Injury Class Codes
Employers can use the codes below when filling out the Form C-20 as they report a claim to their insurance adjuster.
Code | Code Type |
---|---|
1 NO PHYSICAL INJURY | Nature of Injury/Illness |
2 AMPUTATION | Nature of Injury/Illness |
3 ANGINA PECTORIS | Nature of Injury/Illness |
4 BURN | Nature of Injury/Illness |
7 CONCUSSION | Nature of Injury/Illness |
10 CONTUSION | Nature of Injury/Illness |
13 CRUSHING | Nature of Injury/Illness |
16 DISLOCATION | Nature of Injury/Illness |
19 ELECTRIC SHOCK | Nature of Injury/Illness |
22 ENUCLEATION | Nature of Injury/Illness |
25 FOREIGN BODY | Nature of Injury/Illness |
28 FRACTURE | Nature of Injury/Illness |
30 FREEZING | Nature of Injury/Illness |
31 HEARING LOSS OR IMPAIRMENT | Nature of Injury/Illness |
32 HEAT PROSTRATION | Nature of Injury/Illness |
34 HERNIA | Nature of Injury/Illness |
36 INFECTION | Nature of Injury/Illness |
37 INFLAMMATION | Nature of Injury/Illness |
40 LACERATION | Nature of Injury/Illness |
41 MYOCARDIAL INFARCTION | Nature of Injury/Illness |
42 POISONING - GENERAL | Nature of Injury/Illness |
43 PUNCTURE | Nature of Injury/Illness |
46 RUPTURE (TEAR) | Nature of Injury/Illness |
47 SEVERANCE | Nature of Injury/Illness |
49 SPRAIN | Nature of Injury/Illness |
52 STRAIN | Nature of Injury/Illness |
53 SYNCOPE | Nature of Injury/Illness |
54 ASPHYXIATION | Nature of Injury/Illness |
55 VASCULAR | Nature of Injury/Illness |
58 VISION LOSS | Nature of Injury/Illness |
10 MULTIPLE INJURIES TO HEAD | List of Body Part |
11 SKULL | List of Body Part |
12 BRAIN | List of Body Part |
13 EAR(S) | List of Body Part |
14 EYE(S) | List of Body Part |
15 NOSE | List of Body Part |
16 TEETH | List of Body Part |
17 MOUTH | List of Body Part |
18 HEAD - SOFT TISSUE | List of Body Part |
19 FACIAL BONES | List of Body Part |
20 MULTIPLE NECK INJURY | List of Body Part |
21 VERTEBRAE | List of Body Part |
22 DISC-NECK | List of Body Part |
23 SPINAL CORD - NECK | List of Body Part |
24 LARYNX | List of Body Part |
25 NECK - SOFT TISSUE | List of Body Part |
26 TRACHEA | List of Body Part |
30 MULTIPLE UPPER EXTREMITIES | List of Body Part |
31 UPPER ARM | List of Body Part |
32 ELBOW | List of Body Part |
33 LOWER ARM | List of Body Part |
34 WRIST | List of Body Part |
35 HAND | List of Body Part |
36 FINGER(S) | List of Body Part |
37 THUMB | List of Body Part |
38 SHOULDER(S) | List of Body Part |
39 WRIST(S) & HAND(S) | List of Body Part |
40 MULTIPLE TRUNK | List of Body Part |
41 UPPER BACK AREA | List of Body Part |
42 LOWER BACK AREA (MUSCLES) | List of Body Part |
43 DISC-TRUNK | List of Body Part |
44 CHEST | List of Body Part |
45 SACRUM AND COCCYX | List of Body Part |
46 PELVIS | List of Body Part |
47 SPINAL CORD - TRUNK | List of Body Part |
48 INTERNAL ORGANS | List of Body Part |
49 HEART | List of Body Part |
50 MULTIPLE LOWER EXTREMITIES | List of Body Part |
51 HIP | List of Body Part |
52 UPPER LEG | List of Body Part |
53 KNEE | List of Body Part |
54 LOWER LEG | List of Body Part |
55 ANKLE | List of Body Part |
56 FOOT | List of Body Part |
57 TOE(S) | List of Body Part |
58 GREAT TOE | List of Body Part |
60 LUNGS | List of Body Part |
61 ABDOMEN INCLUDING GROIN | List of Body Part |
62 BUTTOCKS | List of Body Part |
63 LUMBAR / SACRAL VERTEBRAE | List of Body Part |
64 ARTIFICIAL APPLIANCE | List of Body Part |
65 INSUFF. INFO TO PRO. IDEN. UNCL | List of Body Part |
66 NO PHYSICAL INJURY | List of Body Part |
90 MULTIPLE BODY PARTS | List of Body Part |
91 BODY SYS. & MULT. BODY SYS. | List of Body Part |
99 BODY AS A WHOLE | List of Body Part |
59 ALL OTHER SPECIFIC INJURIES NOC | All Other Specific Injuries |
60 DUST DISEASE, NOC | All Other Specific Injuries |
61 ASBESTOSIS | All Other Specific Injuries |
62 BLACK LUNG | All Other Specific Injuries |
63 BYSSINOSIS | All Other Specific Injuries |
64 SILICOSIS | All Other Specific Injuries |
65 RESPIRATORY DISORDERS | All Other Specific Injuries |
66 POISONING - CHEMICAL,(OTHER THAN METALS) | All Other Specific Injuries |
67 POISONING - METAL | All Other Specific Injuries |
68 DERMATITIS | All Other Specific Injuries |
69 MENTAL DISORDER | All Other Specific Injuries |
70 RADIATION | All Other Specific Injuries |
71 ALL OTHER OCCUPATIONAL DISEASE INJURY, NOC | All Other Specific Injuries |
72 LOSS OF HEARING | All Other Specific Injuries |
73 CONTAGIOUS DISEASE | All Other Specific Injuries |
74 CANCER | All Other Specific Injuries |
75 AIDS | All Other Specific Injuries |
76 VDT - RELATED DISEASES | All Other Specific Injuries |
77 MENTAL STRESS | All Other Specific Injuries |
78 CARPAL TUNNEL SYNDROME | All Other Specific Injuries |
79 HEPATITIS C | All Other Specific Injuries |
80 ALL OTHER CUMULATIVE INJURY, NOC | All Other Specific Injuries |
83 COVID-19 | All Other Specific Injuries |
90 MULTIPLE PHYSICAL INJURIES ONLY | All Other Specific Injuries |
91 MULTIPLE INJURIES (PHYSICAL AND PSYCHOLOGICAL) | All Other Specific Injuries |