Dwc District Office California Form Pack Page 11

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Body Part Code List
The body part codes listed below are used to complete forms that require the listing of
the part of the body that is in issue. Please do not file this document with your forms.
100
Head - not specified
500
Lower extremities - not specified
110
Brain
510
Legs - above ankles, not specified
120
Ear - not specified
511
Thigh femur
121
Ear - external
513
Knee Patella
124
Ear - internal including hearing
515
Lower leg tibia and fibula
130
Eye - including optic nerves and vision
518
Leg - multiple parts any combination of above parts
140
Face - not specified
519
Leg - not specified
141
Jaw - including chin and mandible
520
Ankle malleolus
144
Mouth - including lips, tongue, throat and taste
530
Foot not ankle or toe
145
Teeth
540
Toes
146
Nose - including nasal passages, sinus and smell
598
Lower extremities - multiple parts any combination of above parts
Multiple parts more than five major parts use only in fifth position
148
Face - multiple parts any combination of above parts
700
of listing of body parts
149
Face - forehead, cheeks, eyelids
800
Body system - not specific
Circulatory system - heart -other than heart attack, blood, arteries,
150
Scalp
801
veins, etc.
160
Skull
802
Circulatory system - Heart attack
198
Head - multiple injury any combination of above parts
810
Digestive system - stomach
200
Neck
820
Excretory system - kidneys, bladder, intestines, etc
300
Upper extremities - not specified
830
Musculo-skeletal system - bones, joints, tendons, muscles, etc.
310
Arm - above wrist not specified
840
Nervous system - not specified
311
Arm - upper arm humerus
841
Nervous system - stress
313
Arm - elbow head of radius
842
Nervous system - Psychiatric/psych
315
Arm -forearm radius and ulna
850
Respiratory system - lungs, trachea, etc.
318
Arm - multiple parts any combination of above parts
860
Skin dermatitis, etc.
319
Arm - not specified
870
Reproductive systems
320
Wrist
880
Other body systems
330
Hand - not wrist or fingers
999
Unclassified - insufficient information to identify body parts
340
Fingers
398
Upper extremities - multiple parts any combination of above parts
400
Trunk - not specified
410
Abdomen - including internal organs and groin
411
Hernia
420
Back - including back muscles, spine and spinal cord
430
Chest - including ribs, breast bone and internal organs of the chest
440
Hips - including pelvis, pelvic organs, tailbone, coccyx and buttocks
450
Shoulders - scapula and clavicle
498
Trunk - use for side; multiple parts any combination of above parts
Use this document to complete forms, but do not file this document with your forms.
DWC-CA form 10232.1 Rev. 7/2010- Page 8 of 8

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