Should all institutional providers submit a taxonomy code on their claims after the implementation of the National Provider Identifier (NPI)?
Only institutional providers that currently bill Medicare using more than one legacy identifier in order to identify sub-parts of their facility are required to submit a taxonomy code on all of the claims they submit to Medicare. Medicare legacy identifiers are six digit Medicare provider numbers, also called OSCAR numbers. A table of legacy identifiers that were used to identify sub-parts is included as an attachment to CMS Change Request 5243. Taxonomy codes shall be reported by these facilities whether or not the facility has applied for individual NPIs for each of their subparts. Institutional providers that do not currently bill Medicare for sub-parts are not required to use taxonomy codes on their claims to Medicare.
Related Questions
- The National Plan and Provider Enumeration System (NPPES) requires a Taxonomy Code for an NPI application to be processed. Where do I get the Taxonomy information?
- Should all institutional providers submit a taxonomy code on their claims after the implementation of the National Provider Identifier (NPI)?
- Do I need to submit supporting documents to verify the National Provider Identifier (NPI) entered on the 855A form?
