Code | Description | Comment | Version |
001 | Release of Information/MR / Authorization to Disclosure Protected Health Information | Release of Info/ Disclosure | added v2.5 |
002 | Medical Procedure (invasive) | Medical Treatment/ Procedure | added v2.5 |
003 | Acknowledge Receipt of Privacy Notice | Acknowledgement/ Notification | added v2.5 |
004 | Abortion | Medical Treatment/ Procedure | added v2.5 |
005 | Abortion/Laminaria | Medical Treatment/ Procedure | added v2.5 |
006 | Accutane - Information | Medical Treatment/ Procedure | added v2.5 |
007 | Accutane - Woman | Medical Treatment/ Procedure | added v2.5 |
008 | Advanced Beneficiary Notice | Acknowledgement/ Notification | added v2.5 |
009 | AFP (Alpha Fetoprotein) Screening | Medical Treatment/ Procedure | added v2.5 |
010 | Amniocentesis (consent & refusal) | Medical Treatment/ Procedure | added v2.5 |
011 | Anatomical Gift (organ donation) | Administrative | added v2.5 |
012 | Anesthesia - Complications | Medical Treatment/ Procedure | added v2.5 |
013 | Anesthesia - Questionnaire | Medical Treatment/ Procedure | added v2.5 |
014 | Angiogram | Medical Treatment/ Procedure | added v2.5 |
015 | Angioplasty | Medical Treatment/ Procedure | added v2.5 |
016 | Anticancer Drugs | Medical Treatment/ Procedure | added v2.5 |
017 | Antipsychotic Medications | Medical Treatment/ Procedure | added v2.5 |
018 | Arthrogram | Medical Treatment/ Procedure | added v2.5 |
019 | Autopsy | Administrative | added v2.5 |
020 | AZT Therapy | Medical Treatment/ Procedure | added v2.5 |
021 | Biliary Drainage | Medical Treatment/ Procedure | added v2.5 |
022 | Biliary Stone Extraction | Medical Treatment/ Procedure | added v2.5 |
023 | Biopsy | Medical Treatment/ Procedure | added v2.5 |
024 | Bleeding Time Test | Medical Treatment/ Procedure | added v2.5 |
025 | Bronchogram | Medical Treatment/ Procedure | added v2.5 |
026 | Cardiac Catheterization | Medical Treatment/ Procedure | added v2.5 |
027 | Coronary Angiography | Medical Treatment/ Procedure | added v2.5 |
028 | Coronary Angiography w/o Surgery Capability | Medical Treatment/ Procedure | added v2.5 |
029 | Cataract Op/Implant of FDA Aprvd Lens | Medical Treatment/ Procedure | added v2.5 |
030 | Cataract Op/Implant of Investigational Lens | Medical Treatment/ Procedure | added v2.5 |
031 | Cataract Surgery | Medical Treatment/ Procedure | added v2.5 |
032 | Cholera Immunization | Medical Treatment/ Procedure | added v2.5 |
033 | Cholesterol Screening | Medical Treatment/ Procedure | added v2.5 |
034 | Circumcision - Newborn | Medical Treatment/ Procedure | added v2.5 |
035 | Colonoscopy | Medical Treatment/ Procedure | added v2.5 |
036 | Contact Lenses | Medical Treatment/ Procedure | added v2.5 |
037 | CT Scan - Cervical & Lumbar | Medical Treatment/ Procedure | added v2.5 |
038 | CT Scan w/ IV Contrast Media into Vein | Medical Treatment/ Procedure | added v2.5 |
039 | CVS (Chorionic Villus) Sampling | Medical Treatment/ Procedure | added v2.5 |
040 | Cystospy | Medical Treatment/ Procedure | added v2.5 |
041 | Disclosure of Protected Health Information to Family/Friends | Release of Info/ Disclosure | added v2.5 |
042 | D & C and Conization | Medical Treatment/ Procedure | added v2.5 |
043 | Dacryocystogram | Medical Treatment/ Procedure | added v2.5 |
044 | Diagnostic Isotope | Medical Treatment/ Procedure | added v2.5 |
045 | Drainage of an Abscess | Medical Treatment/ Procedure | added v2.5 |
