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Standards for Electronic Healthcare
Claims Attachments
I. Specific Documents and Sources
All code sources that are developed
outside of the X12 standard setting
process, such as ZIP codes, which are
maintained by the United States Postal
Service, are referred to as external code
sets. These code sets are maintained
independent of any HIPAA specific
requirements, and no rulemaking is
required when changes are made to
them. The external code sets are listed
in section C of the appropriate ASC
X12N implementation guide. All of the
code sources listed in the ASC X12N
Implementation Guides have
mechanisms for modifying their codes.
The contact posted on the code source
list can provide detailed information
regarding the process and timing for
updating its codes. If the format of a
code set that has been adopted as a
HIPAA code set (HCPCS, CPT, ICD–9
etc.) is changed, for example, from alpha
to alpha numeric, then the change
constitutes a "modification of the code
set." Use of a modified code set can
only be required through further
rulemaking to expressly adopt those
modified code sets in place of the
existing standard.
The implementation specifications, as
expressed in implementation guides for
the various ASC X12N transactions and
HL7 messages as well as the additional
information specifications and the
LOINC Modifier Codes, may all be
obtained at no charge from the
Washington Publishing Company site at
the following Internet address: http://www.wpc-edi.com/.
Users without access to the Internet
may purchase the X12N implementation
guides from the Washington Publishing
Company directly: Washington
Publishing Company, PMB 161, 5284
Randolph Road, Rockville, MD, 20852;
telephone 301–949–9740; FAX: 301–949–9742.
HL7 maintains the XML-based
Clinical Document Architecture Release
1.0 and the AISs, and information can
be obtained at no charge at the HL7 Web
site: http://www.HL7.org. Users without
access to the Internet may obtain HL7
documents directly from the HL7
organization, c/o Health Level Seven,
Inc., 3300 Washtenaw Avenue, Suite
227, Ann Arbor, MI 48104, or 734–677–7777.
The LOINC database and the
publication LOINC Modifier Codes can
be obtained at no charge from the
Regenstrief Institute site at the following
Internet address: http://www.regenstrief.org/loinc/loinc.htm.
Users without access to the Internet may
obtain the LOINC database and the
LOINC modifier codes from the
Regenstrief Institute, c/o LOINC, 1050
West Wishard Blvd., Indianapolis, IN
46202, telephone 317–630–7433.
The full set of the Data Elements for
Emergency Department Systems,
Release 1.0 (DEEDS) is published by the
National Centers for Injury Prevention
and Control, Centers for Disease Control
and Prevention. The Internet address is
http://www.cdc.gov/ncipc/pub-res/deedspage.htm.
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