Records / Laws and rulings

HIPAA Safe Harbor: geography and the three-digit ZIP rule (45 CFR 164.514(b)(2)(i)(B))

Anything more precise than a state goes. A three-digit ZIP prefix may stay only where the area it covers holds more than 20,000 people; otherwise it becomes 000.

Dated 17 Oct 2026Source checked 17 Oct 2026Basis: primary text

In the source's own words
“All geographic subdivisions smaller than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes, except for the initial three digits of a zip code if, according to the current publicly available data from the Bureau of the Census: ... The geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people; and ... The initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000.”
HIPAA Safe Harbor: geography and the three-digit ZIP rule (45 CFR 164.514(b)(2)(i)(B)) | AIData.Broker