Kansas Electronic Data Interchange (EDI)

Release 1 Code Lists

Source: IAIABC EDI Implementation Guide
for First, Subsequent, Acknowledgement Detail,
Header, & Trailer Records
Release 1 February 15, 2002

TABLE 1:  FIPS Codes
(DN04 Jurisdiction)

FIPS (Federal Information Processing Standards) Alpha State Codes for the States and the District of Columbia

FIPS State Name	Code	FIPS State Name	Code
Alabama	AL	Missouri	MO
Alaska	AK	Montana	MT
Arizona	AZ	Nebraska	NE
Arkansas	AR	Nevada	NV
California	CA	New Hampshire	NH
Colorado	CO	New Jersey	NJ
Connecticut	CT	New Mexico	NM
Delaware	DE	New York	NY
District of Columbia	DC	North Carolina	NC
Florida	FL	North Dakota	ND
Georgia	GA	Ohio	OH
Hawaii	HI	Oklahoma	OK
Idaho	ID	Oregon	OR
Illinois	IL	Pennsylvania	PA
Indiana	IN	Rhode Island	RI
Iowa	IA	South Carolina	SC
Kansas	KS	South Dakota	SD
Kentucky	KY	Tennessee	TN
Louisiana	LA	Texas	TX
Maine	ME	Utah	UT
Maryland	MD	Vermont	VT
Massachusetts	MA	Virginia	VA
Michigan	MI	Washington	WA
Minnesota	MN	West Virginia	WV
Mississippi	MS	Wisconsin	WI
		Wyoming	WY

TABLE 7: Part of Body Codes
(DN36 Part of Body Injured Code)

I.  HEAD

10	Multiple Head Injury - any combination of below parts
11	Skull
12	Brain
13	Ear(s) - includes: hearing, inside eardrum
14	Eye(s) - includes: optic nerves, vision, eyelids
15	Nose - includes: nasal passage, sinus, sense of smell
16	Teeth
17	Mouth - includes: lips, tongue, throat, taste
18	Soft Tissue
19	Facial Bones - includes jaw

II.  NECK

20	Multiple Neck Injury - any combination of below parts, excluding hands and wrists combined
21	Vertebrae - includes: spinal column bone, "cervical segment"
22	Disc - includes spinal column cartilage, "cervical segment"
23	Spinal Cord - includes: nerve tissue, "cervical segment"
24	Larynx - includes: cartilage and vocal cords
25	Soft Tissue - other than larynx or trachea
26	Trachea

III.  UPPER EXTREMITIES

30	Multiple Upper Extremities - any combination of below parts, excluding hands and wrists combined
31	Upper Arm - Humerus and corresponding muscles, excluding clavicle and scapula
32	Elbow - radial head
33	Lower Arm - forearm - radius, ulna, and corresponding muscles
34	Wrist - carpals and corresponding muscles
35	Hand - metacarpals and corresponding muscles (excluding wrist or fingers)
36	Finger(s) - other than thumb and corresponding muscles
37	Thumb
38	Shoulder(s) - armpit, rotator cuff, trapezius, clavicle, scapula
39	Wrist(s) and Hands(s)

IV.  TRUNK

40	Multiple Trunk - any combination of below parts
41	Upper Back Area (Thoracic Area) - upper back muscles, excluding vertebrae, disc, spinal cord
42	Low Back Area (Lumbar Area and Lumbo-Sacral) - lower back muscles, excluding sacrum, coccyx, pelvis, vertebrae, disc, spinal cord
43	Disc - spinal column cartilage other than cervical segment
44	Chest - including Ribs, Sternum and soft tissue
45	Sacrum and Coccyx - final nine vertebrae - fused
46	Pelvis
47	Spinal Cord - nerve tissue other than cervical segment
48	Internal Organs - other than heart and lungs
49	Heart
60	Lungs
61	Abdomen Including Groin - excluding injury to internal organs
62	Buttocks - soft tissue
63	Lumbar and/or Sacral Vertebrae (Vertebrae NOC Trunk) - bone portion of the spinal column

V.  LOWER EXTREMITIES

50	Multiple Lower Extremities - any combination of below parts
51	Hip
52	Upper Leg - femur and corresponding muscles
53	Knee - patella
54	Lower Leg - tibia, fibula, and corresponding muscles
55	Ankle - tarsals
56	Foot - metatarsals, heel, Achilles tendon and corresponding muscles (excluding ankle or toes)
57	Toe(s)
58	Great Toe

VI.  MULTIPLE BODY PARTS

64	Artificial Appliance - braces, etc.
65	Insufficient Info to Properly Identify - Unclassified - insufficient information to identify part affected
66	No Physical Injury - mental disorder
90	Multiple Body Parts (including body systems and body parts) - applies when more than one major body part has been affected such as an arm and a leg and multiple internal organs
91	Body Systems and Multiple Body Systems - applies to the functioning of an entire body system that has been affected without specific injury to any other part, as in the case of poisoning, corrosive action, inflammation affecting internal organs, damage to nerve centers, etc. Does NOT apply when the systemic damage results from an external injury affecting an external part, such as a back injury which includes damage to the nerves of the spinal cord.

