TYPE OF INJURY CODES Code: Type of Injury 1. SPECIFIC INJURY Code: Type of Injury 01 No Physical Injury II. OCCUPATIONAL DISEASE OR 02 Amputation CUMMULATIVE INJURY 03 Angina Pectoris (Condition Associated with Heart Disease) 60 Dust Disease NOC (All other 04 Burn Pneumoconiosis) 07 Concussion 61 Asbestosis 10 Contusion 62 Black Lung 13 Crushing 63 Byssinosis 16 Dislocation 64 Silicosis 19 Electric Shock 65 Respiratory Disorders (Gases, 22 Enucleation (To Remove, Ex. of Eye Fumes, Chemicals, Etc.) 25 Foreign Body 66 Poisoning-Chemical (Other than 28 Fracture Metals) 30 Freezing 67 Poisoning-Metals 31 Hearing Loss 68 Dermatitus 32 Heat Prostration 69 Mental Disorder 34 Hernia 70 Radiation 36 Infection 71 All other Occup. Disease, NOC 37 Inflammation 72 Loss of Hearing 40 Laceration 73 Contagious Disease 41 Myocardial Infarction (Heart Attack) 74 Cancer 42 Poisoning-General (Not OD or Cumul. 75 AIDS Exposure) 76 Video Display Terminal-Related 43 Puncture Disease 46 Rupture 77 Mental Stress 47 Severance 78 Carpal Tunnel Syndrome 49 Sprain 79 Hepatitis C 52 Strain 80 All Other Cumul. Injuries, NOC 53 Syncope (Dizziness or Loss of Consciousness) 54 Asphyxiation III. MULTIPLE INJURIES 55 Vascular Loss 58 Vision Loss 90 Multiple Physical Injuries Only 59 All Other NOC 91 Multiple Injuries Including Both – Physical & Psychological
TYPE OF INJURY CODES Code: Type of Injury 1. SPECIFIC INJURY 01 No Physical Injury 02 Amputation 03 Angina Pectoris (Condition Associated with Heart Disease) 04 Burn 07 Concussion 10 Contusion 13 Crushing 16 Dislocation 19 Electric Shock 22 Enucleation (To Remove, Ex. of Eye 25 Foreign Body 28 Fracture 30 Freezing 31 Hearing Loss 32 Heat Prostration 34 Hernia 36 Infection 37 Inflammation 40 Laceration 41 Myocardial Infarction (Heart Attack) 42 Poisoning-General (Not OD or Cumul. Exposure) 43 Puncture 46 Rupture 47 Severance 49 Sprain 52 Strain 53 Syncope (Dizziness or Loss of Consciousness) 54 Asphyxiation 55 Vascular Loss 58 Vision Loss 59 All Other – NOC Code: Type of Injury II. OCCUPATIONAL DISEASE OR CUMMULATIVE INJURY 60 Dust Disease NOC (All other Pneumoconiosis) 61 Asbestosis 62 Black Lung 63 Byssinosis 64 Silicosis 65 Respiratory Disorders (Gases, Fumes, Chemicals, Etc.) 66 Poisoning-Chemical (Other than Metals) 67 Poisoning-Metals 68 Dermatitus 69 Mental Disorder 70 Radiation 71 All other Occup. Disease, NOC 72 Loss of Hearing 73 Contagious Disease 74 Cancer 75 AIDS 76 Video Display Terminal-Related Disease 77 Mental Stress 78 Carpal Tunnel Syndrome 79 Hepatitis C 80 All Other Cumul. Injuries, NOC III. MULTIPLE INJURIES 90 Multiple Physical Injuries Only 91 Multiple Injuries Including Both Physical & Psychological