Get the free Healthcare Provider Taxonomy Codes (HPTC) - cms

This document provides an update regarding the Healthcare Provider Taxonomy Codes, specifically Version 5.1, including implementation details and affected provider types.

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What is healthcare provider taxonomy codes?

Healthcare provider taxonomy codes are a unique identification code that is assigned to healthcare providers by the National Uniform Claim Committee (NUCC). These codes categorize healthcare providers based on their specialty, practice, or area of expertise.

Who is required to file healthcare provider taxonomy codes?

All healthcare providers who bill for services rendered to patients, whether through private insurance or government programs such as Medicare and Medicaid, are required to file healthcare provider taxonomy codes.

How to fill out healthcare provider taxonomy codes?

Healthcare providers can fill out their taxonomy codes by using the NUCC's online application or by submitting a paper application. The application requires providers to provide information about their practice, specialty, and other relevant details.

What is the purpose of healthcare provider taxonomy codes?

The purpose of healthcare provider taxonomy codes is to standardize the classification and identification of healthcare providers. These codes help in the efficient processing of insurance claims, provider directories, and other healthcare-related activities.

What information must be reported on healthcare provider taxonomy codes?

Healthcare provider taxonomy codes require providers to report their specialty, sub-specialty (if applicable), and any relevant certifications or qualifications. Providers may also need to submit additional documentation to support their code selection.