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- 16. How do I use the on-line list?
- (Taxonomy More Information)
- User Interface The Taxonomy Code Set is presented as a two-pane web site. The left pane is the Table of Contents (ToC). When an item is clicked in the ToC the right pane displays selected content. The ...
- Created on 01 September 2020
- 17. Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set
- (Provider Characteristics)
- Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set The American Medical Association (AMA) on behalf of the National Uniform Claim Code Committee (NUCC) ...
- Created on 14 April 2009
- 18. Provider Characteristics Code List
- (Provider Characteristics)
- Health Care Provider Characteristics Codes 10 Provider has a medical condition that impairs or limits him/her to practice Effective 1/1/2004 11 Provider receives public funding ...
- Created on 13 April 2009
- 19. Permission to Use and Distribute the Health Care Provider Taxonomy Code Set
- (Provider Taxonomy)
- Permission to Use and Distribute the Health Care Provider Taxonomy Code Set The American Medical Association (AMA) on behalf of the National Uniform Claim Code Committee (NUCC) grants you and your ...
- Created on 01 March 2009
- 20. Provider Characteristics New Codes - 3/23/2020
- (Provider Characteristics)
- New codes added 3/23/2020, effective 4/1/2020 6J This provider offers testing for COVID-19
- Created on 01 March 2009
- 21. Provider Characteristics New Codes 1-1-2021
- (Provider Characteristics)
- ... Provider may be in contract renegotiations Effective 4/1/2021 6N Durable medical equipment & medical supplies related to patient mobility assistance is available at this location Effective ...
- Created on 01 March 2009
- 22. When is the code list published?
- (Taxonomy More Information)
- The Health Care Provider Taxonomy code set is published (released) twice a year in July and January. The July publication is effective for use on October 1st and the January publication is effective for ...
- Created on 01 March 2009
- 23. Provider Characteristics
- (Provider Characteristics)
- Provider Characteristics Code Set Code Set Resources The following resources for the Provider Characteristics code set are available from the "Provider Characteristics" drop-down menu: Code Lookup ...
- Created on 13 October 2005
- 24. Taxonomy Display Names
- (Active - Home Page)
- ... side of the page is an expandable list that includes an introduction and help page. The codes are presented within the hierarchical three Levels and the list can be expanded or collapsed. Clicking on ...
- Created on 17 September 2020
- 25. Updates to V11.0 7/23 1500 Instruction Manual
- (Active - Home Page)
- Updates to the 11.0 7/23 1500 Instruction Manual February 14, 2024 The NUCC has released updates to its Version 11.0 7/23 1500 Health Insurance Claim Form Reference Instruction Manual. The updates ...
- Created on 10 April 2017
- 26. Resources for Implementing the 02/12 1500 Claim Form
- (Active - Home Page)
- Resources for Implementing the 02/12 1500 Claim Form Payers may begin accepting the 02/12 1500 Claim Form as of January 6, 2014. The following resources will assist your organization in implementing ...
- Created on 09 December 2013
- 27. 08/05 1500 Claim Form
- (1500 Claim Form)
- ... and consistent with evolving paper claim form standards. The NUCC will continue to work to optimize, as necessary, coordination of implementation within the health care industry, working with ASC X12 ...
- Created on 12 June 2013
- 28. New: 7/1/2014
- (Provider Taxonomy)
- New codes added 7/1/2014, effective 10/1/2014 175T00000X Under the Other Service Providers Type the Peer Specialist was added: Individuals certified to perform peer support services ...
- Created on 01 July 2012
- 29. New: 1/1/2015
- (Provider Taxonomy)
- New codes added 1/1/2015, effective 4/1/2015 125Q00000X Under the Dental Providers the Oral Medicinist was added: A dentist with advanced training specializing in the recognition and ...
- Created on 01 July 2012
- 30. New: 7/1/2015
- (Provider Taxonomy)
- ... approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the ...
- Created on 01 July 2012
- 31. New: 1/1/2016
- (Provider Taxonomy)
- ... Claim Committee, 2015 1835C0205X Under the Pharmacy Service Providers; Pharmacist the Critical Care was added: Critical Care A licensed pharmacist who has demonstrated specialized knowledge ...
- Created on 01 July 2012
- 32. New: 7/1/2016
- (Provider Taxonomy)
- ... The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes ...
