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HIPAA Administrative Simplification - Transactions & Code Sets
Modifications to HIPAA Transactions and Code Set Standards Finalized -
The Final Rule adopting changes to the HIPAA Electronic Transactions and Code
Set Standards will be published in the Federal Register on February 20, 2003.
This final rule modifies a number of the electronic transactions and code sets
adopted as national standards under HIPAA, and eliminates the NDC code set as
the standard for all providers except retail pharmacies. It does not adopt a
standard reporting drugs and biologics on non-retail pharmacy transactions. Click
here to view the Final Rule (PDF 367K). The modifications are
published as Addenda to the ASC X12N Implementation Guides and are available
through the Washington Publishing Company at www.wpc-edi.com.
- Final Rule published in the Federal Register on August 17, 2000
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Designated Standards Maintenance Organizations announced in the Federal
Register, August 17, 2000
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Technical corrections published in the Federal Register on November 24, 2000 -
HTML Format |
PDF Format (117KB)
- Proposed Rule published in the Federal Register on May 7, 1998 -
Comment period ended July 6, 1998
- Health Care Common Procedure Coding System (HCPCS)
This file contains the Level II alpha-numeric HCPCS procedure and modifier codes, their long and short descriptions. These codes, which are established by CMS’s Alpha-Numeric Editorial Panel, primarily represent items and supplies and nonphysician services not covered by the American Medical Association’s CPT-4 codes. This file does not contain the American Medical Association’s CPT-4 codes. CPT-4 codes can be purchased from the American Medical Association at 1-800-621-8335.
Alpha-Numeric HCPCS File (ANHCPC03.ZIP - 836Kb)
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International Classification of Diseases, 9th revision, Clinical Modification ICD-9-CM Volumes 1 & 2 (diagnosis codes) are maintained by the National Center for Health Statistics, Centers for Disease Control (CDC) in HHS. The diagnosis link is:
www.cdc.gov/nchs/icd9.htm
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International Classification of Diseases, 9th revision, Clinical Modification ICD-9-CM Volume 3 (procedures) are maintained by CMS.
The CMS procedure link is:
www.cms.hhs.gov/paymentsystems/icd9
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Last Modified on Friday, September 17, 2004
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