Taxonomy Codes Updated

Effective April 1, 2010, the Healthcare Provider Taxonomy Code (HPTC) will be updated. The HPTC is a Provider Classification System, which codifies provider types and areas for all medical-related providers. The new version of HPTC is available from the Washington Publishing company at:

http://www.wpc-edi.com/codes/taxonomy

If a HPTC is reported to Medicare, it must be a valid code or a claim level deletion (rejection) will occur on your MCS Edit Report. To avoid this type of claim level deletion (rejection), you need to verify that the HPTC entered in your software program is still valid by comparing the HPTC entered in your software to the new list of valid HPTCs. For help changing the HPTCs in your system, please contact your software vendor.

For your reference, the new, deleted, and changed codes effective April 1, 2010, are listed below.

New Codes

344800000X

Inactive code

103GC0700X
103TE1000X
103TM1700X
103TP2700X
103TW0100X
1835G0000X
213EG0000X
287300000X
2865C1500X
317400000X

Modified Code

207LA0401X
207PE0004X
207QA0401X
207RI0001X
207UN0903X
207UN0901X
207UN0902X
207YS0123X
207YX0602X
207YX0905X
207ZI0100X
2080P0201X
208010007X
2083P0500X
2083S0010X
2084S0010X
2086S0122X