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