Transaction and Code Sets Rule

GPTKB entity

Statements (18)
Predicate Object
gptkbp:instanceOf HIPAA regulation
gptkbp:appliesTo health plans
health care clearinghouses
certain health care providers
gptkbp:citation 45 CFR Part 162
gptkbp:enforcedBy gptkb:Centers_for_Medicare_&_Medicaid_Services
https://www.w3.org/2000/01/rdf-schema#label Transaction and Code Sets Rule
gptkbp:mandate use of ASC X12N standards for electronic transactions
use of ICD-9-CM, ICD-10-CM, CPT, HCPCS, CDT, and NDC code sets
use of NCPDP standards for pharmacy transactions
gptkbp:partOf HIPAA Administrative Simplification provisions
gptkbp:publishedBy gptkb:U.S._Department_of_Health_and_Human_Services
gptkbp:purpose improve efficiency and effectiveness of the health care system
gptkbp:requires standardization of electronic health care transactions
use of standard code sets for diagnoses, procedures, and drugs
gptkbp:startDate October 16, 2003
gptkbp:bfsParent gptkb:Pub.L._104–191
gptkbp:bfsLayer 7