Code Set (Health Care) Law and Legal Definition

Code set means any set of codes together with the descriptors of the codes that is used for encoding data elements, such as tables of terms, medical concepts, medical diagnostic codes, or medical procedure codes. Code sets are used by physicians who do certain business transactions electronically. It is usually used in inpatient settings for coding diagnoses and inpatient hospital procedures and in physicians’ offices and other outpatient settings for diagnoses. In the U.S., the Health Insurance Portability and Accountability Act medical coding regulations standardize the code sets health care organizations use to process health care data.