Report Type Codes

Report Type Codes

  • 03 => Justifying Treatment Beyond Utilization Guidelines
  • 04 => Drugs Administered
  • 05 => Treatment Diagnosis
  • 06 => Initial Assessment
  • 07 => Plan of Treatment
  • 08 => Plan of Treatment
  • 09 => PR2 (Progress Report)
  • 10 => Continued Treatment
  • 11 => Chemical Analysis
  • 13 => Certified Test Report
  • 15 => Justification for Admission
  • 21 => Recovery Plan
  • A3 => Allergies/Sensitivities Document
  • A4 => Autopsy Report
  • AM => Ambulance Certification
  • AS => Admission Summary
  • B2 => Prescription
  • B3 => Physician Order
  • B4 => Referral Form
  • BR => Benchmark Testing Results
  • BS => Baseline
  • BT => Blanket Test Results
  • CB => Chiropractic Justification
  • CK => Canceled Check
  • CT => Certification
  • D2 => Drug Profile Document
  • DA => Dental Models
  • DB => Durable Medical Equipment RX
  • DG => Diagnostic Report
  • DJ => Discharge Monitoring Report
  • DS => Discharge Summary
  • EB => Explanation of Benefits
  • HC => Health Clinic Records (HC)
  • HR => Health Clinic Records (HR)
  • I5 => Immunization Record
  • IR => State School Immunization Records
  • LA => Laboratory Results
  • M1 => Medical Record Attachment
  • MT => Nursing Notes
  • NN => Minor Deviation Request
  • OB => Operative Note
  • OC => Oxygen Content Averaging Report
  • OD => Orders and Treatments Document
  • OE => Objective Physical Examination Doc
  • OX => Oxygen Therapy Certification
  • OZ => Support Data for Bill
  • P4 => Pathology Report
  • P5 => Patient Medical History Document
  • PE => Periodontal Charts
  • PN => Physical Therapy Notes
  • PO => Prosthetics or Orthotic Certification
  • PQ => Paramedical Results
  • PY => Physician's Report
  • PZ => Physical Therapy Certification
  • RB => Radiology Films
  • RR => Radiology Reports
  • RT => Report of tests and Analysis Report
  • RX => Renewable Oxygen Content Averaging Report
  • SG => Symptoms Document
  • V5 => Death Notification
  • XP => Photographs

California Specific Repor Type Codes:

  • OZ:J1 => Doctor's First Report (DLSR 5021)
  • OZ:J2 => Supplemental Medical Report (BRs)
  • OZ:J3 => Medical Permanent Impairment Report
  • OZ:J4 => Med-Legal Report
  • OZ:J5 => Vocational Report
  • OZ:J6 => Work Status Report
  • OZ:J7 => Consultation Report
  • OZ:J8 => Permanent Disability Report
  • OZ:J9 => Itemized Statement