About Code Sets
Code sets classify medical:
- Diagnoses
- Procedures
- Diagnostic tests
- Treatments
- Equipment and supplies
They inform diverse health care functions, from billing to tracking public health.
See Also
HIPAA Rules for Medical Billing: Quick Answers to 3 FAQs - iFaxWhat Are 3 Major Things Addressed In The HIPAA Law? Best Guide 2023HIPAA's Transaction and Code Sets RuleWhat Are the Three Rules of HIPAA? Explained | StrongDMHIPAA Code Sets
Code sets outlined inHIPAAregulations include:
- ICD-10 – International Classification of Diseases, 10thedition
- HCPCS – Health Care Common Procedure Coding System
- CPT – Current Procedure Terminology
- CDT – Code on DentalProcedures and Nomenclature
- NDC – National Drug Codes
Violations
You can submit complaints about potential code sets violations via the Administrative Simplification Enforcement and Testing Tool (ASETT). Learn how to file a complaint.
Exceptions
An organization may request an exception from the use of a standard transaction from the Secretary to test a proposed modification to that standard. Learn about our exceptions process and the principles for requesting an exception (PDF).
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