Coast Guard Transport - 3418M1130X, Transportation Network Company - 342000000X, Secured Medical Transport (VAN) - 343800000X, Non-emergency Medical Transport (VAN) - 343900000X. WebCMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This document walks the CMS Medicare specialty codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. %PDF-1.7 % Content on this page is from the provider manual | Disclaimer, Claims remittance advice and reimbursement, Search NPI registry for providers and facilities, Billing provider NPI, the minimum information needed to process a claim, Pay-to provider NPI, if different from the billing provider, Service location NPI, if different from the billing address, Billing provider taxonomy code, a combination of tax ID, NPI, and taxonomy code that replaces the Medicare facility number for hospital payment methodology, Pay-to provider taxonomy code, if different from the billing provider. The goal of the mapping solution is to identify the appropriate MPN for provider claim adjudication. The Code Set is maintained by the National Uniform Claim Committee. authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically The summary of changes for Version 5.1 is as follows: Additions: Provider Taxonomy Value: 170300000X Provider Taxonomy Value: 171000000X Provider Taxonomy Value: 1710I1002X Provider Taxonomy Value: 1710I1003X Healthcare Provider Taxonomy Code Set (HPTC) Theyre copyrighted by the American medical Association and jointly published with the National Uniform Claim Committee. Please visit the Washington This Agreement will terminate upon notice to you if you violate the terms of the Agreement. 5010 Headache Mar 6, 2012 taxonomy codes by the Washington Publishing To purchase a subscription to these code lists, please contact us by email at admin@wpc-edi.com or phone at (425) 562-2245. endobj endstream endobj 133 0 obj <>stream <>stream As such, WPC provides technology, support, publishing, and licensing services for the ongoing maintenance and development of the X12 Standard, implementation guides, and several code lists. The responsibility for the content of this product is with THHS, and no endorsement by the AMA is intended or implied. CMS DISCLAIMER. WebContact us at 877-524-5027. Coast Guard Transport - 3418M1120X, Military/U.S. CPT only copyright 2022 American Medical Association. K8+\+uIfknLuBzu8!#u:F29I9">%+1p40tt0t0Xt00Tt@ F j` b6 f Claims submitted with invalid taxonomy codes will be rejected. Children's Health Insurance Program (CHIP), Updated Taxonomy Codes Effective for Some Medicaid and CSHCN Services Program Providers on April 1, 2021. 0 Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, 515 N. State Street, Chicago, Illinois, 60610. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. All rights reserved. Consequently, Medicaid highly recommends that providers utilize the medical taxonomy codes table found on the DMA website when choosing a code for their organization. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. WebThe Healthcare Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. x\o8EZ68wk}b+Uo>{EmY"97QgE9I'x~|V.|y/"-gb}u]/Y:Sq#_#BE("7Ev|?(on i??>Oo@|GI'5td]O#IPt=q ?O_O|>>1G0f*;ye~[e7'"W_l}Qx{0?WW1|s"9>N27*[|gAmnMs%}+N. Washington Publishing Company. 147 0 obj <>/Filter/FlateDecode/ID[<6726DF3D1D44314CB49B6107E056D346><4BE3F6F113D1F045A1EBFBD27BBD10BE>]/Index[126 52]/Info 125 0 R/Length 106/Prev 129215/Root 127 0 R/Size 178/Type/XRef/W[1 3 1]>>stream CPT is a registered trademark of American Medical Association. Provider Taxonomy, Claim Adjustment Reason Code (CARC), Washington Publishing Company webpage ALTSA provider update alerts See the ALTSA listserv page HCA Provider Alerts See the agencys Provider Alerts webpage. Washington, D.C. 20201 If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". The Code Set is maintained by the National Uniform Claim Committee. This Agreement will terminate upon notice if you violate its terms. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. 