Utah Administrative Code
Topic - Health
Title R380 - Administration
Rule R380-70 - Standards for Electronic Exchange of Clinical Health Information
Section R380-70-3 - Terms Used in Standards
Universal Citation: UT Admin Code R 380-70-3
Current through Bulletin 2024-06, March 15, 2024
Some terms used in this rule and the standards adopted by this rule are nationally recognized terms within the clinical data exchange community. The following are provided as an aid to the reader:
(1) Health care information codes
(a) "ASA Codes" are the codes contained in
the ASA Relative Value Guide developed and maintained by the American Society
of Anesthesiologists to describe anesthesia services and related
modifiers.
(b) "CDT Codes" are the
Current Dental Terminology prescribed by the American Dental
Association.
(c) "CPT Codes" means
the Current Procedural Terminology, published by the American Medical
Association.
(d) "HCPCS" are CMS's
Common Procedure Coding System, a coding system that describes products,
supplies, procedures and health professional services and includes, the
American Medical Association's Current Procedural Terminology codes,
alphanumeric codes, and related modifiers. HCPCS codes are:
(i) "HCPCS Level I Codes" are the CPT codes
and modifiers for professional services and procedures.
(ii) "HCPCS Level II Codes" are national
alphanumeric codes and modifiers for health care products and supplies, and
codes for professional services not included in the AMA's CPT codes.
(e) "ICD-CM Codes" are the
diagnosis and procedure codes in the International Classification of Diseases,
clinical modifications published by the U.S. Department of Health and Human
Services.
(f) "LOINC" means Logical
Observation Identifiers Names and Codes. It is a set of universal codes and
names to identify laboratory and other clinical observations developed by the
Regenstrief Institute.
(g) "NDC"
means the National Drug Codes of the Food and Drug Administration.
(h) "SNOMED" means Systematized Nomenclature
of Medicine maintained and distributed by the International Health Terminology
Standards Development Organisation. It is a systematically organized computer
processable collection of medical terminology.
(2) Electronic Data Interchange Standards
(a) "ASC X12N" are standard formats developed
by the Accredited Standards Committee X12N Insurance Subcommittee of the
American National Standards Institute and the ASC X12N implementation guides
either as promulgated or as modified by another federally registered
SDO;
(b) "HL7" are electronic data
interchange standard formats developed by Health Level 7, which is a standards
development organization accredited by the American National Standards
Institute. The HL7 standard is usually modified into specific implementation
guides by a separate standards development organization;
(c) "NCPDP" are standard formats for the
transfer of data to and from the pharmacy services sector of the healthcare
industry. It is developed by the National Council on Prescription Drug Program,
which is a standards development organization accredited by the American
National Standards Institute.
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