**[This message is provided as guidance to field facilities to assist in
managing and coding vaccination (i.e. smallpox) reactions, actual
exposure to chemical and biological agents and Weapons of Mass
Destruction (WMD) training exercises. This message contains instructions
for filing workers\' compensation claim forms and some new type and
source codes with examples for using the codes. ]{.smallcaps}**

**Workers' Compensation Procedures for Employee Smallpox Vaccination
Reactions**

The national news media reported last week that the President is
preparing to announce plans to begin vaccinating military personnel,
hospital workers, and emergency workers against smallpox. Recent
clinical trials with the vaccine revealed a range of normal side effects
-- such as itchiness, flu-like symptoms (aches, fever, lethargy), and
swelling at the vaccination site -- that might result in employees
filing workers' compensation claims for time lost or medical expenses
related to these side effects.

This notice advises workers' compensation coordinators and human
resource staff how these workers' compensation claims should be
processed. Please share this information with your facility management
team to facilitate a smooth and efficient claims process.

**Workers' compensation claims for smallpox vaccination reactions are:**

-   [Job related]{.underline}. Employees who have received a smallpox
    vaccination and have a proven adverse reaction are entitled to
    coverage under the Federal Employees Compensation Act (FECA). An
    employee who participates voluntarily in the health service program
    is considered in the performance of duty. In other words, when an
    employee is directed or encouraged by their employer to participate
    in a vaccination program, and that participation causes absence from
    regular duties for the specific purpose of obtaining the
    vaccination, the employee is covered under FECA. A deleterious
    (adverse) effect such as a reaction to an agency-sponsored
    inoculation is compensable in nature. The cost of the vaccination is
    not covered by FECA.

-   [Classified as traumatic injuries, not illnesses]{.underline}. The
    Office of Workers' Compensation Program (OWCP) CA-1 injury claim
    form shall be provided to employees for this purpose.

-   [Covered by Continuation of Pay (COP)]{.underline}. COP shall be
    immediately offered to the employee, if entitled. Employees should
    be advised that they have 10 calendar days, from the date employee
    submits the claim to provide medical documentation supporting COP.
    Failure to provide medical documentation within 10 calendar days may
    result in the termination of COP. Where the medical evidence is
    later provided, however, COP shall be reinstated retroactive to the
    date of termination. Supervisors and timekeepers should be advised
    that timecards for employees submitting CA-1s for reactions to a
    smallpox vaccination should reflect COP according to established
    time and attendance and workers' compensation procedures.

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-   [Subject to FECA regulations on leave status]{.underline}. It is the
    employee\'s right and responsibility to elect COP or a leave status.
    The agency does not have the authority to withhold COP, if otherwise
    qualified, for the first 10 days waiting for medical documentation,
    unless the agency can controvert the claim for one of the reasons
    stated in 20 CFR Part 10, Section 10.220.

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```
-   [Allowed for temporary and volunteer employees receiving the
    vaccination]{.underline}. Temporary employees are also covered under
    the FECA. Volunteers are covered under the FECA but are not entitled
    to COP. Volunteers are entitled to medical treatment and may be
    entitled to workers\' compensation as determined by OWCP.

**Workers' Compensation Coding**

**OSHA Publication 2014 Appendix E**

####### NEW TYPE CODES:

# 630 Overstress, Exhaustion, Overexertion (e.g., with Source Code

# 1050, Decontamination Equipment -- PPE or 1010, "Protective Clothing

# and Personal Protective Equipment.")

740 Vaccination

750 Preventative Therapy

760 Decontamination Agent

770 Terrorism Incident (e.g., declared by FBI)

780 Insufficient Oxygen

**New Source Codes**

0725 Decontamination Agent

0753 Smallpox

0754 Anthrax

0755 For Other WMD/terrorism agents or contaminated victims

0756 For health care associated pathogens (e.g., HBV, influenza,
measles,

mumps, rubella, and varicella).

0757 For diseases relative to community prevalence

0831 Needle - Clean

0832 Needle - Used

0833 Sharp (e.g., Scalpels and Lancets) - Clean

0834 Sharp - Used

0835 Needle/Sharp from a disposal container

1050 Decontamination equipment (full ensemble e.g., levels A to D --
hoods,

splash ensemble, etc.)

