Health Insurance Reform: Standards for Electronic Transactions. 1. Code set


Comment: One commenter stated that the definition of code set should be expanded to include factors such as functional status, in order to clarify that a code set is not limited to “medical” terms.

Response: We have defined “code set” very broadly to encompass any set of codes used to encode data elements. Many code sets (such as revenue codes) are nonmedical in nature and are designated within the transaction standards. We are separately designating standards for medical data code sets used in the transaction.