What are the two HIPAA standards code sets mentioned?

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The two HIPAA standards code sets mentioned relate specifically to the classification and reporting of healthcare services and procedures, as well as diagnoses. The correct response identifies the Current Dental Terminology (CDT) and the Healthcare Common Procedure Coding System (HCPCS) as recognized code sets under HIPAA regulations.

CDT is crucial for dental practices, as it provides a uniform nomenclature for dental procedures and services, helping ensure that dental claims can be processed efficiently and accurately. HCPCS, on the other hand, encompasses codes for various medical procedures, supplies, and services, including those that are not covered by the Common Procedural Terminology (CPT) codes. This makes HCPCS vital for overall healthcare billing and documentation.

Together, these code sets facilitate standardized communication within the healthcare system, ensuring compliance with HIPAA requirements regarding the transmission of health information.

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