**Workers' Compensation Coding**

**OSHA Publication 2014 Appendix E**

**TYPE Codes**

+----------------------+----------------------+----------------------+
| # 100 Struck         | # 400                | # 600 Exerted        |
|                      | Punctured, Lacerated |                      |
| 110 Struck By        |                      | 610. Lifted,         |
|                      | 410 Punctured By     |      Strained By     |
| 111 Struck By        |                      |      (Single         |
| Falling Object       | 420 Cut By           |                      |
|                      |                      | Action)              |
| 120 Struck Against   | 430 Stung By         |                      |
|                      |                      | 620. Stressed By     |
| 200 Fell, Slipped,   | 440 Bitten By        |      (Repeated       |
| Tripped              |                      |                      |
|                      | 500 Contacted        | # Action)            |
| 210 Fell On Same     |                      |                      |
| Level                | 510 Contacted With   | # [6                 |
|                      |                      | 30 Overstress, exhau |
| 220 Fell on          | (Injured Person      | stion, ]{.underline} |
| Different Level      | Moving)              |                      |
|                      |                      | # [ overe            |
| 230 Slipped, Tripped | # 520 Contacted By   | xertion (e.g., with  |
|                      |                      | Source ]{.underline} |
| (No Fall)            | (Object Was Moving)  |                      |
|                      |                      | # [                  |
| 300 Caught           |                      | Code 1050, Decontami |
|                      |                      | nation ]{.underline} |
| 310 Caught On        |                      |                      |
|                      |                      | # [                  |
| 320 Caught In        |                      |  Equipment -- PPE or |
|                      |                      |  1010, ]{.underline} |
| 330 Caught Between   |                      |                      |
|                      |                      | # [ "Prote           |
|                      |                      | ctive Clothing and P |
|                      |                      | ersonal]{.underline} |
|                      |                      |                      |
|                      |                      | # [ Protective Equip |
|                      |                      | ment.")]{.underline} |
|                      |                      |                      |
|                      |                      | # 700 Exposed        |
|                      |                      |                      |
|                      |                      | 710 Inhaled          |
|                      |                      |                      |
|                      |                      | 720 Ingested         |
|                      |                      |                      |
|                      |                      | 730 Absorbed         |
|                      |                      |                      |
|                      |                      | [740 Vaccination     |
|                      |                      | ]{.underline}        |
|                      |                      |                      |
|                      |                      | [750 Preventative    |
|                      |                      | Therapy]{.underline} |
|                      |                      |                      |
|                      |                      | [760 Decontamination |
|                      |                      | Agent]{.underline}   |
|                      |                      |                      |
|                      |                      | [770 Terrorism       |
|                      |                      | Incident (e.g.,      |
|                      |                      | ]{.underline}        |
|                      |                      |                      |
|                      |                      | [ declared by        |
|                      |                      | FBI)]{.underline}    |
|                      |                      |                      |
|                      |                      | [ 780 Insufficient   |
|                      |                      | Oxygen]{.underline}  |
|                      |                      |                      |
|                      |                      | # 800 Traveling In   |
|                      |                      |                      |
|                      |                      | # 9                  |
|                      |                      | 99 Insufficient Data |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+

