LossConnect Workers’ Comp
Injury Code Quick Reference
INJURY CODING
Injury
NCCI
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 Severe cut/laceration, whole finger tip / fleshy part (no bone),
OCCUPATIONAL DISEASE / CUMULATIVE INJURIES
Injury
NCCI
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
Gasses, fumes, chemicals. Sore throat from inhaling fumes, vapors, or smoke. Asthma POB 60 lungs, shortness of breath
Poisoning - Chemical 66
(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).
Poisoning - Metal 67
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.
Contagious Disease
73
Needle stick claims/exposure ONLY. Known Blood Borne Exposure to HIV, AIDS, or Hepatitis A or B. Stated in description.
Specific disease name must
be in Injury Description. Anthrax and Small Pox
Cancer 74 Must be diagnosed
AIDS 75
Acquired Immune Deficiency Syndrome (This is not the same as HIV)
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
Horrific Accident, falls from severe height, motor vehicle accidents
Death / Fatality 97 Death / Fatality
BODY PART CODING
BODY PART
NCCI
CODE DESCRIPTION Multiple Head Injury 10
Multiple areas on the head / Head as a whole / Any combination of Body Parts listed below.
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)
23
Nerves from brain to low back, Nerve tissue, Paralysis / Unable to move or feel arms or legs.
USE W / CRUSH INJURY
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
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 Multiple Body Parts 90
Body parts from different blocks, equally serious. Ex Knee/Wrist pain
Body Systems & Multiple Body
Systems 91
Digestive system, Nervous system, Body as a whole including internal organs. Ex. Stress, food poisoning.
CAUSE OF INJURY CODES Injury Cause
NCCI
Code Example
BURN OR SCALD - HEAT OR COLD EXPOSURE - CONTACT WITH - 100 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 - 200
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 - 300
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 - 400 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
STRAIN OR INJURY BY - 600
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
Performing normal job duties. Do not know what type of duties. Constant standing.
STRIKING AGAINST OR STEPPING ON - 700 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
STRUCK OR INJURED BY - 800
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
Motor Vehicle 77
ForkLift Car, Some form of a motor vehicle hits a Pedestrian or another EE.
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 - 900
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
