where is the taxonomy code on a cms 1500

2310A PRV01, 02, 03. (CMS)-1500: Refer to . 4. Yes, if you want to become a Medicare provider. %PDF-1.6 % 10-digit NPI number of the individual . It is a one-of-a-kind 10-character code that denotes your classification and specialization. It may not display this or other websites correctly. No taxonomy information to accompany the submitted NPI for either the Rendering or Bill-To Provider. adjudication. 17 Name of REFERRING PROVIDER from Charge Entry/Charge Master. identification and/or taxonomy numbers are either missing or do not match the records on file. Shows CPT codes & MODIFIERS entered in the Charge Entry/Charge Master. 2) If Separate Account in LE is YES and organization type is SOLO, it will show the value from Rendering Provider. CMS has created a crosswalk of taxonomy codes that links the types of providers and suppliers who are eligible to apply for enrollment in the Medicare program with the appropriate Healthcare Provider Taxonomy Codes. You must log in or register to reply here. Taxonomy codes must be included when submitting claims to prepaid health plans. View the entire data set at data.cms.gov, where you can choose from a variety of download formats to see the entire list. 2023 FreePT - Physical Therapy EMR & Billing Software. Name of the DESTINATION PAYER. 363AM0700X. For more information on filing compliant CMS-1500 Forms, please review DaisyBills California Billing Guide. 10d field under Others tab in Charge Entry/Charge Master screen. Insured person information like ADDRESS, CITY, STATE, ZIP CODE & PHONE of destination payer in Insurance Information screen under Patient Master. The page numbers in parentheses correspond to the taxonomy publication, version 4.1, dated July 2004. Electronic Claims & Office Ally Clearinghouse. An official website of the United States government. An official website of the State of North Carolina, Claims Denied Taxonomy Codes Missing, Incorrect, or Inactive, Taxonomy does not exist for Billing Provider. Shows the UNITS against each CPT entered in Charge Entry/Charge Master. Include if attending provider differs from 2000A PRV01, 02, 03. [On the bottom non-colored area]. 2. Qualifiers are to be included on both paper and electronic claims for proper submission of claims Claims and Billing Manual Page 5 of 18 Recommended Fields for the CMS-1450 (UB-04) Form - Institutional Claims (continued) Field Box title Description 10 BIRTH DATE Member's date of birth in MM/DD/YY format 11 SEX Member's gender; enter "M" for male and "F" for female 12 ADMISSION DATE Member's admission date to the facility in MM/DD/YY Submission of claims with missing or incorrect taxonomy codes will cause the claims to deny and delay provider payments. Scenario One: Rendering NPI is different than the Billing NPI CMS 1500 Form Required Data . Box 17a, 19, 24i, 32b, 33b - Identifier Qualifiers. If you have a Payer requirement to display a Taxonomy code on your HCFA claims form, this will normally display in either HCFA Box 24j or Box 33b. 3. .gov Location Number (This qualifier is used for Supervising Provider only.) 24.h. 010 Physicians : 837P . 14 Display the ONSET DATE OF CURRENT ILLNESS or ACCIDENT DATE or DATE OF PREGNANCY from the Others tab in Charge Entry/Charge Master. CMS 1500 Billing UPDATED May 2, 2022 PAGE | 8 1. a) If Primary LE organization type is SOLO, it will show the NPI# of Rendering Provider. As a provider, do I need to know my taxonomy code? Both the billing provider and the attending/rendering provider should include their own taxonomy codes on the claim. Display Y if EMERGENCY check box is selected under Others tab in Charge Entry. Field 24I (ID Qualifier): Enter ZZ. You must log in or register to reply here. The taxonomy code is 1041C0700X. The following PHP denial/rejection codes may indicate claims have missing/invalid taxonomy codes: Attending not enrolled in Medicaid Program*, Billing Prov not enrolled in Medicaid Program*, Rendering Prov not enrolled in Medicaid Program*, ACK/REJECT INVAL INFO Payer Assigned Claim Control Number INVALID PAYER CLAIM CONTROL NUMBER SUBMITTED BILLING OR RENDERING PROVIDER TAXONOMY CODE IS REQUIRED ACK/REJECT MISS INFO Entitys specialty/taxonomy code. 3) If Separate Account in LE is NO, it will show the value from Primary Legal Entity. A taxonomy code describes the Provider or Organizations type, classification, and area of specialization. You must select the Qualifier for Taxonomy and enter the code: This is how it will display on your claim form: You must select the Qualifier for Taxonomy and enter the code. The NUCC is the entity which created and maintains the CMS-1500 form. If you have any questions about this communication, call Provider Services at 18009010020 or Anthem CCC Plus Provider Services at 18553234687 . 