HIPAA Level 5 Code Lists Supported in Sterling B2B Integrator
Sterling B2B Integrator supports the following external code lists for HIPAA Level 5. For more information on a specific code list, including the format expected by Sterling B2B Integrator click the corresponding Application Code List name.
| External Code List Name | Application Code List Name | Code List ID | Map Name to be Used |
|---|---|---|---|
| ABA Routing Number | ABARouting | 4 | ABARouting |
| Advanced Billing Concepts (ABC) Codes | ABCCodes | 843 | ABCCodes |
| Claim Adjustment Reason Code | AdjustmentReason | 139 | AdjustmentReason |
| Admission Source Code | AdmissionSource | 230 | AdmissionSource |
| Admission Type Code | AdmissionType | 231 | AdmissionType |
| Ambulatory Payment Classification | APC | 468 | APC |
| Bill Type 1 | BillType1 | 236 | BillType1 |
| Bill Type 2 | BillType2 | 236 | BillType2 |
| Canadian Financial Institution Branch and Institution Number | CanadianInstitution | 91 | CanadianInstitution |
| American Dental Association | CDT | 135 | CDT |
| Claim Frequency Type Code | ClaimFrequency | 235 | ClaimFrequency |
| Health Care Claim Status Category Code | ClaimStatusCategory | 507 | ClaimStatusCategory |
| Health Care Claim Status Code | ClaimStatus | 508 | ClaimStatus |
| Centers for Medicare and Medicaid Services Plan ID | CMMSNProviderID | 540 | Not applicable. Click the application code list name for more details. |
| Centers for Medicare and Medicaid Services National Provider Identifier | CMMSNProviderID | 537 | CMMSNProviderID |
| National Uniform Billing Committee (NUBC) Codes | Condition | 132 | Condition |
| Countries or Regions, Currencies, and Funds | Countries or Regions | 5 | Countries or Regions |
| Current Procedural Terminology | CPT | 133 | CPT |
| Countries or Regions, Currencies, and Funds | Currencies | 5 | Currencies |
| International Organization for Standardization (Date and Time) | DateTime | 94 | Not applicable. Click the application code list name for more details. |
| (DFI) Identification Number | DFI | 60 | Not applicable. Click the application code list name for more details. |
| Centers for Medicare and Medicaid Services (CMS) Durable Medical Equipment Regional Carrier (DMERC) Certificate of Medical Necessity (CMN) Forms | DMERCCMN | 582 | Not applicable. Click the application code list name for more details. |
| Military Rank and Health Care Service Region | DOD1Rank | DOD1 | Not applicable. Click the application code list name for more details. |
| Paygrade | DOD2Paygrade | DOD2 | Not applicable. Click the application code list name for more details. |
| Eligibility Category | DODEligibility | 844 | Not applicable. Click the application code list name for more details. |
| Diagnosis Related Group Number | DRG | 229 | DRG |
| DUNS Number | DUNS | 16 | DUNS |
| FIPS-55 | FIPS55 | 43 | FIPS55 |
| Form Type Codes | FormTypeCodes | 656 | FormTypeCodes |
| Government Bill of Lading Office Code | GBLOC | 206 | Not applicable. Click the application code list name for more details. |
| Health Industry Number | H1N | 121 | H1N |
| Healthcare Common Procedural Coding System | HCPCSCPT | 130 | HCPCSCPT |
| Home Infusion EDI Coalition Product/Service Code List | HIEC | 513 | HIEC |
| Health Insurance Prospective Payment System Rate Code for Skilled Nursing Facilities | HIPPS | 716 | HIPPS |
| International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) | ICD9 | 131 | ICD9 |
| International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) | ICD10CM | 897 | ICD10CM |
| International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) | ICD10PCS | 896 | ICD10PCS |
| Country or Region Subdivision | ISO3166 | 5 | Not applicable. Click the application code list name for more details. |
| Languages (ISO 639) | ISO639 | 102 | ISO639 |
| Logical Observation Identifier Names and Codes | LOINC | 663 | LOINC |
| National Association of Insurance Commissioners Code | NAIC | 245 | NAIC |
| National Council for Prescription Drug Programs Pharmacy Number | NCPDPProviderID | 307 | NCPDPProviderID |
| National Drug Code by Format | NDC10 | 240 | NDC10 |
| National Drug Code by Format | NDC11 | 240 | NDC11 |
| NISO Z39.53 Language Code List | NISOLanguage | 457 | NISOLanguage |
| Nature of Injury Code | NOIC | 284 | Not applicable. Click the application code list name for more details. |
| National Uniform Billing Committee Codes | Revenue | 132 | Revenue |
| National Uniform Billing Committee Codes | Occurrence | 132 | Occurrence |
| National Uniform Billing Committee Codes | OccurrenceSpan | 132 | OccurrenceSpan |
| Occupational Injury and Illness | OIICM | 407 | Not applicable. Click the application code list name for more details. |
| Patient Status Code | PatientStatus | 239 | PatientStatus |
| Place of Service Codes for Professional Claims | POS | 237 | POS |
| Classification of Race or Ethnicity Note: For
Race, the different external code lists are stored in the same database
in Sterling B2B Integrator.
|
Race | 859 | Race |
| Race or Ethnicity Collection Code Note: For
Race, the different external code lists are stored in the same database
in Sterling B2B Integrator.
|
Race | 860 | Race |
| National Council for Prescription Drug Programs Reject/Payment Codes | Reject | 530 | Reject |
| Remittance Advice Remark Codes | RemittanceRemark | 411 | WPCEDI841 |
| States and Provinces | States | 22 | States |
| Society for Worldwide Interbank Financial Telecommunication | SWIFT_Addresses and SWIFT_BaseAddresses | 327 |
|
| Health Care Provider Taxonomy | Taxonomy | 682 | WPCEDI841 |
| American Dental Association | ToothNumber | 135 | ToothNumber |
| Treatment Codes | TreatmentCodes | 359 | TreatmentCodes |
| Universal Postal Codes | UPC | 932 | UPC |
| ZIP Code | US_ZIPcode | 51 | US_ZIPcode |
| National Uniform Billing Committee Codes | Value | 132 | Value |
| Workers Compensation Specific Procedure and Supply Codes | WorkersComp | 576 | Not applicable. Click the application code list name for more details. |