HIPAA administrative simplification: modifications to medical data code set standards to adopt ID-10-CM and ICD-10-PCS. Final rule. 2009


This final rule adopts modifications to two of the code set standards adopted in the Transactions and Code Sets final rule published in the Federal Register pursuant to certain provisions of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Specifically, this final rule modifies the standard medical data code sets (hereinafter "code sets") for coding diagnoses and inpatient hospital procedures by concurrently adopting the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) 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), hereinafter referred to as ICD-10-CM, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, as maintained and distributed by the HHS, hereinafter referred to as ICD-10-PCS. These new codes replace the International Classification of Diseases, 9th Revision, Clinical Modification, Volumes 1 and 2, including the Official ICD-9-CM Guidelines for Coding and Reporting, hereinafter referred to as ICD-9-CM Volumes 1 and 2, and the International Classification of Diseases, 9th Revision, Clinical Modification, Volume 3, including the Official ICD-9-CM Guidelines for Coding and Reporting, hereinafter referred to as ICD-9-CM Volume 3, for diagnosis and procedure codes, respectively.

UI MeSH Term Description Entries
D004059 Diffusion of Innovation The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used. Innovation Diffusion,Diffusion, Innovation
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001330 Electronic Data Processing Applications that store and process large quantities of data. Automatic Data Processing,Bar Codes,Computer Data Processing,Data Processing, Automatic,Information Processing, Automatic,Optical Readers,Information Processing,Automatic Information Processing,Bar Code,Codes, Bar,Data Processing, Computer,Data Processing, Electronic,Optical Reader,Processing, Automatic Data,Processing, Automatic Information,Processing, Computer Data,Processing, Electronic Data,Processing, Information
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D018875 Vocabulary, Controlled A specified list of terms with a fixed and unalterable meaning, and from which a selection is made when CATALOGING; ABSTRACTING AND INDEXING; or searching BOOKS; JOURNALS AS TOPIC; and other documents. The control is intended to avoid the scattering of related subjects under different headings (SUBJECT HEADINGS). The list may be altered or extended only by the publisher or issuing agency. (From Harrod's Librarians' Glossary, 7th ed, p163) Controlled Vocabulary,Thesaurus,Controlled Thesauri,Controlled Thesaurus,Thesauri,Controlled Vocabularies,Thesauri, Controlled,Thesaurus, Controlled,Vocabularies, Controlled
D020408 Health Insurance Portability and Accountability Act Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information. HIPAA,Kassebaum Kennedy Act,Kennedy Kassebaum Act,PL 104-191,Public Law 104-191,United States Health Insurance Portability and Accountability Act,PL104-191,PL104 191,Public Law 104 191
D038801 International Classification of Diseases A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S. ICD Code,ICD Codes,ICD-10,ICD-9,International Classification of Disease,ICD-10 Procedure Coding System,ICD-10-CM,ICD-10-PCS,ICD-11,ICD-9-CM,International Classification of Disease Codes,International Statistical Classification of Diseases and Related Health Problems,Code, ICD,Codes, ICD,Disease International Classification,Disease International Classifications,ICD 10 Procedure Coding System

Related Publications

October 2005, Journal of AHIMA,
January 2012, Perspectives in health information management,
Copied contents to your clipboard!