Source: ASWG (Advisory Statistical Work Group); code list dated 1/16/98

Available from:
National Council on Compensation Insurance
Products and Services
901 Peninsula Corporate Circle
Boca Raton, FL 33487

TABLE 8: Nature of Injury Codes
(DN35 Nature of Injury Code)

I.  SPECIFIC INJURY

01	No Physical Injury - i.e. glasses, contact lenses, artificial appliance, replacement of artificial appliance
02	Amputation - cut off extremity, digit, protruding part of body, usually by surgery, i.e. leg, arm
03	Angina Pectoris - chest pain
04	Burn - (heat) burns or scald: the effect of contact with hot substances (chemical) burns: tissue damage resulting from the corrosive action of chemicals, fumes, etc. (acids, alkalis)
07	Concussion - brain, cerebral
10	Contusion - bruise - intact skin surface; hematoma
13	Crushing - to grind, pound, or break into small bits
16	Dislocation - pinched nerve, slipped/ruptured disc, herniated disc, sciatica, complete tear, H.P.subluxation, MD dislocation
19	Electric Shock - electrocution
22	Enucleation - removal of organ or tumor
25	Foreign Body
28	Fracture - breaking of bone or cartilage
30	Freezing - frostbite and other effects of exposure to low temperature
31	Hearing Loss or Impairment - traumatic only: a separate injury, not the sequella of another injury
32	Heat Prostration - heat stroke, sun stroke, heat exhaustion, heat cramps and other effects of environmental heat; does not include sunburn
34	Hernia - the abnormal protrusion of an organ or part through the containing wall of its cavity
36	Infection - the invasion of a host by organisms such as bacteria, fungi, viruses, protozoa or insects, with or without manifest disease
37	Inflammation - the reaction of tissue to injury characterized clinically by heat, swelling, redness, and pain
40	Laceration - cuts, scratches, abrasions, superficial wounds, calluses, wound by tearing
41	Myocardial Infarction - heart attack, heart conditions, hypertension; the inadequate blood flow to the muscular tissue of the heart
42	Poisoning - General (Not OD or Cumulative Injury) - a systemic morbid condition resulting from the inhalation, ingestion or skin absorption of a toxic substance affecting the metabolic system, the nervous system, the circulatory system, the digestive system, the respiratory system, the excretory system, the musculoskeletal system, etc.; includes chemical or drug poisoning, metal poisoning, organic diseases and venomous reptile and insect bites; does NOT include effects of radiation, pneumoconiosis, corrosive effects of chemicals, skin surface irritations, septicemia, or infected wounds
43	Puncture - a hole made by the piercing or a pointed instrument
46	Rupture
47	Severance - to separate, divide, or take off
49	Sprain - internal derangement; a trauma or wrenching of a joint, producing pain and disability depending on degree of injury to ligaments
52	Strain - internal derangement; the trauma to the muscle or musculotendinous unit from violent contraction or excessive forcible stretch
53	Syncope - swooning, fainting, passing out; no other injury
54	Asphyxiation - strangulation, drowning
55	Vascular - cerebrovascular and other conditions of circulatory systems NOC, excludes heart and hemorrhoids; includes strokes, varicose veins - non-toxic
58	Vision Loss
59	All Other Specific Injuries, NOC

II.  OCCUPATIONAL DISEASE OR CUMULATIVE INJURY

60	Dust Disease NOC (All other Pneumoconiosis)
61	Asbestosis - lung disease; a form of pneumoconiosis, resulting from protracted inhalation of asbestos particles
62	Black Lung - the chronic lung disease or pneumoconiosis found in coal miners
63	Byssinosis - the pneumoconiosis of cotton, flax, and hemp workers
64	Silicosis - pneumoconiosis resulting from inhalation of silica (quartz) dust
65	Respiratory Disorders (Gases, Fumes, Chemicals, etc.)
66	Poisoning - Chemical (Other than Metals)
67	Poisoning - Metal - man-made
68	Dermatitis - rash, skin, or tissue inflammation including boils, etc.: generally resulting from direct contact with irritants or sensitizing chemicals such as drugs, oils, biologic agents, plants, woods, or metals which may be in the form of solids, pastes, liquids or vapors and which may be contacted in the pure state or in compounds or in combination with other materials; do NOT include skin tissue damage resulting from corrosive action of chemicals, burns from contact with hot substances, effects of exposure to radiation, effects of exposure to low temperatures or inflammation or irritation resulting from friction or impact
69	Mental Disorder - a clinically significant behavioral or psychological syndrome or pattern typically associated with either a distressing symptom or impairment of function, i.e. acute anxiety, neurosis, stress, non-toxic depression
70	Radiation - all forms of damage to tissue, bones or body fluids produced by exposure to radiation
71	All Other Occupational Disease Injury NOC
72	Loss of Hearing
73	Contagious Disease
74	Cancer
75	AIDS
76	VDT-Related Disease - video display terminal disease other than carpal tunnel syndrome
77	Mental Stress
78	Carpal Tunnel Syndrome - soreness, tenderness and weakness of the muscles of the thumb caused by pressure on the median nerve at the point where it goes through the carpal tunnel of the wrist. May involve damage to the hands, wrists, forearms, elbow and shoulders. May also include ganglion cysts in the wrist area.
80	All Other Cumulative Injuries, NOC

