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Transactions & Code Sets Rule and Related Links

Accredited Standards Committee (ASC X12)
ASC X12 develops and maintains standards for inter-industry electronic interchange of business transactions.

American Dental Association (ADA)
This site is a resource to order the Current Dental Terminology 3rd Edition codes (CDT-3, HCPCS Level II "D" codes) , and for the Dental Content Committee (DeCC) that sets standards for the dental claim form and maintains dental codes.

American Medical Association (AMA)
This site is a resource for the Current Procedural Terminology 4th Edition codes (CPT-4). The AMA copyrights the CPT codes.

Centers for Medicare & Medicaid Services
This federal site provides various information regarding HIPAA implementation.

Designated Standard Maintenance Organizations (DSMO)
This site is a resource for information about the standard setting organizations, and transaction change request system.

Health Care Common Procedure Coding System I
This federal site contains the alpha-numeric Health Care Procedure Coding System (HCPCS).

Health Care Common Procedure Coding System II
This site contains information related to the Healthcare Common Procedure Coding System (HCPCS).

Health Care Financing Administration (HCFA) Place of Service Codes
This site is a resource for place of service codes for professional claims.

Health Level Seven (HL7)
Health Level Seven is one of several ANSI accredited Standards Development Organizations (SDO), and is responsible for clinical and administrative data standards.

National Council of Prescription Drug Programs (NCPDP)
The NCPDP is the standards and codes development organization for pharmacy.

National Drug Code Directory (NCD)
This site is a resource for the National Drug Code Directory.

National Medicaid EDI HIPAA Workgroup
This site provides information regarding the national Medicaid collaborative effort to share solutions to HIPAA implementation.

National Uniform Billing Committee (NUBC)
NUCB is affiliated with the American Hospital Association, and develops standards for institutional claims.

Public Health Data Standards Consortium (PHDSC)
PHDSC is a part of the CDC's National Center for Health Statistics, and represents Public Health interests.

Washington Publishing Company (WPC)
WPC is a resource for HIPAA required transaction implementation guides and code sets.