|
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
|
""
""
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
|