NUCC Health Provider Taxonomy Code Set 2017-07

$79 / year

The Health Care Provider Taxonomy code set is a collection of unique alphanumeric codes, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.

The Health Care Provider Taxonomy code set allows a single provider (individual, group, or institution) to identify their specialty category. Providers may have one or more than one value associated with them. When determining what value or values to associate with a provider, the user needs to review the requirements of the trading partner with which the value(s) are being used.

Complexity

The Health Care Provider Taxonomy code set is an external, nonmedical data code set designed for use in an electronic environment, specifically within the ASC X12N Health Care transactions. This includes the transactions mandated under HIPAA.
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.

The National Uniform Claim Committee (NUCC) is presently maintaining the code set. It is used in transactions specified in HIPAA and the National Provider Identifier (NPI) application for enumeration. Effective 2001, the NUCC took over the administration of the code set. Ongoing duties, including processing taxonomy code requests and maintenance of the code set, fall under the NUCC Code Subcommittee.

Date Created

2017-07-01

Last Modified

2017-07-01

Version

2017-07-01

Update Frequency

Biannually

Temporal Coverage

2017-07-01 to 2017-12-31

Spatial Coverage

United States

Source

John Snow Labs => National Uniform Claim Committee (NUCC)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

NPI Lookup, CMS 1500, CMS 1500 Claim Form, Taxonomy Codes, HCFA 1500, Taxonomy Definition, Health Care Provider, NUCC, Taxonomy, Taxonomy Code List

Other Titles

Taxonomy Code List July 2017, National Ultimate Claim Form NUCC Taxonomy Code Set July 2017, Health Care Provider Taxonomy Code Set July 2017

NameDescriptionTypeConstraints
CodeTaxonomy code set is a collection of unique alphanumeric codes, ten characters in length.stringrequired : 1
GroupingThe code set is structured into three distinct "Levels" and one of it is “Provider Grouping”. Level I, Provider Grouping: A major grouping of service(s) or occupation(s) of health care providers. For example: Allopathic & Osteopathic Physicians, Dental Providers, Hospitals, etc.stringrequired : 1
ClassificationThe code set is structured into three distinct "Levels" and one of it is “Classification”. Level II, Classification: 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 by the appropriate national boards. The following boards will however, have their general certificates appear as Level III areas of specialization strictly due to display limitations of the code set for Boards that have multiple general certificates: Medical Genetics, Preventive Medicine, Psychiatry & Neurology, Radiology, Surgery, Otolaryngology, Pathology.stringrequired : 1
SpecializationThe code set is structured into three distinct "Levels" and one of it is “Area of Specialization”. Level III, Area of Specialization: A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards. The Health Care Provider Taxonomy code set Levels are organized to allow for drilling down to the provider's most specific level of specialization. The ten digit codes for each provider category are unique and contain no embedded logic. The codes and categories are to be used exactly as they are assigned in the Taxonomy list. At no time should codes be separated to form new codes, parsed apart, or edited on any one position within the code. See "How do I request a change?" if you identify a need for a provider category.string-
DefinitionDefining the code at each level.string-
NotesFootnotes on updates, revision and addition of new code.string-
CodeGroupingClassificationSpecializationDefinitionNotes
251F00000XAgenciesHome InfusionDefinition to come...
122400000XDental ProvidersDenturistDefinition to come.
251V00000XAgenciesVoluntary or CharitableDefinition to come...
385H00000XRespite Care FacilityRespite CareDefinition to come.
251K00000XAgenciesPublic Health or WelfareDefinition to come...
251G00000XAgenciesHospice Care, Community BasedDefinition to come...
283XC2000XHospitalsRehabilitation HospitalChildrenDefinition to come...
281PC2000XHospitalsChronic Disease HospitalChildrenDefinition to come...
282NR1301XHospitalsGeneral Acute Care HospitalRuralDefinition to come...
282NW0100XHospitalsGeneral Acute Care HospitalWomenDefinition to come...