**SOURCE CODES**

+----------------------+----------------------+----------------------+
| 0100 Building or     | # 0                  | # 0                  |
| Working Area         | 420 Government-Owned | 800 Inanimate Object |
|                      |                      |                      |
| 0110 Walking/Working | 0421 As Driver       | 0810 Box, Barrel,    |
| Surface              |                      | Etc.                 |
|                      | 0422 As Passenger    |                      |
| (Floor, Street,      |                      | 0820 Paper           |
| sidewalks, etc.      | 0430 Common Carrier  |                      |
|                      | (Airline, Bus, Etc.) | 0830 Metal Item,     |
| 0120 Stairs, Steps   |                      | Mineral              |
|                      | 0440 Aircraft (Not   |                      |
| 0130 Ladder          | Commercial)          | # 0831 Needle [-     |
|                      |                      | - Clean]{.underline} |
| 0140 Furniture,      | 0450 Boat, Ship,     |                      |
| Furnishings, Office  | Barge                | ###                  |
|                      |                      | ###### [0832 Needle  |
| Equipment            | # 0500 Materia       | -- Used]{.underline} |
|                      | l Handling Equipment |                      |
| 0150 Boiler,         |                      | ######### [0833      |
| Pressure Vessel      | 0510 Earthmover      |  Sharp (e.g., Scalpe |
|                      | (Tractor, Backhoe,   | ls and ]{.underline} |
| 0160 Equipment       | Etc.)                |                      |
| Layout (Ergonomic)   |                      | ######## [ Lancets)  |
|                      | 0520 Conveyor (For   | - Clean]{.underline} |
| 0170 Windows, Doors  | Material and         |                      |
|                      |                      | [0834 Sharp --       |
| 0180 Electricity     | Equipment)           | Used]{.underline}    |
|                      |                      |                      |
| # 0200 Environmental | 0530 Elevator,       | [0835 Needle/Sharp   |
|                      | Escalator, Personnel | from a disposal      |
| 0210 Temperature     | Hoist                | ]{.underline}        |
| Extreme (Indoor)     |                      |                      |
|                      | 0540 Hoist, Sling    | [                    |
| 0220 Weather (Ice,   | Chain, Jack          | co                   |
| Rain, Heat, Etc.)    |                      | ntainer]{.underline} |
|                      | 0550 Forklift, Crane |                      |
| 0230 Fire, Flame,    |                      | 0840 Glass           |
| Smoke (Not Tobacco)  | 0560 Handtruck,      |                      |
|                      | Dolly                | 0850 Scrap, Trash    |
| 0240 Noise           |                      |                      |
|                      | 0600 Dust, Vapor,    | 0860 Wood            |
| 0250 Radiation       | Etc.                 |                      |
|                      |                      | 0870 Food            |
| 0251 Ionizing        | 0610 Dust (Silica,   |                      |
|                      | Coal, Etc.)          | 0880 Clothing,       |
| 0252 Non-ionizing    |                      | Apparel, Shoes       |
|                      | 0620 Fibers          |                      |
| 0260 Light           |                      | 0890 Stone           |
|                      | 0621 Asbestos        |                      |
| 0270 Ventilation     |                      | 0891 Gravel Marker   |
|                      | # 0630 Gases         |                      |
| 0271 Tobacco Smoke   |                      | 0900 Animate Object  |
|                      | 631 Carbon Monoxide  |                      |
| 0280 Stress          |                      | 0910 Animal          |
| (Emotional)          | 0640 Mist, Steam,,   |                      |
|                      | Vapor, Fume          | 0911 Dog             |
| 0290 Confined Space  |                      |                      |
|                      | 0650 Particles,      | 0912 Other           |
| 0300 Machine or Tool | (Unidentified)       |                      |
| (Powered Saw,        |                      | 0920 Plants, trees,  |
| grinder, etc.)       | # 0700 Ch            | vegetation           |
|                      | emical, Plastic, Etc |                      |
| 0310 Hand Tool (Non  |                      | 0930 Insect          |
| Powered)             | 0710 Dry Chemical    |                      |
|                      |                      | 0931 Mosquito        |
| 0330 Mechanical      | 0711 Corrosive       |                      |
| Power Transmission   |                      | 0940 Human           |
|                      | 0712 Toxic           | (Violence)           |
| Apparatus            |                      |                      |
|                      | 0713 Explosive       | 0941 Assault with    |
| 0340 Guard,Shield    |                      | Weapon               |
| (Fixed, Moveable,    | 0714 Flammable       |                      |
|                      |                      | 0942 Assault without |
| Deadman)             | 0720 Liquid Chemical | Weapon               |
|                      |                      |                      |
| 0350 Video Display   | 0721 Corrosive       | 0950 Human           |
| Terminal             |                      | (Communicable        |
|                      | 0722 Toxic           |                      |
| 0360 Pump,           |                      | #                    |
| Compressor Air       | 0723 Explosive       | Disease) [-- e.g., S |
| Pressure Tool        |                      | mallpox]{.underline} |
|                      | 0724 Flammable       |                      |
| # 03                 |                      | # 0960 Bacter        |
| 70 Heating Equipment | [0725                | ia, Virus (Not Human |
|                      | Decontamination      |                      |
| 0380 Welding         | Agent]{.underline}   | Contact[) -- e.g.,   |
| Equipment            |                      | Anthrax]{.underline} |
|                      | 0730 Plastic         |                      |
| # 0400 Vehicle       |                      | 0950 Human (physical |
|                      | 0740 Water           | contact)             |
| 0410 Privately-owned |                      |                      |
| (Includes Rental)    | 0750 Medicine        | 1000 Personnel       |
|                      |                      | Protective           |
| 0411 As Driver       | 0751 Prescription    |                      |
|                      |                      | Equipment            |
| 0412 As Passenger    | 0752                 |                      |
|                      | Over-the-Counter     | 1010 Protective      |
|                      |                      | Clothing, Shoes      |
|                      | [0753                |                      |
|                      | S                    | Glasses, Goggles     |
|                      | mallpox]{.underline} |                      |
|                      |                      | 1020 Respirator,     |
|                      | [0754                | Mask                 |
|                      | Anthrax]{.underline} |                      |
|                      |                      | # 1                  |
|                      | [0755 For Other      | 021 Diving Equipment |
|                      | WMD/terrorist        |                      |
|                      | ]{.underline}        | 1030 Safety Belt,    |
|                      |                      | Harness              |
|                      | [ agents or          |                      |
|                      | contaminated         | 1040 Parachute       |
|                      | ]{.underline}        |                      |
|                      |                      | [1050                |
|                      | [                    | Decontamination      |
|                      | victims]{.underline} | equipment            |
|                      |                      | ]{.underline}        |
|                      | [0756 For health     |                      |
|                      | care                 | [ (full ensemble     |
|                      | ass                  | e.g., levels A to D  |
|                      | ociated]{.underline} | -- hoods, splash     |
|                      |                      | ensemble,            |
|                      | [ pathogens (e.g.,   | etc.)]{.underline}   |
|                      | HBV, ]{.underline}   |                      |
|                      |                      | 9999 Insuffient Data |
|                      | [ influenza,         |                      |
|                      | measles, mumps,      |                      |
|                      | ]{.underline}        |                      |
|                      |                      |                      |
|                      | [ rubella, and       |                      |
|                      | vari                 |                      |
|                      | cella).]{.underline} |                      |
|                      |                      |                      |
|                      | [ 0757 For diseases  |                      |
|                      | relative to          |                      |
|                      | ]{.underline}        |                      |
|                      |                      |                      |
|                      | [ community          |                      |
|                      | pre                  |                      |
|                      | valence]{.underline} |                      |
|                      |                      |                      |
|                      | ## 0760              |                      |
|                      |  Composite materials |                      |
|                      |                      |                      |
|                      | 0770 Latex or        |                      |
|                      | Elastics (e.g.,      |                      |
|                      | gloves)              |                      |
|                      |                      |                      |
|                      | 0771 Natural latex   |                      |
|                      |                      |                      |
|                      | 0772 Synthetic       |                      |
|                      | elastic              |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+

