Under the Health Insurance Portability and Accountability Act (HIPAA), means the sharing, employment, application, utilization, examination, or analysis of individually identifiable health information within an entity that maintains such information.

Cross-reference phrase used in ICD-9-CM, Volume 1, Tabular List, that follows a main term description indicating that an additional code should be used if the information is available to provide a more complete picture of the diagnosis.

Under the Health Insurance Portability and Accountability Act (HIPAA), disclosure is when a patient’s medical information is released to an individual or entity outside of the medical practice’s organization and use is when information is shared within the medical office to facilitate patient treatment.

Method used by insurance companies and managed care plans to establish their fee schedules in which three fees are considered in calculating payment: (1) The usual fee is the fee typically submitted by the physician, (2) the customary fee falls within the range of usual fees charged by providers of similar training in a geographical area, and (3) the reasonable fee meets the aforementioned criteria or is considered justifiable because of special circumstances.