Taxonomy and Service Type Codes
Taxonomy and Service Type CodesTo ensure correct Utilization Threshold processing, use the appropriate Taxonomy Code/Service Type Code Combinations.
If you are... |
And your Specialty Code is |
Use Taxonomy Code |
Service Type Code |
AIDS Clinic - Freestanding |
249, 355 |
|
85 - AIDS |
Clinic - Freestanding |
300, 301, 302, 303, 304, 305, 308, 309, 320, 900, 904, 908, 913, 934, 936, 937, 938, 939, 940, 941, 942, 943, 944, 949, 960, 961, 962, 967, 968, 970, 975, 976, 983, 984, 985, 986, 987, 988, 989, 990, 991, 993, 994, 995, 996, 997, 998 |
|
1 - Medical Care |
Clinic - Hospital Based |
300, 301, 302, 303, 304, 305, 308, 309, 320, 904, 908, 913, 934, 936, 937, 938, 939, 940, 941, 942, 943, 944, 949, 969, 961, 962, 967, 968, 970, 972, 973, 975, 976, 979, 983, 984, 985, 986, 987, 988, 989, 990, 991, 993, 994, 995, 996, 997, 998 |
|
1 - Medical Care |
Clinic - Hospital Based |
740 |
|
56 - Medically Related Transportation |
Clinic - Hospital Based or Freestanding |
902, 903, 905, 909, 914, 915, 916, 917, 925, 926, 927, 928, 929, 930, 931, 932, 933, 950, 951, 952, 953, 954, 955, 956, 957, 965, 966, 999 |
|
2 - Surgical |
Clinic - Hospital Based or Freestanding |
918 |
|
93 - Podiatry |
Clinic - Freestanding |
919 920, 921, 923, 924, 958 |
261Q00000X |
50 - Hospital - Outpatient |
Clinic - Hospital Based |
919 920, 921, 923, 924, 958 |
282N00000X |
50 - Hospital - Outpatient |
Clinic - Hospital Based or Freestanding |
922 |
|
AI - Substance Abuse |
Clinic - Hospital Based or Freestanding |
935 |
|
77 - Otological Exam |
Clinic - Hospital Based or Freestanding |
969 |
|
75 - Prosthetic Device |
Clinic - Hospital Based or Freestanding - DVS |
967 |
|
71 - Audiology Exam |
Clinic Abortion - Hospital Based or Freestanding |
907 |
|
84 - Abortion |
Clinic Family Planning - Hospital Based or Freestanding |
906 |
|
82 - Family Planning |
Clinic Pharmacy - Hospital Based or Freestanding |
760 |
|
88 - Pharmacy |
Clinic Radiology - Hospital Based or Freestanding |
998 |
|
4 - Diagnostic X-Ray |
Clinic/Center Multispeciality - Hospital Based or Freestanding |
321 |
261QM1300X |
|
Clinic/Center - Student Health - Freestanding |
306, 325 |
261QS1000X |
|
Dental Clinic - Hospital Based or Freestanding |
350, 351 |
261QD0000X |
35 - Dental Care |
Dental Clinic - Hospital Based or Freestanding |
910, 911 |
|
40 - Oral Surgery |
Dental Clinic - Hospital Based or Freestanding |
911 |
|
23 - Diagnostic Dental |
Dental Clinic - Hospital Based or Freestanding |
912 |
|
38 - Orthodontics |
DME Dealer - DVS Only |
|
|
12 - Durable Medical Equipment Purchase |
Emergency Room - Hospital Based or Freestanding |
901 |
|
51 - Hospital - Emergency Accident |
Home Health DME - DVS |
|
|
12 - Durable Medical Equipment Purchase |
Hospital General Acute Care - Special Use |
060, 110, 181, 730 |
282N00000X |
|
Hospital Inpatient - Non-DVS |
899 |
|
48 - Hospital - Inpatient |
Hospital Inpatient - DVS |
COS 0285 |
|
48 - Hospital - Inpatient |
Lab |
411, 412, 413, 414, 415, 416, 419, 420, 421, 422, 423, 427, 430, 431, 432, 435, 436, 438, 439, 440, 441, 442, 450, 451, 460, 470, 481, 482, 483, 484, 485, 486, 491, 510, 511, 512, 513, 514, 515, 516, 518, 521, 523, 524, 531, 540, 550, 551, 552, 553, 560, 570, 572, 573, 580, 599 |
|
5 - Diagnostic Lab |
Clinic Pharmacy - Hospital Based or Freestanding |
760 |
333600000X |
|
Pharmacy DME |
307 |
|
12 - Durable Medical Equipment Purchase |
Physician |
010, 030, 040, 041, 050, 060, 062, 063, 064, 065, 066, 067, 068, 069, 070, 080, 089, 092, 093, 100, 110, 120, 131, 135, 136, 137, 138, 139, 141, 142, 143, 146, 148, 160, 162, 170, 182, 183, 184, 185, 194, 200, 201, 202, 210, 220, 230, 241, 242, 402, 403, 404, 777 |
|
A0 - Professional (Physician) Visit - Outpatient |
Physician |
020, 130, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 161, 163, 169, 186, 191, 192, 193, 195, 196, 205, 247, 249, 252, 253, 254, 270 ,306, 401, 751 |
|
98 - Professional (Physician) Visit - Office |
Physician |
|
|
86 - Emergency Services |
Physician |
750 |
|
AK - Drug Addiction |
Physician Abortion |
|
|
84 - Abortion |
Physician Group |
010, 060, 063, 089, 100, 150, 158, 159, 161, 750 |
193400000X |
|
Physician Radiology |
081, 206, 207, 208 |
|
04 - Diagnostic X-Ray |
Psychiatric Clinic - Hospital Based |
310, 311, 315, 316, 322, 945, 946, 947, 948, 963, 964, 971, 974 |
|
A4 - Psychiatric |
Psychiatric Clinic - Freestanding |
310, 311, 315, 316, 322, 945, 946, 947, 948, 963, 964, 974 |
|
A4 - Psychiatric |
Psychiatric Clinic - Hospital Based or Freestanding |
312, 313, 314, 317, 318, 319, 323, 352, 353, 354, 959, 978, 980, 982, 992 |
|
A8 - Psychiatric - Outpatient |
Transportation DME - DVS Only |
|
|
12 - Durable Medical Equipment Purchase |
If you are an Out of State Provider of one of the types listed blow, use the Taxonomy Code provided for all MEVS transactions (Eligibility and DVS Requests).
If you are... |
And your Specialty Code is |
Use Taxonomy Code |
Service Type Code |
Clinical Psychologist |
|
103GC0700X |
|
Licensed Practical Nurse |
|
164W00000X |
|
Midwife/Certified Nurse |
|
367A00000X |
|
Nurse Practitioner |
|
363L00000X |
|
Occupational Therapist |
|
225X00000X |
|
Physical Therapist |
|
225100000X |
|
Physician - General Practice |
|
208D00000X |
|
Registered Nurse - General Practice |
|
163WG0000X |
|
Speech/Language Pathologist |
|
235Z00000X |
|