0QEJv->/XObject<>>>/Contents 9 0 R/Parent 6 0 R>> Source: Washington Publishing Company, Health Care Provider Taxonomy Code Set. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. 177 0 obj <>stream The site is secure. WebGuideline: Medicare does not require that taxonomy codes be submitted in order to adjudicate claims, but will accept the taxonomy code, if submitted. Web261QP2000X Physical Therapy Clinic/Center The Healthcare Provider Taxonomy Code Set is ahierarchical code set that consists of codes,descriptions, and definitions. 3 0 obj to see most of the The taxonomy code list is grouped into three distinct levels that include the Provider Type, Classification, and Specialization Area. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Supported browsers: The Code Set is a Health Insurance Portability and Accountability (HIPAA) For your reference, the new, deleted, and changed codes effective April 1, 2010, are listed below. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. including individuals with disabilities. The descriptions of the following Taxonomy Codes were changed: Behavioral Health & Social Service Providers; Psychologist; Intellectual & Developmental Disabilities, 251S00000X (A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Webagainst the taxonomy code set published at the Washington Publishing Companys website. The Code Set is a Health Insurance Portability and Accountability (HIPAA) 100-04 Medicare Claims Processing: Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1. The following is a complete listing of all taxonomy codes grouped by type. on the guidance repository, except to establish historical facts. WPC provides technology to support online collaboration for NCPDP participants, publishes its online data dictionary and external code lists, and produces machine readable representations of each for NCPDP subscribers. Toll Free Call Center: 1-877-696-6775. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT "). AQ%q+}I)C.sYfjwzhfV CG@.g] 5A '$u The National Council for Prescription Drug Programs is an ANSI-accredited, not-for-profit membership organization using aconsensus-based process for standards development. WebWashington Publishing Company Taxonomy Code Coupons, Promo Codes 03-2021. WebSee a complete list of all current and deactivated Claim Adjustment Reason Codes and Remittance Advice Remark Codes on the X12.org website. Like Medicare, we will recognize the following taxonomy codes for hospital units: Additional taxonomy codes and information can be found on the Washington Publishing Company website. Taxonomy Code. A federal government website managed by the The National Provider Identifier (NPI) is #1255393542, which was assigned on April 4, 2006, and the registration record was last updated on July 8, 2007. The HPTC is a Provider Classification System, which codifies provider types and areas for all medical-related providers. Web3 Identification Codes and Numbers 3.1 Provider Identifiers APEX requires all submitters to use one of the following combinations of identifiers until further notice: Combination of the NPI or Taxonomy Exception with the TIN. Although the NUCC generally posts their updates on the Washington Publishing Company (WPC) web page 3 months prior to the effective date, changes are not effective until April 1 or October 1 as indicated in each update. HSMo@WqWESV5%{Jz0"wf DDA]H!5C!B~G$H/mt/uZZ43",TNn.^]KPVH "22l*E?z1MXX'#=8{ceE\Y:Z-v:Z. Washington Publishing Company. 