Updated Information for Taxonomy Code Use on All Claims

The following statements clarify information regarding taxonomy code usage as published in the May NPI Times:

CMS-1500 – We are still suggesting use of the taxonomy code on the CMS-1500 (version 08/05) in fields 17a, 24j (shaded), 32b, and 33b. For BCBSNM submitters, the taxonomy code is Situational – Used for Medicaid Claims.

UB-04 – We previously requested that taxonomy codes along with the "ZZ" qualifier be entered in Form Locator 57. Please note that this qualifier and location are incorrect. You may enter the taxonomy code in Form Locator 81, along with the "B3" qualifier. For BCBSNM submitters, the taxonomy code is Situational – Used for Medicaid Claims.

Remember, the taxonomy code may be used to further identify the billing provider on claims. We are now suggesting that all claim submitters include their taxonomy code.

The entire code set can be found at the Washington Publishing Company (WPC). For further clarification on the UB-04, visit the National Uniform Billing Committee for the UB-04 Official Data Specifications Manuals. For further clarification on the CMS-1500, visit the National Uniform Claim Committee.

 

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