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Workers' compensation -- HIPAA 835 Health care claim payment/remittance advice



5221.0405 Incorporations by reference

The following documents are incorporated by reference to the extent cited in this chapter. Many of these documents may be accessed through the Internet by contacting the organization listed.

A. The International Classification of Diseases, Clinical Modification, 9th revision, 1991 (ICD-9-CM). It is subject to frequent change. It is published by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, and may be purchased through the Superintendent of Documents, United States Government Printing Office, Washington, D.C.  20402. It is available through the Minitex interlibrary loan system.

B. The Centers for Medicare and Medicaid Services claim form (CMS-1500)(U2)(12-90), and any subsequent revisions. It is not subject to frequent change. It is developed by the National Uniform Claim Committee, and may be purchased through the Superintendent of Documents, United States Government Printing Office, Washington, D.C.  20402, telephone number (202) 512-1800. It is available through the Minitex interlibrary loan system.

C. The Uniform Billing Claim form (UB-92, CMS-1450) developed by the National Uniform Billing Committee, and any subsequent revisions. The Centers for Medicare and Medicaid Services determines the standards for printing this form. It is not subject to frequent change. It may be purchased through the Superintendent of Documents, United States Government Printing Office, P.O. Box 371954, Pittsburgh, PA,  15250, telephone number (202) 512-1800 or from local commercial business office supply stores. It is available through the Minitex interlibrary loan system.

D. The Physician's Current Procedural Terminology, (CPT manual) 4th edition, 1998, 1999, 2000, and any subsequent revisions. CPT codes are subject to frequent change. They are published by and may be purchased from the American Medical Association, Order Department:  OP054196, P.O. Box 10950, Chicago, IL  60610. They are available through the Minitex interlibrary loan system.

E. The alphanumeric Healthcare Common Procedure Coding System (HCPCS manual), 2006 edition, (previously known as the HCFA Common Procedural Coding System (HCPCS manual) for the 1998 through 2003 editions and Healthcare Procedure Coding System (HCPSC manual) for the 2004 and 2005 editions), and any subsequent revisions. It is subject to frequent change. It is published by the Practice Management Information Corporation (PMIC) under the authority of the Centers for Medicare and Medicaid Services and may be purchased from Minnesota's Bookstore, (651) 297-3000 or 1-800-657-3757, medical bookstores, or through PMIC, 4727 Wilshire Blvd., Suite 300, Los Angeles, CA  90010, 1-800-633-7467, or www.pmiconline.com. It is available through the Minitex interlibrary loan system.

F. Minnesota Standards for the Use of the CMS 1500 Claim Form, CMS-1500 Manual, fifth edition, effective May 19, 2004 (previous editions were known as the Minnesota Standards for the Use of the HCFA 1500 Claim Form), and any subsequent revisions adopted by the Department of Health under Minnesota Statutes, sections 62J.52 and 62J.61. It is subject to frequent change. It is published by the Administrative Uniformity Committee in conjunction with the Department of Health pursuant to Minnesota Statutes, sections 62J.52 and 62J.61. It is available on the Internet at www.mmaonline.net or it may be purchased from Minnesota's Bookstore, (651) 297-3000 or 1-800-657-3757. It is available through the Minitex interlibrary loan system.

G. The Minnesota UB-92 Manual, 1994, and any subsequent revisions adopted by the Department of Health pursuant to Minnesota Statutes, sections 62J.52 and 62J.61. It is subject to frequent change. It is developed by the Minnesota Uniform Billing Committee incorporating standards established by the National Uniform Billing Committee. It is published by and may be purchased from the Minnesota Hospital Association, Education Division, 2550 University Avenue West, Suite 350 S, St. Paul, MN  55114-1900, (651) 641-1121 or 1-800-462-5393. It is available through the Minitex interlibrary loan system.

H. The National Drug Code Directory, published, maintained, and distributed by the federal Department of Health and Human Services, U.S. Food and Drug Administration. The directory is available for viewing or printing free of charge on the Internet at the U.S. Food and Drug Administration's Web site at www.fda.gov/cder/ndc/. The directory is subject to frequent change and amendments to the directory are also incorporated by reference into this chapter.

Statutory authority:  MS s 175.171; 176.101; 176.135; 176.1351; 176.136; 176.231; 176.83

History:  18 SR 1472; 20 SR 530; 25 SR 1142; L 2002 c 277 s 32; 30 SR 1053

Posted:  June 11, 2008

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