- Health Insurance Portability and Accountability Act (HIPAA) Standard Electronic Transactions
- Medicare Appropriate Health Care Services Type Codes (HCSTC)
- Health Care Services Type Codes (HCSTC) Specific Service Lines
- Insurance Type and Health Care Services Type Codes
- Medical Codes and Health Care Services Type Codes
- Health Care Service Type Codes
- Type of Bill Codes
- ypes of services
- Medicare Specialty Codes
- Medicare Insurance Type Codes
- Type of Service Codes
- ASC X12 Transaction Sets
- Insurance Types
- Medical Codes
Health Care Services Type Codes
Health Care Service Type Codes are used to identify the classification of service or benefits. This external code list is for use in ASC X12 Transaction Sets 270, 271 and 278, versions 006010 and higher. Version 005010 codes are available within the ASC X12 TR3 Implementation Guide. This dataset also contains information on the different service type codes and their descriptions, the start and modified dates, and the status for each code.
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This dataset under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), describes that if a covered entity conducts one of the adopted transactions electronically, they must use the adopted standard either from ASC X12N or NCPDP (for certain pharmacy transactions). Covered entities must adhere to the content and format requirements of each transaction.
For example, a health care provider will send a claim to a health plan to request payment for medical services. The Health Insurance Portability & Accountability Act of 1996 (HIPAA) named certain types of organizations as covered entities, including health plans, health care clearinghouses, and certain health care providers.
In the HIPAA regulations, the Secretary of Health and Human Services (HHS) adopted certain standard transactions for Electronic Data Interchange (EDI) of health care data. These transactions are: claims and encounter information, payment and remittance advice, claims status, eligibility, enrollment and disenrollment, referrals and authorizations, coordination of benefits and premium payment including the Health Care Services Type Codes.
The Centers for Medicare & Medicaid Services (CMS) maintain and annually update a List of Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) Codes (Code List), which identifies all the items and services included within certain DHS categories. CMS updates the Code List to conform the list to the most recent publications of CPT and HCPCS and to account for changes in Medicare coverage and payment policies. The updated Code List is published in the Federal Register as an addendum to the annual Physician Fee Schedule final rule. That rule is usually published in November and generally becomes effective January 1 of the following year. In addition, we may publish other rules or correction notices that may change the Code List. CMS posts any changes to the Code List on its webpage as soon as possible after publication in the Federal Register.
The DHS categories defined by the Code List are:
– Clinical laboratory services;
– Physical therapy services, occupational therapy services, outpatient speech-language pathology services;
– Radiology and certain other imaging services; and
– Radiation therapy services and supplies.
**NOTE**: The following Department of Health Services (DHS) categories are defined at 42 CFR §411.351 without reference to the Code List:
– Durable medical equipment and supplies;
– Parenteral and enteral nutrients, equipment and supplies;
– Prosthetics, orthotics, and prosthetic devices and supplies;
– Home health services;
– Outpatient prescription drugs; and
– Inpatient and outpatient hospital services.
About this Dataset
2009 to 2019
John Snow Labs; Centers of Medicare and Medicaid Services (CMS);
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|Source License Requirements
Health Care Service Type Codes, Type of Bill Codes, ypes of services, Medicare Specialty Codes, Medicare Insurance Type Codes, Type of Service Codes, ASC X12 Transaction Sets, Insurance Types, Medical Codes
Health Insurance Portability and Accountability Act (HIPAA) Standard Electronic Transactions, Medicare Appropriate Health Care Services Type Codes (HCSTC), Health Care Services Type Codes (HCSTC) Specific Service Lines, Insurance Type and Health Care Services Type Codes, Medical Codes and Health Care Services Type Codes
|Health Care Services Type Codes
|required : 1unique : 1
|Description for each Health Care Services Type Code
|required : 1unique : 1
|Date the Health Care Services Type Code started usage
|required : 1
|Date the Health Care Services Type Code was changed/modified
|Date the Health Care Services Type Code was stopped/deactivated
|Code update whether Active, To be Deactivated or Deactivated
|required : 1
|Explanation to redundant and/or replacement Health Care Services Type Code
|Medical Care: Medical services to diagnose and/or treat a medical condition, illness, or injury
|Surgical: Surgical services provided by a healthcare provider
|Consultation: Counseling and/or coordination of care with other Physicians, other qualified Healthcare Providers or agencies
|Diagnostic X-Ray: Diagnostic x-ray provided by a healthcare provider
|Diagnostic Lab: Diagnostic lab provided by a healthcare provider
|Radiation Therapy: Radiation therapy provided by a healthcare provider
|Anesthesia: Anesthesia services provided by a healthcare provider
|Surgical Assistance: Assistant surgeon/surgical assistance provided by a healthcare provider if required because of the complexity of the surgical procedures
|Blood: The allotment of whole blood, blood plasma, or blood derivatives
|Durable Medical Equipment Used: Used equipment needed for medical reasons to be used by a person that is ill or injured and is ordered by a health care provider for use in the home.