046 | Drug Screening | Medical Treatment/ Procedure | added v2.5 |
047 | Electronic Monitoring of Labor - Refusal | Medical Treatment/ Procedure | added v2.5 |
048 | Endometrial Biopsy | Medical Treatment/ Procedure | added v2.5 |
049 | Endoscopy/Sclerosis of Esophageal Varices | Medical Treatment/ Procedure | added v2.5 |
050 | ERCP | Medical Treatment/ Procedure | added v2.5 |
051 | Exposure to reportable Communicable Disease | Medical Treatment/ Procedure | added v2.5 |
052 | External Version | Medical Treatment/ Procedure | added v2.5 |
053 | Fluorescein Angioscopy | Medical Treatment/ Procedure | added v2.5 |
054 | Hepatitis B - Consent/Declination | Medical Treatment/ Procedure | added v2.5 |
055 | Herniogram | Medical Treatment/ Procedure | added v2.5 |
056 | HIV Test - Consent Refusal | Medical Treatment/ Procedure | added v2.5 |
057 | HIV Test - Disclosure | Medical Treatment/ Procedure | added v2.5 |
058 | HIV Test - Prenatal | Medical Treatment/ Procedure | added v2.5 |
059 | Home IV Treatment Program | Medical Treatment/ Procedure | added v2.5 |
060 | Home Parenteral Treatment Program | Medical Treatment/ Procedure | added v2.5 |
061 | Hysterectomy | Medical Treatment/ Procedure | added v2.5 |
062 | Hysterosalpingogram | Medical Treatment/ Procedure | added v2.5 |
063 | Injection Slip/ Consent | Medical Treatment/ Procedure | added v2.5 |
064 | Intrauterine Device | Medical Treatment/ Procedure | added v2.5 |
065 | Intrauterine Device/Sterilization | Medical Treatment/ Procedure | added v2.5 |
066 | Intravascular Infusion of Streptokinase/Urokinase | Medical Treatment/ Procedure | added v2.5 |
067 | Intravenous Cholangiogram | Medical Treatment/ Procedure | added v2.5 |
068 | Intravenous Digital Angiography | Medical Treatment/ Procedure | added v2.5 |
069 | Iodine Administration | Medical Treatment/ Procedure | added v2.5 |
070 | ISG | Medical Treatment/ Procedure | added v2.5 |
071 | IVP | Medical Treatment/ Procedure | added v2.5 |
072 | Laser Photocoagulation | Medical Treatment/ Procedure | added v2.5 |
073 | Laser treatment | Medical Treatment/ Procedure | added v2.5 |
074 | Lithium Carbonate | Medical Treatment/ Procedure | added v2.5 |
075 | Liver Biopsy | Medical Treatment/ Procedure | added v2.5 |
076 | Lumbar Puncture | Medical Treatment/ Procedure | added v2.5 |
077 | Lymphangiogram | Medical Treatment/ Procedure | added v2.5 |
078 | MAO Inhibitors | Medical Treatment/ Procedure | added v2.5 |
079 | Med, Psych, and/or Drug/Alcohol | Release of Info/ Disclosure | added v2.5 |
080 | Medical Treatment - Refusal | Administrative | added v2.5 |
081 | Morning-after Pill | Medical Treatment/ Procedure | added v2.5 |
082 | MRI - Adult | Medical Treatment/ Procedure | added v2.5 |
083 | MRI - Pediatric | Medical Treatment/ Procedure | added v2.5 |
084 | Myelogram | Medical Treatment/ Procedure | added v2.5 |
085 | Needle Biopsy | Medical Treatment/ Procedure | added v2.5 |
086 | Needle Biopsy of Lung | Medical Treatment/ Procedure | added v2.5 |
087 | Newborn Treatment and Release | Medical Treatment/ Procedure | added v2.5 |
088 | Norplant Subdermal Birth Control Implant | Medical Treatment/ Procedure | added v2.5 |
089 | Operations, Anesthesia, Transfusions | Medical Treatment/ Procedure | added v2.5 |
090 | Oral Contraceptives | Medical Treatment/ Procedure | added v2.5 |
091 | Organ Donation | Administrative | added v2.5 |
092 | Patient Permits, Consents | Administrative | added v2.5 |
