Kansas.gov

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