{"id":6626,"date":"2013-04-30T19:07:50","date_gmt":"2013-04-30T23:07:50","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=6626"},"modified":"2013-04-30T19:07:50","modified_gmt":"2013-04-30T23:07:50","slug":"lowdown-healthcare-provider-taxonomy-codes","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/lowdown-healthcare-provider-taxonomy-codes\/","title":{"rendered":"The Lowdown on Healthcare Provider Taxonomy Codes"},"content":{"rendered":"<p style=\"text-align: center;\">\n<p>Much hubbub surrounds the <a href=\"https:\/\/www.carecloud.com\/continuum\/icd-10-setting-basics-in-motion\/\">ICD-10 implementation<\/a> taking effect in October 2014, and rightfully so. Yet, that doesn\u2019t mean we should ignore the other code sets required for proper billing.<\/p>\n<p>Healthcare Provider Taxonomy Codes fall under this category. To help keep the coding process running smoothly at your practice, let\u2019s take a refresher course on taxonomy codes and their uses.<\/p>\n<p><strong><!--more-->What are Taxonomy Codes?<\/strong><br \/>\nTaxonomy codes are the primary components of the Health Care Provider Taxonomy Code Set. They are designed to categorize healthcare providers into two sections: Individuals\/Groups of Individuals and Non-Individuals.<\/p>\n<p>The codes are made available by the <a href=\"http:\/\/www.wpc-edi.com\/\">Washington Publishing Company<\/a> and maintained by the <a href=\"http:\/\/www.nucc.org\/\">National Uniform Claim Committee<\/a> (NUCC).<\/p>\n<p><strong>The Purpose of Taxonomy Codes<\/strong><br \/>\nTaxonomy codes are designed for use in an electronic environment, primarily within ASC X12N Health Care transactions and certain HIPAA mandated transactions.<\/p>\n<p>Taxonomy codes are also used when applying for a National Patient Identifier (NPI) with the National Plan and Provider Enumeration System (NPPES).<\/p>\n<p><strong>Levels<\/strong><br \/>\nTaxonomy codes are structured into three separate levels. The higher the code level is, the more specific classification your practice receives.<\/p>\n<p><em>Level 1, Provider Type<\/em><br \/>\nThis level is the most general of the three. It places providers under a broad umbrella of services and occupations, such as Allopathic &amp; Osteopathic Physicians. Categorization at this level is a starting point and comes without a corresponding code.<\/p>\n<p><em>Level 2, Classification<\/em><br \/>\nSpecificity of service or occupation is increased at this level. For example, Family Medicine (207Q00000X) is a code falling under the Allopathic &amp; Osteopathic Physicians category.<\/p>\n<p><em>Level 3, Area of Specialization<\/em><br \/>\nThis level provides the most specific categories. For instance, Geriatric Medicine (207QG0300X) falls under the broader Level 2 Family Medicine category.<\/p>\n<p><strong>Code Structure<\/strong><br \/>\nTaxonomy codes are ten characters in length, alphanumeric in nature, and always end with the letter X. The first four characters of a taxonomy code indicate its Level 2 Classification. The middle five characters vary depending on the Level 3 Area of Specialization.<\/p>\n<p>Let\u2019s take the code for Pediatric Cardiology (2080P0202X) as an example. The \u201c2080\u201d indicates it falls under the <a href=\"https:\/\/www.carecloud.com\/continuum\/medical-video-games-partners-in-pediatrics\/\">Pediatrics<\/a> classification (208000000X). The \u201cP0202\u201d then differentiates it from specialties like Pediatric Endocrinology (2080P0205X) or Pediatric Nephrology (2080P0210X).<\/p>\n<p><strong>Proceed With Caution<\/strong><br \/>\n<em>Capitalization<\/em> \u2013 This specific code set only uses capital letters. If you submit claims using lower case letters, the taxonomy code will not be recognized.<\/p>\n<p><em>Multi-Specialty vs. Single Specialty<\/em> \u2013 These Level 2 codes are very similar, 193400000X for Single Specialty and 193200000X for Multi-Specialty. A mistake on the fourth character will misclassify your practice.<\/p>\n<p><em>Updates<\/em> &#8211; Taxonomy codes are updated twice a year. The first updates are published in January and go into effect on April 1. The second updates are published in July and are implemented in October. Make sure you\u2019re using the most current coding sets.<\/p>\n<p><strong>Valuable Resources<\/strong><br \/>\n<a href=\"http:\/\/www.wpc-edi.com\/reference\/\">The Health Care Provider Taxonomy Code Set<\/a><br \/>\n<a href=\"http:\/\/www.nucc.org\/index.php?option=com_content&amp;view=category&amp;id=18&amp;Itemid=128\">More Information About Taxonomy Codes<\/a><br \/>\n<a href=\"http:\/\/www.cms.gov\/Medicare\/Provider-Enrollment-and-Certification\/MedicareProviderSupEnroll\/Downloads\/TaxonomyCrosswalk.pdf\">Crosswalk: Medicare Provider Description to Provider Taxonomy Codes<\/a><\/p>\n<p>Remember, although your practice should already be <a href=\"https:\/\/www.carecloud.com\/continuum\/icd-10-training-methods-you-can-start-now\/\">preparing for ICD-10<\/a> it doesn\u2019t mean you should be ignoring other coding areas. Always stay vigilant of all of the various code sets to keep your practice\u2019s billing process running like a well-oiled machine.<\/p>\n<p><strong>A practice management system can improve coding at your practice. <a href=\"https:\/\/www.carecloud.com\/continuum\/time-for-a-switch-how-to-choose-a-pm-system\/\">Our checklist<\/a> will help you choose one.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Much hubbub surrounds the ICD-10 implementation taking effect in October 2014, and rightfully so. Yet, that doesn\u2019t mean we should ignore the other code sets required for proper billing. Healthcare Provider Taxonomy Codes fall under this category. To help keep the coding process running smoothly at your practice, let\u2019s take a refresher course on taxonomy [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[38],"class_list":["post-6626","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-revenue","tag-icd-10"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Healthcare Provider Taxonomy Codes Overview - Continuum<\/title>\n<meta name=\"description\" content=\"The Healthcare Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. Read more.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carecloud.com\/continuum\/lowdown-healthcare-provider-taxonomy-codes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Healthcare Provider Taxonomy Codes Overview - Continuum\" \/>\n<meta property=\"og:description\" content=\"The Healthcare Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. 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