The Health Insurance Portability and Accountability Act (HIPAA) Transactions, Code Sets and Identifiers (TCS&I) Program facilitates the implementation of nationwide standards of code sets used in the HIPAA-compliant electronic health care transactions for the MHS.
In addition to the Medical Data Code Sets “adopted” in the Transactions and Code Sets Final Rule, the following are examples of administrative code sets that are also required in the HIPAA Implementation Guides:
- Health Care Provider Taxonomy Codes
- Country Codes (International Organization of Standards [ISO] 3166)
- Claim Adjustment Reason Codes
- Place of Service Codes
- Claim Status Codes
ICD-10 was adopted initially as a code set in January 2009 when the Centers for Medicare and Medicaid Services (CMS) issued the original ICD-10 Final Rule. ICD-10 is currently the trending hot topic code set in the health care industry across America and of high importance to the MHS.
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