Employee Injury and Illness

Smallpox Vaccination Coding Examples

To assist in correctly coding workers' compensation claims involving
smallpox vaccinations, several Type and Source Codes scenarios are
provided below.

**Scenario 1**: An employee is vaccinated against smallpox and
subsequently develops aches, chills, rash, and/or fever.

**Type Code:** 740, Vaccination

**Source** **Code:** 0753, Smallpox

**Scenario 2**: An employee is vaccinated against smallpox and, during
the vaccination, is injured by the clean needle.

**Type Code:** 400, Punctured, Lacerated

**Source** **Code:** 0831, Needle -- Clean

**Scenario 3**: An employee develops smallpox after being exposed to
smallpox at work.

**Type Code:** 700, Exposed

**Source** **Code:** 0950, Human Communicable Disease

**Scenario 4**: An employee develops a bacterial infection as a result
of the smallpox vaccination.

**Type Code:** 740, Vaccination

**Source** **Code:** 0753, Smallpox

**Scenario 5**: An employee has a reaction to the smallpox vaccination
medium.

**Type Code:** 740, Vaccination

**Source** **Code:** 0753, Smallpox

**Employee Injury and Illness**

**Decontamination Equipment Coding Examples**

To assist in correctly coding workers' compensation claims involving
personal protective equipment (PPE) and decontamination activities,
several Type and Source Code scenarios are provided below.

**Scenario 1**: An employee suffers from heat stress as the result of
wearing personal protective equipment provided for protection against
hazardous agents during decontamination (training and/or actual event).

** Type Code:** 630, Overstress, exhaustion, overexertion

** Source** **Code:** 1050, Decontamination equipment (full ensemble,
e.g.,

Level A to D -- hoods, splash ensemble, etc).

**Scenario 2**: An employee suffers from injury/illness from a toxic
liquid (i.e., liquid is not for decontamination) during decontamination
from a terrorist incident.

** Type Code:** 770, Terrorist incident (e.g., declared by FBI)

** Source** **Code:** 0722, Liquid Chemical, Toxic

**Scenario 3**: An employee suffers from injury/illness from an agent
(e.g., detergent, bleach, etc.) being used during decontamination
training or actual event.

** Type Code:** 700, Exposed

** Source** **Code:** 0725, Decontamination agent

**Scenario 4**: An employee suffers from injury/illness from a toxic dry
corrosive chemical (i.e., chemical is not for decontamination) during
decontamination from a terrorist incident.

** Type Code:** 770, Terrorist incident (e.g., declared by FBI)

** Source** **Code**: 0711, Dry Chemical, Corrosive

**Scenario 5**: An employee fell and is injured during decontamination
training as the result of decontamination equipment.

** Type Code:** 210, fell same level

** Source** **Code:** 1050, Decontamination equipment (full ensemble,
e.g., levels A\
to D -- hoods, splash ensemble, etc.)