093 | Patient Treatment Permit, Release & Admission | Administrative | added v2.5 |
094 | Penile Injections | Medical Treatment/ Procedure | added v2.5 |
095 | Percutaneous Nephrostomy | Medical Treatment/ Procedure | added v2.5 |
096 | Percutaneous Transhepatic Cholangiogram | Medical Treatment/ Procedure | added v2.5 |
097 | Photographs | Release of Info/ Disclosure | added v2.5 |
098 | Photographs - Employee | Release of Info/ Disclosure | added v2.5 |
099 | Photographs - Medical Research | Release of Info/ Disclosure | added v2.5 |
100 | Photographs - news Media | Release of Info/ Disclosure | added v2.5 |
101 | Psychiatric Admission - Next of Kin | Medical Treatment/ Procedure | added v2.5 |
102 | Psychiatric Information During Hospital Stay | Release of Info/ Disclosure | added v2.5 |
103 | Public Release of Information | Release of Info/ Disclosure | added v2.5 |
104 | Radiologic Procedure | Medical Treatment/ Procedure | added v2.5 |
105 | Refusal of Treatment | Administrative | added v2.5 |
106 | Release of Body | Administrative | added v2.5 |
107 | Release of Limb | Administrative | added v2.5 |
108 | Rh Immune Globulin | Medical Treatment/ Procedure | added v2.5 |
109 | Rights of Medical Research Participants | Administrative | added v2.5 |
110 | Request to Restrict Access/Disclosure to Medical Record/Protected Health Information | Release of Info/ Disclosure | added v2.5 |
111 | Request for Remain Anonymous | Release of Info/ Disclosure | added v2.5 |
112 | Seat Belt Exemption | Administrative | added v2.5 |
113 | Sialogram | Medical Treatment/ Procedure | added v2.5 |
1137 | Voiding Cystogram | Medical Treatment/ Procedure | added v2.5 |
114 | Sigmoidoscopy | Medical Treatment/ Procedure | added v2.5 |
115 | Sterilization - Anesthesia & Medical Services | Medical Treatment/ Procedure | added v2.5 |
116 | Sterilization -Federally Funded | Medical Treatment/ Procedure | added v2.5 |
117 | Sterilization - Female | Medical Treatment/ Procedure | added v2.5 |
118 | Sterilization - Laparoscopy/Pomeroy | Medical Treatment/ Procedure | added v2.5 |
119 | Sterilization - Non-Federally Funded | Medical Treatment/ Procedure | added v2.5 |
120 | Sterilization - Secondary | Medical Treatment/ Procedure | added v2.5 |
121 | Tranquilizers | Medical Treatment/ Procedure | added v2.5 |
122 | Transfer - Acknowledgement | Medical Treatment/ Procedure | added v2.5 |
123 | Transfer - Authorization | Medical Treatment/ Procedure | added v2.5 |
124 | Transfer Certification - Physician | Medical Treatment/ Procedure | added v2.5 |
125 | Transfer/Discharge Request | Medical Treatment/ Procedure | added v2.5 |
126 | Transfer for Non-Medical Reasons | Medical Treatment/ Procedure | added v2.5 |
127 | Transfer - Interfaculty Neonatal | Medical Treatment/ Procedure | added v2.5 |
128 | Transfer Refusal | Medical Treatment/ Procedure | added v2.5 |
129 | Transfer Refusal of Further Treatment | Medical Treatment/ Procedure | added v2.5 |
130 | Treadmill & EKG | Medical Treatment/ Procedure | added v2.5 |
131 | Treadmill, Thallium-201 | Medical Treatment/ Procedure | added v2.5 |
132 | Typhoid | Medical Treatment/ Procedure | added v2.5 |
133 | Use of Investigational Device | Medical Treatment/ Procedure | added v2.5 |
134 | Use of Investigational Drug | Medical Treatment/ Procedure | added v2.5 |
135 | Venogram | Medical Treatment/ Procedure | added v2.5 |
136 | Videotape | Release of Info/ Disclosure | added v2.5 |