III.  MULTIPLE INJURIES

90	Multiple Physical Injuries Only
91	Multiple Injuries Including Both Physical and Psychological

Source: ASWG (Advisory Statistical Work Group); code list dated 1/16/98

Available from:
National Council on Compensation Insurance
Products and Services
901 Peninsula Corporate Circle
Boca Raton FL 33487

TABLE 9: Cause of Injury Codes
(DN37 Cause of Injury Code)

I.  BURN OR SCALD-HEAT OR COLD EXPOSURE

01	Chemicals
02	Hot Object or Substances
03	Temperature Extremes
04	Fire or Flame
05	Steam or Hot Fluids
06	Dust, Gases, Fumes or Vapors
07	Welding Operations
08	Radiation
09	Contact With, NOC
11	Cold Objects or Substances
14	Abnormal Air Pressure
84	Electrical Current

II.  CAUGHT IN, UNDER, OR BETWEEN

10	Machine or Machinery
12	Object Handled
13	Caught In, Under, or Between, NOC
20	Collapsing Materials (Slides of Earth) - either man made or natural

III.  CUT, PUNCTURE, SCRAPE, INJURED BY

15	Broken Glass
16	Hand Tool, Utensil; Not Powered
17	Object Being Lifted or Handled
18	Powered Hand Tool, Appliance
19	Cut, Puncture, Scrape, NOC

IV.  FALL, SLIP OR TRIP INJURY

25	From Different Level (Elevation) - off wall, catwalk, bridge, etc.
26	From Ladder or Scaffolding
27	From Liquid or Grease Spills
28	Into Openings - shafts, excavations, floor openings, etc.
29	On Same Level
30	Slipped, Did Not Fall
31	Fall, Slip, Trip, NOC
32	On Ice or Snow
33	On Stairs

V.  MOTOR VEHICLE

40	Crash of Water Vehicle
41	Crash of Rail Vehicle
45	Collision or Sideswipe with Another Vehicle - both vehicles in motion
46	Collision with a Fixed Object - standing vehicle or stationary object
47	Crash of Airplane
48	Vehicle Upset - overturned or jackknifed
50	Motor Vehicle, NOC

VI.  STRAIN OR INJURY BY

52	Continual Noise
53	Twisting
54	Jumping
55	Holding or Carrying
56	Lifting
57	Pushing or Pulling
58	Reaching
59	Using Tool or Machinery
60	Strain or Injury By, NOC
61	Wielding or Throwing
97	Repetitive Motion - carpal tunnel syndrome

VII.  STRIKING AGAINST OR STEPPING ON

65	Moving Parts of Machine
66	Object Being Lifted or Handled
67	Sanding, Scraping, Cleaning Operation
68	Stationary Object
69	Stepping on Sharp Object
70	Striking Against or Stepping On, NOC

VIII.  STRUCK OR INJURED BY - INCLUDES KICKED, STABBED, BIT, ETC.

74	Fellow Worker, Patient
75	Falling or Flying Object
76	Hand Tool or Machine in Use
77	Motor Vehicle
78	Moving Parts of Machine
79	Object Being Lifted or Handled
80	Object Handled by Others
81	Struck or Injured, NOC - includes kicked, stabbed, bit, etc.
85	Animal or Insect
86	Explosion or Flare Back

IX.  RUBBED OR ABRADED BY

94	Repetitive Motion - callous, blister, etc.
95	Rubbed or Abraded, NOC

X.  MISCELLANEOUS CAUSES

82	Absorption, Ingestion or Inhalation, NOC
87	Foreign Matter (Body) in Eye(s)
88	Natural Disasters
89	Person in Act of a Crime - robbery or criminal assault
90	Other Than Physical Cause of Injury
91	Mold
96	Terrorism
98	Cumulative, NOC - all other
99	Other - Miscellaneous, NOC

Source: ASWG (Advisory Statistical Work Group); code list dated 1/16/98

Available from:
National Council on Compensation Insurance
Products and Services
901 Peninsula Corporate Circle
Boca Raton FL 33487