HIPAA: Code Correlations
The Health Insurance Portability and Accountability Act (HIPAA) mandated the standardization of internal (administrative) code sets and the use of standard service/procedure code sets for transactions. The Medi-Cal program is using a phased approach to convert its interim (local) codes to national values. To assist providers with this conversion, Medi-Cal has created correlation tables for the following code sets (implementation is based on dates of service as specified in the below documents):
CODE CORRELATION TABLES
Administrative Code Sets Service/Procedure Code Sets- Immunizations and Vaccines
- Immunization and Vaccine Rates Chart
- Inpatient Revenue Codes
- Orthotics and Prosthetics
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 001 – 099
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 100 – 199
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 200 – 299
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 300 – 399
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 400 – 499
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 500 – 599
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 600 – 699
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 700 – 799
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 800 – 899
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9000 – 9099
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9100 – 9199
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9200 – 9299
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9500 – 9599
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: 9600 – 9699
- Remittance Advice Details (RAD) Electronic Correlation Table to National Codes: HCRC to RAD
Note:
If you cannot view the MS Word or PDF (Portable Document Format) documents correctly, please visit the Web Tool Box to link to a download site for the appropriate reader.