11 0 obj Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.). At a minimum, include the following information on both electronic (837i) and paper (UB-04) claims: In addition to the information applicable to all providers, hospitals are asked to include the following information on both electronic and paper claims: Kaiser Permanente's hospital billing requirements are in line with those of Medicare. CDT is a trademark of the ADA. stream WebTaxonomy Code Mapping Facility Providers Facility Type Taxonomy Code Washington Publishing Company Taxonomy Code Detail (www.wpc-edi.com/taxonomy) The code list is available from the Washington Publishing Company (http://www.wpc-edi.com/codes/taxonomy) as both a free PDF download, and a purchasable electronic list to facilitate automatic loading of the code set. The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. The Health Care Provider Taxonomy code set is a comprehensive listing of unique ten-character alphanumeric codes. Applications are available at the American Medical Association website, www.ama-assn.org/go/cpt. You, your employees and agents are authorized to use CPT only as contained in materials on the Texas Medicaid & Healthcare Partnership (TMHP) website solely for your own personal use in directly participating in healthcare programs administered by THHS. 2801 0 obj <> endobj HSMo0W)`Yd} E&i(vz'meu,6D>=}E2j^3_uPZovU4;O'Jz#:Yq `! 20Bi& DD1a Vd) jt00``5PAdwFdS`h A:ESi6 P'%&202gX0j4$-fBh_Q @z{L -Pl@~/y@ 0w A complete list of taxonomy xIs0|wtfb.ItJ="A$9+ 89tA6=E(O /0Tu~&ZUm% raoNPM8#tz. xWXY;WQ^\eUjQetP^*7@$S'I4o. n%Ha1&r37Ib-xX5* The code set is maintained by the Washington Publishing Company. ALL rights reserved. available through X12 at X12.org/products. <>/XObject<>>>/Contents 9 0 R/Parent 6 0 R>> Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. WebTaxonomy codes have three distinct levels: Level I is the provider type, Level II is Classification, and Level III is the Area of Specialization. How can health care providers obtain an NPI? X12, chartered by the American National Standards Institute, develops and maintains cross-industry standardswhich drive business processes globally. BY USING THIS SYSTEM YOU ACKNOWLEDGE AND AGREE THAT YOU HAVE NO RIGHT OF PRIVACY IN CONNECTION WITH YOUR USE OF THE SYSTEM OR YOUR ACCESS TO THE INFORMATION CONTAINED WITHIN IT. The National Uniform Claim Committee is in charge of maintaining the materials that contain these codes, which are produced by the Washington Publishing Company (NUCC). 2 0 obj WebThe Healthcare Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. [Federal Register Volume 88, Number 81 (Thursday, April 27, 2023)] [Rules and Regulations] [Pages 25740-25923] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2023-08368] [[Page 25739]] Vol. How long will it take to receive an NPI? hbbd```b``@$%* /On`W`r!de@'.IAq)Y$gml 30?0 G| That Code Set is available from the Washington Publishing Company. endstream endobj 134 0 obj <>stream Healthcare Provider Taxonomy Code Set ANY UNAUTHORIZED USE OR ACCESS, OR ANY UNAUTHORIZED ATTEMPTS TO USE OR ACCESS, THIS SYSTEM MAY SUBJECT YOU TO DISCIPLINARY ACTION, SANCTIONS, CIVIL PENALTIES, OR CRIMINAL PROSECUTION TO THE EXTENT PERMITTED UNDER APPLICABLE LAW. If more than one taxonomy code is selected, one of the selected codes must be identified as the primary taxonomy. 4 0 obj How can health care providers report NPIs to Independence? Level II, Classification This is a more specific classification related to the Provider Type. Process: When HRP0343U(W0TR2P0P9C WebImplementation guide and codes The following materials are available from Washington Publishing Company to assist you in your submissions: Implementation guides (TR3) Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Webexternal code lists that were previously available on wpc-edi.com. BY CLICKING BELOW ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires covered entities to use the Washington Publishing Company (WPC). 103GC0700X 103TE1000X 103TM1700X 103TP2700X 103TW0100X 1835G0000X 213EG0000X 287300000X 2865C1500X 317400000X. endstream endobj 132 0 obj <>stream WebSubject: Healthcare Provider Taxonomy Codes (HPTC) Update I. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago IL 60611. I94s]KB'KqkF3|Zulof3VYLz%.votuan]N3SD!ts+c?meNlx Mwh6}|@.v1G|GGp:j.duvh(j/:Ikly!BmN|{bYd5[P{bp_ > x}Rj0}W{(N;&]XHm3,q+ This product includes CDT, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago Illinois, 60611. 0 (e41$.x[r*&X XwI- O-nj#KT?