PCI DSS 4.0 vs HIPAA Security Rule
What is the difference between PCI DSS 4.0 and HIPAA Security Rule?
PCI DSS 4.0 is a financial services framework applying in International, with 168 controls across 12 domains. HIPAA Security Rule is a healthcare framework applying in the United States, with 66 controls across 8 domains. They govern different subjects, so the overlap is limited to the governance requirements they share. The mapping below shows where that is.
Measured coverage between these frameworks
We map controls between these two frameworks in a knowledge graph and have a person review every mapping before it is published. Below is what that review found. The figures are read live from the graph, not written by hand.
HIPAA Security Rule into PCI DSS 4.0
16.9%42 of 249 PCI DSS 4.0 controls carry evidence from HIPAA Security Rule, leaving 207 to satisfy separately.
269 candidate mappings were examined and 208 were rejected on review, signed off 2026-08-19.
Read the full crosswalk, including every rejected mapping →PCI DSS 4.0 into HIPAA Security Rule
55.2%37 of 67 HIPAA Security Rule controls carry evidence from PCI DSS 4.0, leaving 30 to satisfy separately.
132 candidate mappings were examined and 55 were rejected on review, signed off 2026-08-19.
Read the full crosswalk, including every rejected mapping →Coverage is directional. Mapping A into B is a different measurement from B into A, because the two standards do not carry the same depth on the same subjects.
Questions people ask about PCI DSS 4.0 and HIPAA Security Rule
What is the difference between PCI DSS 4.0 and HIPAA Security Rule?
Do I need both PCI DSS 4.0 and HIPAA Security Rule?
How do PCI DSS 4.0 and HIPAA Security Rule controls map to each other?
Which framework should I implement first, PCI DSS 4.0 or HIPAA Security Rule?
Each framework on its own
Comparisons people read next
Each of these compares one of the two standards above against another it shares controls with.
See all control mappings with interactive gap analysis
Explore the complete mapping between PCI DSS 4.0 and HIPAA Security Rule on our compliance platform.