---
kind: "section"
citation: "45 C.F.R. § 162.2002"
title: "45"
number: "162.2002"
heading: "Standards for health care claims attachments transaction."
url: "https://uscodex.org/cfr/45/162.2002"
---

# §162.2002. Standards for health care claims attachments transaction.


The Secretary adopts the following standards for the period on and after May 26, 2028:

- (a) For transmissions described in [§ 162.2001](/cfr/45/162.2001.md), HL7 CDA Release 2: Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 2—US Realm, Version 2.1.0.1 September 2023 (incorporated by reference, see [§ 162.920](/cfr/45/162.920.md)).
- (b) For transmissions described in [§ 162.2001(a)](/cfr/45/162.2001.md?p=a)—
  - (1) **HL7 Implementation Guide for CDA Release 2—** Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1, Volume One—Introductory Material, August 2015 with 2019 June Errata (incorporated by reference, see [§ 162.920](/cfr/45/162.920.md))
  - (2) **HL7 Implementation Guide for CDA Release 2—** Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1, Volume Two—Templates and Supporting Material, June 2019 (incorporated by reference, see [§ 162.920](/cfr/45/162.920.md)).
- (c) For transmissions described in [§ 162.2001(a)](/cfr/45/162.2001.md?p=a), the ASC X12N/06020X314—Additional Information to Support a Health Care Claim or Encounter (275) (incorporated by reference, see [§ 162.920](/cfr/45/162.920.md)).
- (d) For transmissions described in [section 162.2001(b)](/cfr/45/162.2001.md?p=b) that pertain to [§ 162.2001(a)](/cfr/45/162.2001.md?p=a) transmissions, the ASC X12N/006020X313—Health Care Claim Request for Additional Information (277) (incorporated by reference, see [§ 162.920](/cfr/45/162.920.md)).
- (e) For transmissions described in [§ 162.2001(a)](/cfr/45/162.2001.md?p=a), where a health care provider uses an electronic signature, the HL7 Implementation Guide for CDA Release 2: Digital Signatures and Delegation of Rights, Release 1, Draft Standard for Trial Use, October 2014 (incorporated by reference, see [§ 162.920](/cfr/45/162.920.md)).

## Notes

### Source

Source: 91 FR 14405, Mar. 24, 2026, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1320d—1320d-9 and secs. 1104 and 10109 of Pub. L. 111-148, 124 Stat. 146-154 and 915-917.

### Source

Source: 65 FR 50367, Aug. 17, 2000, unless otherwise noted.