- Created on 01 July 2012
- 33. New: 1/1/2017
- (Provider Taxonomy)
- New codes added 1/1/2017, effective 4/1/2017 207WX0009X Under the Allopathic & Osteopathic Physicians; Ophthalmology was added: Glaucoma Specialist An ophthalmologist who specializes ...
- Created on 01 July 2012
- 34. New: 7/1/2017
- (Provider Taxonomy)
- New codes added 7/1/2017, effective 10/1/2017 207WX0109X Under the Allopathic & Osteopathic Physicians; Ophthalmology was added: Neuro-ophthalmology A neuro-ophthalmologist is a ...
- Created on 01 July 2012
- 35. New: 1/1/2018
- (Provider Taxonomy)
- New code added 1/1/2018, effective 4/1/2018 207WX0120X Under the Allopathic & Osteopathic Physicians; Ophthalmology was added: Cornea and External Diseases Specialist An ophthalmologist ...
- Created on 01 July 2012
- 36. Modified: 1/1/2019
- (Provider Taxonomy)
- Modified codes 1/1/2019 103G00000X Under the Behavioral Health & Social Service Providers the Clinical Neuropsychologist definition changed to: Clinical Neuropsychologist A clinical ...
- Created on 01 July 2012
- 37. Modified: 7/1/2019
- (Provider Taxonomy)
- Modified codes 7/1/2019 136A00000X Under the Dietary & Nutritional Service Providers the Dietetic Technician, Registered definition changed to: Dietetic Technician, Registered A Dietetic Technician, ...
- Created on 01 July 2012
- 38. Modified: 1/1/2020
- (Provider Taxonomy)
- Modified codes 1/1/2020 225100000X Under the Respiratory, Developmental, Rehabilitative, and Restorative Service Providers the Physical Therapist definition changed to: Physical Therapist ...
- Created on 01 July 2012
- 39. Modified: 1/1/2021
- (Provider Taxonomy)
- Modified codes 1/1/2021 103TM1800X Under the Behavioral Health & Social Service Providers; Psychologist the Mental Retardation & Developmental Disabilities title changed to: Intellectual & ...
- Created on 01 July 2012
- 40. Modified: 7/1/2022
- (Provider Taxonomy)
- ... to: Neurodevelopmental Disabilities A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, ...
- Created on 01 July 2012
- 41. Modified: 1/1/2023
- (Provider Taxonomy)
- ... definition] 367A00000X Under the Physician Assistants & Advanced Practice Nursing Providers the Advanced Practice Midwife definition changed to: Advanced Practice Midwife Advanced practice ...
- Created on 01 July 2012
- 42. Modified: 7/1/2023
- (Provider Taxonomy)
- Modified codes 7/3/2023 156FX1700X Under the Eye and Vision Service Providers; Technician/Technologist the Ocularist definition changed to: Ocularist An ocularist is a thoroughly trained ...
- Created on 01 July 2012
- 43. Modified: 1/1/2024
- (Provider Taxonomy)
- Modified codes 1/1/2024 122400000X Under the Dental Providers the Denturist definition changed to: Denturist A denturist is a licensed professional that serves patients with removable ...
- Created on 01 July 2012
- 44. Modifications: 7/1/2015
- (Provider Taxonomy)
- ... activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental ...
- Created on 01 July 2012
- 45. Modifications: 1/1/2016
- (Provider Taxonomy)
- ... analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common ...
- Created on 01 July 2012
- 46. Condition Codes 90 and 91 Approved for Use on Professional Claims, Effective Immediately
- (Announcements)
- ... of these Condition Codes for Medicare claims effective February 1, 2021. The complete list of Condition Codes available for use in the professional claim is available on the Condition Codes page under ...
- Created on 03 January 2012
- 47. Codes for COVID-19 Professional Claims
- (Active - Home Page)
- ... claims. Separately, CMS MLN Matters MM12049 provides additional information on the use of Condition Codes 90 and 91. The complete list of Condition Codes available for use in the professional claim is ...
- Created on 03 January 2012
- 48. July 2022 Provider Taxonomy Code Set Update
- (Announcements)
- July 1, 2022 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1. 2022. The complete Provider Taxonomy code set is available ...
