RFI #
1174
Local Codes used by multipayer
Description
In discussion of the 835 the question was raised regarding (state payer) using Local Codes -"In a multipayer program there will be some codes that will not be standard... CMS has been aware of the State Payer / Multi-Payer approach for years..." Not sure if local codes are allowed on HIPAA compliant transactions, irrespective of payer? Please explain how to accommodate the need to use local codes for State Payer. Need to understand how to handle it in5010. Can ANSI X12 standards committee provide examle/definition of local codes used in multi-payer approach?
RFI Response
Neither 4010 X091 nor 5010 X221 include any support for local health plan procedure codes. See HIR 1169
DOCUMENT ID
005010X221