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Code Table
Nature of Accident
CODE
01
02
03
04
05
06
07
08
09
11
14
84
10
12
13
20
15
16
17
18
19
25
26
27
28
29
30
31
32
On Stairs
33
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 1 of 7
ASR 1574, Seg IV
May, 2004
CODE
NATURE OF ACCIDENT
Motor Vehicle
Crash of Water Vehicle
40
41
Collision or Sideswipe
45
46
Crash of Airplane
47
Vehicle Upset
48
49
50
Strain or Injury By
Continual Noise
52
Twisting
53
Jumping
54
Holding or Carrying
55
Lifting
56
Pushing or Pulling
57
Reaching
58
59
60
Wielding or Throwing
61
97
65
66
67
Stationary Object
68
69
70
Struck or Injured By
Fellow Worker
74
75
76
Motor Vehicle
77
78
79
80
81
90
91
92
85
Explosion or Flareback
86
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 2 of 7
ASR 1574, Seg IV
May, 2004
CODE
Rubbed or Abraded By
Rubbed or Abraded, NOC
95
A1
Miscellaneous Causes
Absorption, Ingestion or Inhalation, NOC
Foreign Matter (Body) in Eye(s)
Person in Act of a Crime
Other Miscellaneous, NOC
Cumulative, NOC
Cumulative Stress (State cases only)
Cumulative Presumption (State cases only)
Other than Physical Injury
Terrorism
Natural Disasters
Mold
82
87
89
99
98
93
94
A2
96
88
A3
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 3 of 7
ASR 1574, Seg IV
May, 2004
CODE
Specific Injury
Amputation
Contusion (Bruise)
Laceration
Burn (Burn/Scald)
Crushing (Crushed)
Puncture
Dislocation
Fracture
Hernia
Strain
Sprain
7
V1
Asphyxiation
54
Concussion
B1
Electrical Shock
19
22
Freezing
30
31
Heat Prostration
32
Infection
36
Inflammation
37
Rupture
46
Severance
47
Syncope
53
Vascular
55
Vision Loss
58
Dermatitis
VDT-related disease
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 4 of 7
ASR 1574, Seg IV
May, 2004
CODE
Illness (undefined)
P
V
Death (Cumulative)
S
Neurological/Muscular
X
Not described
61
Asbestosis
62
Black Lung
63
Byssinosis
64
Silicosis
65
Respiratory Disorders (gases/fumes/chemicals)
66
Poisoning-Chemical
67
Poisoning-Metal
69
Mental Disorders
70
Radiation
79
Hepatitis C
Multiple Injuries (Other)
2
Multiple Physical Injuries Only
3
Multiple Injuries including Both Physical and Psychological
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 5 of 7
ASR 1574, Seg IV
May, 2004
CODE
Head Area
Multiple Head (Any combination of Below Parts)
Ear(s)
Eye(s)
Facial Bones
Nose
Brain
Skull
Teeth
Mouth
Soft Tissue- Head
E
A
C
D
F
6
11
16
17
18
NECK
Multiple Neck Injury ( Any combination of Below Parts)
Vertebrae (neck)
Disc (neck)
Spinal Cord (neck)
Larynx
Soft Tissue Neck
Trachea
H
21
22
23
24
25
26
Trunk
G
Multiple Trunk(Any Combination of Below Parts)
41
Upper Back Area
42
Lower Back Area
43
Disc (back)
45
Sacrum and Coccyx
46
Pelvis
47
Spinal Cord (back)
O
Abdomen (including groin)
P
Chest/Ribs
Q
Heart
R
Internal Organs
Lungs
Buttocks
62
63
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 6 of 7
ASR 1574, Seg IV
May, 2004
CODE
Upper Extremities
Multiple Upper Extremities (Any Combination of Below Parts)
Elbow
Finger(s)
Hand(s)
Shoulder(s)
Wrist
Wrist(s) and Hand(s)
Upper Arm
Lower Arm
Thumb
I
J
K
L
M
N
4
31
33
37
Lower Extremities
Multiple Lower Extremities (Any
5
U
Ankle
V
Foot
W
Hip
X
Knee
Y
Lower Leg (Leg)
Z
Toe(s)
52
Upper Leg
58
Great Toe
Artificial Appliances
64
91
Whole Body
99
Footnote(s):
Newly added codes are shown in shaded area.
NOC=Not Otherwise Classified
Page 7 of 7
ASR 1574, Seg IV
May, 2004