skin). Dermatitis 68 Inflammation of the skin, redness, pain, itching or rash. Poison ivy, poison oak. (cleaners) Mental Disorder 69 Schizophrenia, Bi-polar, Depression, body part 91 Radiation 70 Radiation Sickness All Other Occupational Disease 71 Bodily fluid exposure to either Blood, Urine or Saliva. Unless KNOWN exposure to HIV, AIDS, Hepatitis, then use 73. Loss of Hearing 72 Cumulative, working in a factory for 10 years w/o ear plugs. Needle stick claims/exposure ONLY. Known Blood Borne Exposure to HIV, AIDS, or Hepatitis A or B. Stated in Contagious Disease description. Specific disease name must be in Injury Description. 73 Anthrax and Small Pox Cancer 74 Must be diagnosed Acquired Immune Deficiency Syndrome (This is not the same as HIV) AIDS 75 VDT 76 Video Display Terminal related diseases Mental Stress 77 Mental stress, anxiety, harassment 91 body system Carpal Tunnel Syndrome (CTS) 78 Carpal Tunnel Syndrome (CTS) Diagnosis Hepatitis C 79 Hepatitis C Diagnosis All Other Cumulative Injuries, No Other Cause 80 Cumulative Injury Multiple Injuries Including Both Physical & Psychological 91 Death / Fatality 97 Death / Fatality Stroke 99 Stroke Horrific Accident, falls from severe height, motor vehicle accidents Page 2 of 6 Updated 07/07/14 JMN

3 BODY PART CODING BODY PART CODE DESCRIPTION Multiple areas on the head / Head as a whole / Any combination of Body Parts listed below. Multiple Head Injury 10 Skull 11 Bones in head except face Brain 12 Brain Ear(s) 13 Hearing, Inside area, Eardrum Eye(s) 14 Vision, Eyeball, Optic Nerve, Eyelids, Eyebrow Nose 15 Nasal passage / tissue, Sinus, Sense of smell Teeth 16 Teeth Mouth 17 Lips, Tongue, Throat, Taste Soft Tissue (Head) 18 Skin on Face or Head, Cheeks, Forehead, Scalp Facial Bones 19 Cheek, Jaw, Joints NECK Multiple Neck Injury 20 Multiple areas on the neck / Neck as a whole / Any combination of Body Parts listed below. Vertebrae 21 Spinal bones (also cervical fx) Disc (neck) 22 Soft tissue between vertebrae, Cartilage, Cervical Segment Spinal cord (neck) USE W / CRUSH INJURY 23 Nerves from brain to low back, Nerve tissue, Paralysis / Unable to move or feel arms or legs. Larynx 24 Voicebox, Vocal cords, Cartilage Soft Tissue 25 Muscles, Tendons, Ligaments (also cervical strain) Trachea 26 Throat, Trachea (breathing tube) UPPER EXTREMITIES Multiple Upper Extremities 30 Multiple Upper Extremities Ex. Elbow / Forearm combination / Any combination of Body Parts listed below except 39. Upper Arm (s) 31 Humerus (bone), Biceps, Triceps, Deltoid Muscles, Ligaments Elbow 32 Epicondylitis or Lateral Condylitis Lower Arm (forearm) 33 Radius, Ulna Bone Wrist(s) 34 Carpal Bones Hand(s) 35 Hand, Palm Finger(s) 36 Finger(s) Thumb(s) 37 Thumb(s) Shoulder(s) 38 Bones, Rotator Cuff Injuries, Clavicle, Scapula, Arm Pit Wrist(s) & Hand(s) 39 Any wrist / hand combination only TRUNK Multiple Trunk 40 Multiple Trunk / Any combination of Body Parts listed below. Upper Back 41 Upper back, Thoracic area, Dorsal Lower Back 42 Lower back, Lumbar, Middle back Disc (back) 43 Disc, Vertebrae, Spinal cord Chest 44 Chest, Ribs, Sternum, Soft Tissue Sacrum / Coccyx 45 Tailbone Pelvis 46 Pelvic / Bone Spinal Cord (back) USE W / CRUSH INJURY 47 Spinal cord, Paralysis / Unable to move or feel arms or legs. (severed) Internal Organs 48 Internal Organ(s), Other than heart or lungs. Stomach ache Heart 49 Internal Organ(s) Lungs 60 Internal Organ(s) Abdomen including Groin 61 External Skin & Belly area, Groin area, scrotum Buttocks 62 Buttocks (no bones) Lumbar or Sacral Vertebrae NOC 63 Bone portion of the spinal column. Page 3 of 6 Updated 07/07/14 JMN