+qW>ib6wI&JCJ{jN@Z4D)z)R-&xm/l9Z]4'sVv}n~SHZ(fW"n3"ChpyC}?h8]A;,/MFwI:N}J|&tT;nO>7,YMTQ{4kiD#dI&uM~7r>q^p>w8~SSzS_moSD\5?K~ mmuKqmgCUP?` l ----------------------- For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413. hb```vfNoAd`a`bK* Aef@;X|^H0~Ncv@A|G>LVpP|Zhc*B f,?X2 3$DjwsU;:\9si+B00H.Hl6`qbI[IEaLy^M]M,10!ykk'm76p =%h5OIlhE%J]gms8bb%3K Paper remittance advices will include both the NPI and subprovider information in the header. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. Author: Kaplan, Amy E. (EHS) Created Date: Issued by: Centers for Medicare & Medicaid Services (CMS). What is my Primary Provider Taxonomy Code? @8+f%Xa2 ( G03f9hD24ZNfihZiVs=K I 2 "!WwiMPz }9]qti%e$7%WGR@\{6%o%<0%AL(Pt9wB~ziOre4fMeA8IS1+35j`DrZ0(BBNtR(R~G- @, WPC works with its clients to analyze their processes and identify opportunities for improvement in terms of consistent, predictable, and high-quality publishing and licensing of their work. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. %%EOF WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. 4. %PDF-1.7 <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 26 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Webexternal code lists that were previously available on wpc-edi.com. The American Medical Association is the largest and only national association that convenes 190+ state and specialty medical societies and other critical stakeholders. B0HH(+\K! WebDBH TAXONOMY CODE LIST Discipline Primary Taxonomy Code Case Manager Case Manager/Care Coordinator: 171M00000X Note: person does not have registration, license or waiver Social Worker II Mental Health Specialist Counselor: 101Y00000X Note: person does not have registration, license or waiver Registered Associate Clinical Social Worker (ASW) Electronic 835 remittance advices have been sorted by NPI since May 2008. endstream endobj 2802 0 obj <. Taxonomy codes consist of 10 alphanumeric characters always terminating with the letter "X." Behavioral Health & Social Service Providers, Physician Assistants & Advanced Practice Nursing Providers, Podiatric Medicine & Surgery Service Providers, Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Speech, Language and Hearing Service Providers, Technologists, Technicians & Other Technical Service Providers, Local Education Agency (LEA) - 251300000X, Day Training, Developmentally Disabled Services - 251C00000X, Hospice Care, Community Based - 251G00000X, Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X, Early Intervention Provider Agency - 252Y00000X, Independent Medical Examiner - 202C00000X, Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X, Neuromusculoskeletal Medicine & OMM - 204D00000X, Oral & Maxillofacial Surgery - 204E00000X, Physical Medicine & Rehabilitation - 208100000X, Physical Medicine & Rehabilitation - 2081H0002X, Physical Medicine & Rehabilitation - 2081N0008X, Physical Medicine & Rehabilitation - 2081P0004X, Physical Medicine & Rehabilitation - 2081P0010X, Physical Medicine & Rehabilitation - 2081P0301X, Physical Medicine & Rehabilitation - 2081P2900X, Physical Medicine & Rehabilitation - 2081S0010X, Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X, Advanced Practice Dental Therapist - 125K00000X, Dental Laboratory Technician - 126900000X, Dietetic Technician, Registered - 136A00000X, Personal Emergency Response Attendant - 146D00000X, Emergency Medical Technician, Paramedic - 146L00000X, Emergency Medical Technician, Intermediate - 146M00000X, Emergency Medical Technician, Basic - 146N00000X, Medicare Defined Swing Bed Unit - 275N00000X, Rehabilitation, Substance Use Disorder Unit - 276400000X, Religious Nonmedical Health Care Institution - 282J00000X, Christian Science Sanitorium - 287300000X, Military Clinical Medical Laboratory - 291900000X, Exclusive Provider Organization - 302F00000X, Health Maintenance Organization - 302R00000X, Preferred Provider Organization - 305R00000X, Intermediate Care Facility, Mental Illness - 310500000X, Alzheimer Center (Dementia Center) - 311500000X, Nursing Facility/Intermediate Care Facility - 313M00000X, Intermediate Care Facility, Intellectual Disabilities - 315P00000X, Licensed Psychiatric Technician - 167G00000X, Day Training/Habilitation Specialist - 373H00000X, Religious Nonmedical Practitioner - 374K00000X, Religious Nonmedical Nursing Personnel - 374T00000X, Medical Genetics, Ph.D. Medical Genetics - 170100000X, Military Health Care Provider - 171000000X, Military Health Care Provider - 1710I1002X, Military Health Care Provider - 1710I1003X, Case Manager/Care Coordinator - 171M00000X, Lactation Consultant, Non-RN - 174N00000X, Nurse Anesthetist, Certified Registered - 367500000X, Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X, Residential Treatment Facility, Physical Disabilities - 320700000X, Community Based Residential Treatment Facility, Mental Illness - 320800000X, Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X, Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X, Psychiatric Residential Treatment Facility - 323P00000X, Substance Abuse Rehabilitation Facility - 324500000X, Substance Abuse Rehabilitation Facility - 3245S0500X, Clinical Exercise Physiologist - 224Y00000X, Occupational Therapy Assistant - 224Z00000X, Occupational Therapy Assistant - 224ZE0001X, Occupational Therapy Assistant - 224ZF0002X, Occupational Therapy Assistant - 224ZL0004X, Occupational Therapy Assistant - 224ZR0403X, Pulmonary Function Technologist - 225B00000X, Recreational Therapist Assistant - 226000000X, Respiratory Therapist, Certified - 227800000X, Respiratory Therapist, Certified - 2278C0205X, Respiratory Therapist, Certified - 2278E0002X, Respiratory Therapist, Certified - 2278E1000X, Respiratory Therapist, Certified - 2278G0305X, Respiratory Therapist, Certified - 2278G1100X, Respiratory Therapist, Certified - 2278H0200X, Respiratory Therapist, Certified - 2278P1004X, Respiratory Therapist, Certified - 2278P1005X, Respiratory Therapist, Certified - 2278P1006X, Respiratory Therapist, Certified - 2278P3800X, Respiratory Therapist, Certified - 2278P3900X, Respiratory Therapist, Certified - 2278P4000X, Respiratory Therapist, Certified - 2278S1500X, Respiratory Therapist, Registered - 227900000X, Respiratory Therapist, Registered - 2279C0205X, Respiratory Therapist, Registered - 2279E0002X, Respiratory Therapist, Registered - 2279E1000X, Respiratory Therapist, Registered - 2279G0305X, Respiratory Therapist, Registered - 2279G1100X, Respiratory Therapist, Registered - 2279H0200X, Respiratory Therapist, Registered - 2279P1004X, Respiratory Therapist, Registered - 2279P1005X, Respiratory Therapist, Registered - 2279P1006X, Respiratory Therapist, Registered - 2279P3800X, Respiratory Therapist, Registered - 2279P3900X, Respiratory Therapist, Registered - 2279P4000X, Respiratory Therapist, Registered - 2279S1500X, Audiologist-Hearing Aid Fitter - 237600000X, Hearing Instrument Specialist - 237700000X, Student in an Organized Health Care Education/Training Program - 390200000X, Military/U.S. Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. The first four alphanumeric characters indicate its Level 2 Classification. <> %PDF-1.5 % That Code Set is available from the Washington Publishing Company. :{"Dn N^%~,xlr"5xf_sm}Ri@^e79FaNP6n3u RDs9 ti!DE `xzp#d60qEXGHK)umVAG8^)3Y.&A[)ORa. <> The majority of WPCs publications are The scope of this license is determined by the ADA, the copyright holder. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. 3. New Codes . Effective April 1, 2010, the Healthcare Provider Taxonomy Code (HPTC) will be updated. Taxonomy codes are crucial to Medicaid mapping. SUMMARY OF CHANGES: Intermediaries, Carriers, and DME Contractors must obtain the most recent Healthcare Provider Taxonomy Codes (HPTC) list and use it to update their internal HPTC tables. These materials contain Current Dental Terminology, Fourth Edition (CDT), Copyright 2022 American Dental Association (ADA).
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