CorporateBusiness Services

08/16/2011

Health Care Provider Taxonomy Codes (HPTC) Update: October 1, 2011

The Centers for Medicare & Medicaid Services (CMS) has released the summary of changes reflected in the Health Care Provider Taxonomy Code (HPTC) list. Medicare contractors will update their HPTC tables with this new version effective on January 1, 2012.

  • The Health Insurance Portability and Accountability Act (HIPAA) requires that submitted data, which is part of a named code set, must be valid data from that code set
  • Claims accepted with invalid data are non-compliant
  • Stay current on all HIPAA requirements to insure timely processing of your claims

The HPTCs are updated twice per year, in April and October. The summary of changes effective January 1, 2012, is noted in the table below.

New Codes Modified Codes
207RH0005X 207L00000X
224Y00000X 207LC0200X
335G00000X 207LP2900X
  207ND0900X
  207P00000X
  207PS0010X
  207PT0002X
  207QA0000X
  207QG0300X
  207QS0010X
  207R00000X
  207RA0000X
  207RA0201X
  207RA0401X
  207RC0000X
  207RC0001X
  207RC0200X
  207RE0101X
  207RG0100X
  207RG0300X
  207RH0000X
  207RH0003X
  207RI0200X
  207RN0300X
  207RP1001X
  207RR0500X
  207RS0010X
  207U00000X
  207V00000X
  207VC0200X
  207VE0102X
  207VM0101X
  207VX0201X
  207W00000X
  207X00000X
  207XS0106X
  207Y00000X
  207ZB0001X
  207ZF0201X
  207ZH0000X
  207ZM0300X
  207ZN0500X
  207ZP0101X
  207ZP0104X
  207ZP0105X
  208000000X
  2080A0000X
  2080N0001X
  2080P0202X
  2080P0205X
  2080P0207X
  2080P0208X
  2080P0210X
  2080P0214X
  2080S0010X
  208100000X
  2083A0100X
  2083P0901X
  2084A0401X
  2085N0700X
  2085N0904X
  2085P0229X
  2085R0001X
  2085R0202X
  208600000X
  2086S0102X
  2086S0129X

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