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CODE SETS
Effective October 16, 2003, a provider must use applicable data
code sets described in the Code of Federal Regulations (162.1002)
and as specified in the implementation specifications. This web
page provides links to some of the specified code sets. Each code
set is valid within the dates specified by the organization responsible
for maintaining the code set.
Utah Medicaid has maintained multiple local codes (Y Codes) for
billing purposes. However with the implementation of HIPAA, Medicaid
is required to use standard medical data code sets which include
HCPCS, ICD-9, NDC, ADA, and CPT-4. The following conversion tables
of Utah Medicaid local codes to standard data code sets are unofficial
documents. Please refer to the Medicaid Information Bulletins (MIBs)
and Provider Manuals for official notice.
Utah Local Code Conversion
Code Sets
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