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- 11. 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
- 12. Modified: 7/1/2022
- (Provider Taxonomy)
- ... A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. ...
- Created on 01 July 2012
- 13. Modified: 1/1/2023
- (Provider Taxonomy)
- ... this code not be used. Choose a more appropriate code. Modified by NUCC [1/1/2023: modified definition] 208D00000X Under the Allopathic & Osteopathic Physicians the General Practice definition ...
- Created on 01 July 2012
- 14. Modified: 1/1/2024
- (Provider Taxonomy)
- ... dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. Source: National Denturist Association, https://nationaldenturist.com/ ...
- Created on 01 July 2012
- 15. Modifications: 7/1/2015
- (Provider Taxonomy)
- ... of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical ...
- Created on 01 July 2012
- 16. Modifications: 1/1/2016
- (Provider Taxonomy)
- Modified codes 1/1/2016 103K00000X Replaced the current code definition for Behavior Analyst under Behavioral Health & Social Service Providers with the following:A behavior analyst ...
- Created on 01 July 2012
- 17. Modifications: 7/1/2017
- (Provider Taxonomy)
- ... with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited ...
- Created on 01 July 2012
- 18. Modifications: 1/1/2018
- (Provider Taxonomy)
- ... 2084P0015X, 2084S0012X, 2084V0102X, 2085D0003X, 2085H0002X, 2086H0002X. There has been a general cleanup of the content removing characters that are sometimes difficult to display in all media. For ...
- Created on 01 July 2012
- 19. Permission to Use and Distribute the Health Care Provider Characteristics and Resources Code Set
- (Provider Characteristics)
- ... 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. ...
- Created on 14 April 2009
- 20. Provider Characteristics Code List
- (Provider Characteristics)
- ... behavioral therapy Effective 4/1/2021 7F This provider has an area of focus in bipolar disorders/manic depressive illness Effective 4/1/2021 7G This provider has an area of focus in depression ...
- Created on 13 April 2009
- 21. Permission to Use and Distribute the Health Care Provider Taxonomy Code Set
- (Provider Taxonomy)
- ... (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. You shall only license the Provider Taxonomy in your Products to third parties ...
- Created on 01 March 2009
- 22. New Codes - 7/1/2019
- (Provider Taxonomy)
- ... chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency ...
- Created on 01 March 2009
- 23. 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
- 24. Provider Characteristics New Codes 1-1-2021
- (Provider Characteristics)
- ... 7D This provider has an area of focus in anxiety and panic disorders Effective 4/1/2021 7E This provider has an area of focus in dialectical behavioral therapy Effective 4/1/2021 ...
- Created on 01 March 2009
- 25. How are they maintained?
- (Taxonomy More Information)
- ... including processing code requests and overall maintenance, are performed by the NUCC Code Subcommittee. MEDICAID All requests related to Medicaid should first be coordinated by the National Medicaid ...
- Created on 01 March 2009
- 26. Do I have to have the definition source's certification in order to choose the code
- (Taxonomy More Information)
- In many cases, the source of the definition for the provider code is a specific professional organization or credentialing Board. You do not need to have that source's certification to choose the code. ...
- Created on 01 March 2009
- 27. How many categories are there?
- (Taxonomy More Information)
- ... Groups of individuals, and non-individuals. The “Individual Category” includes: Allopathic & Osteopathic Physicians Behavioral Health and Social Service Providers Chiropractic Providers Dental ...
- Created on 01 March 2009
- 28. What do the Levels mean?
- (Taxonomy More Information)
- ... A more specific service or occupation related to the Provider Grouping. For example, the Classification for Allopathic & Osteopathic Physicians is based upon the General Specialty Certificates as issued ...
- Created on 01 March 2009
- 29. What are the display names?
- (Taxonomy More Information)
- The taxonomy code display name is a more consumer-friendly name for the code. The display name is a combination of the code name and the Level in which the code is nested, which more precisely identifies ...
- Created on 01 March 2009
- 30. NUCC Data Set and 1500-837P Crosswalk
- (1500)
- ... Several principles underlie the NUCC’s goals and implementation approach, including: Standardization requires broad-based consensus among key parties. The NUCC is a broad, public and private-sector collaboration ...
- Created on 13 January 2009
- 31. My payer has given me different instructions than the manual. What should I do?
- (1500 Claim Form: Frequently Asked Questions)
- ... give their providers different instructions on how to complete certain Item Numbers on the form. On the title page of the instruction manual, it states: The NUCC has developed this general instructions ...
- Created on 12 November 2006
- 32. Who Are We?
- (Active - Home Page)
- ... affected by health care electronic data interchange (EDI) - those at either end of a health care transaction, generally payers and providers. Criteria for membership include a national scope and representation ...
- Created on 19 October 2005
- 33. Condition Codes
- (General)
- ... home care giver available, cost outlier and pregnancy indicator. These codes are integral to the institutional claim, both the paper UB and the electronic 837I. The National Uniform Billing Committee ...
- Created on 13 October 2005
- 34. Definitions
- (General)
- ... care to the provider rendering the services being reported. Examples include, but are not limited to, primary care provider referring to a specialist; orthodontist referring to an oral and maxillofacial ...
- Created on 13 October 2005
- 35. Contact Us
- (Structure)
- Contact Us DO NOT email patient health care claim forms to the NUCC. The NUCC does not process health care claims. Contact the payer that is responsible for processing the claim. For general inquiries ...
- Created on 13 October 2005