HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS

Standards. The final rule adopts modifications to two code set standards in the Transactions and Code Sets final rule that required compliance by covered entities on or after October 16, 2003. The new final rule, published in the Federal Register on January 16, 2009, modifies standard medical data code sets for coding diagnoses (ICD-10-CM) and inpatient hospital procedures (ICD-10-PCS). ICD-10-CM means International Classification of Diseases, 10th Revision, Clinical Modification for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, as maintained and distributed by the U.S. Department of Health and Human Services (HHS). ICD-10-PCS means International Classification of Diseases, 10th Revision, Procedure Coding System for inpatient hospital procedure…

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New HIPAA Standard Transaction Rules Released

On Friday, January 16, 2009, the Office of the Secretary of the Department of Health and Human Services published in the Federal Register final rules pertaining to: Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards (74 Federal Register 3295-3328); and, HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS (74 Federal Register 3328-3362).

Final 5010 Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES 45 CFR Part 162 | [CMS–0009–F] | RIN 0938–AM50 Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards AGENCY: Office of the Secretary, HHS. ACTION: Final rule. Download (Requires Acrobat Reader)

Final ICD-10 Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES 45 CFR Part 162 | [CMS–0013–F] | RIN 0958–AN25 HIPAA Administrative Simplification; Modifications to the Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS AGENCY: Office of the Secretary, HHS. ACTION: Final rule. Download (Requires Acrobat Reader)

National Provider Identifier Final Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Part 162 | [CMS–0045–F] | RIN 0938–AH99 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers AGENCY: Centers for Medicare & Medicaid Services, HHS. ACTION: Final rule. Download (Requires Acrobat Reader)

Final Security Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 160, 162, and 164 | [CMS–0049–F] | RIN 0938–AI57 Health Insurance Reform: Security Standards AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule. Download (Requires Acrobat Reader)

Employer Identifier Final Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 160 and 162 | [CMS–0047–F] | RIN 0938–AI59 Health Insurance Reform: Standard Unique Employer Identifier AGENCY: Centers for Medicare and Medicaid Services (CMS), HHS. ACTION: Final rule. Download (Requires Acrobat Reader)

Final Transactions Rule Corrections

DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 160 and 162 | [HCFA0149CN] | RIN 0938AI58 Health Insurance Reform: Standards for Electronic Transactions; Correction AGENCY: Office of the Secretary, HHS. ACTION: Correction of final rule. Download (Requires Acrobat Reader)

Final Transactions Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary 45 CFR Parts 160 and 162 | [HCFA–0149–F] | RIN 0938–AI58 Health Insurance Reform: Standards for Electronic Transactions AGENCY: Office of the Secretary, HHS. ACTION: Final rule. Download (Requires Acrobat Reader)

Proposed 5010 Rule

DEPARTMENT OF HEALTH AND HUMAN SERVICES 45 CFR Part 162 | [CMS–0009–P] | RIN 0938–AM50 Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards AGENCY: Office of the Secretary, HHS. ACTION: Proposed rule. Download (Requires Acrobat Reader)