4 LOWER EXTREMITIES Lower Extremities 50 Multiple Trunk (lower extremities) / Any combination of Body Hip 51 Hip area Upper Leg (thigh) 52 Femur, Thigh, Hamstring Knee 53 Knee, Patella, Knee cap Lower Leg (calf) 54 Tibia, Fibula, Shin, Calf Ankle(s) 55 Tarsals Foot (Feet) 56 Foot, Heel, Calcaneous, Archilles Tendon, Metatarsals Toe(s) 57 Toe(s) Great Toe(s) 58 Big toe(s) MULTIPLE BODY PARTS Artificial Appliance 64 Prosthesis, Glasses, Contacts Insufficient Info to Properly ID 65 Unknown Body Parts No Physical Injury 66 NO Physical Injury Body parts from different blocks, equally serious. Ex Multiple Body Parts 90 Body Systems & Multiple Body Systems 91 Knee/Wrist pain Digestive system, Nervous system, Body as a whole including internal organs. Ex. Stress, food poisoning. Page 4 of 6 Updated 07/07/14 JMN

5 CAUSE OF INJURY CODES Injury Cause Code Example BURN OR SCALD - HEAT OR COLD EXPOSURE - CONTACT WITH Chemicals 1 Bleach, Alkaline, Cleaners Hot Objects or Substances 2 Cold Objects or Substances 11 Temperature Extremes 3 Fire or Flame 4 Steam or Hot Fluids 5 Hot water, Deep fryer grease Dust, Gases, Fumes or Vapors 6 Smoke inhalation Welding Operation 7 Flash burn Radiation 8 Abnormal Air Pressure 14 On an airplane, blockage to ears Electrical Current 84 Contact with, No Other Cause CAUGHT IN, UNDER OR BETWEEN Machine or Machinery 10 Press, Conveyor Object Handled 12 Collapsing Materials (Slides of Earth) 20 Slides of earth, Buried in a ditch, sand, etc. Caught In, Under or Between, No Other Cause 13 CUT, PUNCTURE, SCRAPE INJURED BY Broken Glass 15 Hand Tool, Utensil, Not Powered 16 Box cutters, Razor blades, Knives, Saw Object Being Lifted or Handled 17 Powered Hand Tool, Appliance 18 Meat slicer, Drills, Saws Cut, Puncture, Scrape, No Other Cause 19 FALL, SLIP OR TRIP INJURY From Different Level (Elevation) 25 Roof, Catwalk, Bridge, Fall from chair (standing on it) From Ladder or Scaffolding 26 From Liquid or Grease Spills 27 Into Openings 28 Shafts, Excavations, Floor opening, Pot hole On Same Level 29 Fall from chair (sitting in it), Walking Slipped, Did Not Fall 30 On Ice or Snow 32 On Stairs 33 Fall, Slip or Trip, No Other Cause 31 MOTOR VEHICLE Crash of Water Vehicle 40 Boat, Yacht, Jet Ski Crash of Rail Vehicle 41 Train Collision or Sideswipe With Another Vehicle 45 Both vehicles in motion. IV struck OV or OV struck IV. Collision with a Fixed Object 46 Crash of Airplane 47 Vehicle Upset 48 Overturned, Jackknife Motor Vehicle, No Other Cause Standing vehicle, stationary object (house, fence, mailbox) Forklift Driver is injured & hits a parked car, stationary object. Forklift Driver is injured and hits another forklift Page 5 of 6 Updated 07/07/14 JMN

6 STRAIN OR INJURY BY Continual Noise 52 Cumulative, Factory /exposed to continual noise Twisting 53 Turning Jumping 54 Holding or Carrying 55 Lifting 56 Pushing or Pulling 57 Reaching 58 Bending over Using tool or Machinery 59 Wielding or Throwing 61 Repetitive Motion 97 Typing, keyboarding, mouse use, or 10 key. Strain or Injury by, No Other Cause 60 STRIKING AGAINST OR STEPPING ON Moving Part of Machine 65 Object Being Lifted or Handled 66 Sanding, Scraping, Cleaning Operation 67 Stationary Object 68 Stepping on Sharp Object 69 Nail Striking Against or Stepping Performing normal job duties. Do not know what type of duties. Constant standing. STRUCK OR INJURED BY Fellow Worker, Patient 74 Not in an act of crime, includes Kicked, Stabbed, Bit, etc Falling or Flying Object 75 Hand Tool or machine in Use 76 ForkLift Car, Some form of a motor vehicle hits a Pedestrian or another EE. Motor Vehicle 77 Moving Parts of Machine 78 Object Being Lifted or Handled 79 Object Handled by Others 80 Animal or Insect 85 Animal Attack, Sting Explosion or Flare Back 86 Struck or Injured By, No Other Cause 81 Customer, Student - inlcudes kicked, stabbed, bit, etc MISCELLANEOUS CAUSES Absorption, Ingestion, or Inhalation, No Other Cause 82 Splashed, food Poisoning, Poison Ivy, Poison Oak, Rashes Foreign Matter (body) in Eye(s) 87 Natural Disaster 88 Natural Disaster Person in Act of a Crime 89 Robbery or Criminal Assault, Gunshot Other Than Physical Cause of Injury 90 Mental Stress Mold 91 Mold Terrorism 96 Terrorism Cumulative, No Other Cause 98 All other Other Miscellaneous, No Other Cause 99 Something not work related. Ex. Company picnic / sporting event. Woke up with pain Page 6 of 6 Updated 07/07/14 JMN