- Created on 03 January 2012
- 49. January 2023 Taxonomy Code Set Update Released
- (Announcements)
- January 4, 2023 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2023. The complete code set is available under the "Code ...
- Created on 03 January 2012
- 50. July 2023 Taxonomy Code Set Update
- (Announcements)
- July 3, 2023 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1, 2023. The complete code set is available under the "Code ...
- Created on 03 January 2012
- 51. January 2024 Taxonomy Code Set Update Released
- (Active - Home Page)
- January 2024 Taxonomy Code Set Update January 2, 2024 The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2024. The complete ...
- Created on 03 January 2012
- 52. Health Care Provider Characterstics Codes CSV
- (Provider Characteristics)
- Health Care Provider Characteristics Codes CSV The current version of the Health Care Provider Characteristics Codes as a Comma Separated Values (CSV) file: Version 5.0, 1/21 Previous versions ...
- Created on 13 April 2009
- 53. Help Form
- (Provider Characteristics)
- Health Care Provider Characteristics Codes Help If you have Health Care Provider Characteristics Codes, fill in this form to receive an email response. Questions will be answered within 24 to 72 ...
- Created on 13 April 2009
- 54. Is there a revision summary?
- (Characteristics More Information)
- Code value 12, meaning, This is a multi-specialty group, was deactivated effective 10/1/2005 Code value 2V, meaning, Assistive aid information not collected from the provider, was added to the ...
- Created on 13 April 2009
- 55. Who maintains them?
- (Characteristics More Information)
- The National Uniform Claim Committee Code Subcommittee. The NUCC Data Subcommittee also maintains the related Health Care Provider Taxonomy Code Set code list.
- Created on 13 April 2009
- 56. When are they effective?
- (Characteristics More Information)
- The Provider Characteristic Code List is published (released) twice a year in July and January. The July publication is effective for use on October 1st and the January publication is effective for use ...
- Created on 13 April 2009
- 57. Where are they used?
- (Characteristics More Information)
- Provider Characteristics and Resources Code Set Usage In the 274 Health Care Provider Information, it is used in the CRC segment for EFI Processing Status Additional in CRC03 through CRC07. In both ...
- Created on 13 April 2009
- 58. Is there background information?
- (Taxonomy More Information)
- ... the lists were coordinated and a single taxonomy code set was proposed. A sub-group of X12N TG2 WG15 (Provider Information Work Group) was charged with resolving differences in the two proposed taxonomy ...
- Created on 01 March 2009
- 59. Can I get previous versions?
- (Taxonomy More Information)
- The complete list for previous versions are available as PDFs.
- Created on 01 March 2009
- 60. New Codes - 7/1/2019
- (Provider Taxonomy)
- New codes added 7/1/2019, effective 10/1/2019 1223X2210X Under the Dental Providers; Dentist was added: Orofacial Pain A dentist who assesses, diagnoses, and treats patients with complex ...
- Created on 01 March 2009
- 61. New Codes - 1/1/2021
- (Provider Taxonomy)
- New codes added 1/1/2021, effective 4/1/2021 101200000X Under the Behavioral Health & Social Service Providers was added: Drama Therapist Drama therapists are trained in the intentional ...
- Created on 01 March 2009
- 62. New Codes - 1/1/2023
- (Provider Taxonomy)
- New codes added 1/1/2023, effective 4/1/2023 1835C0206X Under the Pharmacy Service Providers; Pharmacist was added: Cardiology A licensed pharmacist who has demonstrated specialized ...
- Created on 01 March 2009
- 63. New Codes - 7/1/2023
- (Provider Taxonomy)
- ... geneticist specializes in the diagnosis, evaluation, prevention, and treatment of patients with biochemical genetic disorders, defined as inborn errors of metabolism at any age of onset. Training does ...
- Created on 01 March 2009
- 64. Are there other download formats?
- (Taxonomy More Information)
- The complete list for the current release Version 23.0 is available as a Comma Separated Values file (CSV) and as an enhanced CSV file from Washington Publishing Company.
- Created on 01 March 2009
- 65. Centers for Medicare and Medicaid Services
- (Search - Web Links / HIPAA)
- The CMS page providing additional links to the resources found on the CMS site concerning the Administrative Simplification provisions of HIPAA.
- Created on