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Frequently Asked Questions for Code Sets

View questions and answers about the nationwide standards for code sets used in the HIPAA compliant electronic health care transactions.

Q1:

How do I know how to correctly code my claim?

A:

Q2:

What organization developed the ICD-10 code set?

A:

The World Health Organization (WHO), a specialized agency of the United Nations, owns and publishes the ICD code sets (including ICD-10).

Q4:

Why are code sets used in nationwide electronic health care transactions?

A:

By using standardized code sets, providers across the nation can easily and efficiently communicate with one another in order to serve patients and conduct administrative transactions.  In other words, the use of standardized code sets improves the interoperability of health care payers and providers by normalizing the “language” that is used.

Last Updated: February 10, 2025
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