261QD0000X Dental. How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. Pro-Tip: Remember that the taxonomy code must be for the rendering provider, meaning the provider who actually performed the services. Box 24I (shaded) must include a PXC or ZZ qualifier code for each line that is billed. As cited earlier, the Taxonomy codes are unique 10-character long . These codes define the health care service provider type, classification, and area of specialization. 30 Displays TOTAL BALANCE AMOUNT for this claim, 31 Displays RENDERING PROVIDER NAME, SIGNATURE ON FILE & CLAIM DATE. b) If Primary LE organization type is NOT SOLO and, 1) If Separate Account in LE is YES and organization type is NOT SOLO, it will show the NPI# of Legal Entity. 16 Display the DATE PATIENT UNABLE TO WORK FROM & TO from Others tab in Charge Entry/Charge Master. CMS systems will accept roster bills for 1 or more patients that get the same type of shot on the same date of service. billed on CMS 1500. Insured person DOB and SEX of other payer in Insurance Information screen under Patient Master. 0 Taxonomy We bill kentucky medicaid and we must have our provider taxonomy in 24j above the NIP and zz in 24 I, example zz 107Q00000X with the same thing in 33 b. Displays 2 character SECONDARY ID TYPE Qualifier & SECONDARY ID for the rendering provider against the billed insurance entered in Setup Insurance page under Provider Master. There are two ways to submit claims to the Montana Healthcare Programs: Electronic and paper. NOT REQUIRED . I have questions because Medicaid helpdesk is giving me conflicting answers. This notification is an update to a previous communication regarding taxonomy code requirements for the CMS-1500 form and UB04. All the articles are getting from various resources. Taxonomy code is constructed of 10 digits- numeric and alpha: (see example 1), Tips: Name of OTHER PAYER. Enter the . . The taxonomy code CMS 1500 (02/12) CLAIM FORM INSTRUCTIONS . Taxonomy codes must be included when submitting claims to prepaid health plans This is a reminder to providers that taxonomy codes must be included when submitting claims to prepaid health plans (PHPs), whether the claim comes from the individual provider or through a clearinghouse. . Insurance Claims & Payer Specific Requirements. As such, all providers with NPIs will have self-identified with at least one provider taxonomy code. endobj 33b Situational If billing with the provider's NPI in field 33a, entering a taxonomy code is recommended. Please contact the Provider Relations department at x-xxx-xxx-xxxx to resolve this issue. Taxonomy number: Code identifying a provider type and specialty OVERVIEW OF CLAIM FORM CHANGES Pending NPI implementation, continue to bill using your Medicaid Provider Number. endstream endobj 2403 0 obj <>/Metadata 38 0 R/Outlines 42 0 R/PageLabels 2398 0 R/Pages 2400 0 R/PieceInfo<>>>/StructTreeRoot 57 0 R/Type/Catalog>> endobj 2404 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Type/Page>> endobj 2405 0 obj <>stream In accordance with SNIP level 4 edits, a valid taxonomy is a requirement for all providers when submitting both paper and electronic claims. 5. CMS 1500 Claim Form When submitting claims on the CMS 1500 form, please use the following guidelines for . 5. a) If Primary LE organization type is SOLO, it will show the Rendering Provider Name & Address. Who Needs Taxonomy Code? This list incorporated all types of providers associated with health care in various ways, e.g. The current version of the instructions for the 02/12 1500 Claim Form was released in July 2022. How can I get an NPI? NPI# of the referring provider in the Charge Entry/Charge Master. Waiver providers billing atypical services with their NPI must use the taxonomy code 174400000X to identify it as a waiver service. Forums Medical Coding Billing/Reimbursement and more. 10.d. the CMS-1500 (08/05) or in the Rendering Provider ID field on the 837P electronic claim submission. Please compare the information submitted to the, Taxonomy does not exist for Rendering Provider. Professional claims. The CMS-1500 Form requires providers to include the taxonomy code of rendering providers in Field 24J Grey. This code will be required when applying for a National Provider Identifier, also known as an NPI. Patient INSURED # of the destination payer in the Insurance Information screen under Patient Master. 207W00000X (Ophthalmology) hk\J6 [qXu0: M6)Y19H~B}v!Q;vY!am.J!|S,WW3btbWb5jfiE7?z+U/~7n_P}tlUrQeh@o7|}\xk}PW/UnOOwaoq'wWwo/? To default to COS 030, HFS will use current default logic. Their work resulted in a single taxonomy code set that both CMS and members of X12N found meaningful, easy to use, and functional for electronic transactions. 2402 0 obj <> endobj Your NPI number should only be used in box 33a and 24j. unshaded area. A taxonomy code is a unique 10-character code that designates your classification and specialization. View the complete data set on data.cms.gov, where you can select various download formats to view the entire list. For paper claims submissions, on a CMS-1500 form, include the taxonomy codes in box 33b. Yes, if you want to become a Medicare provider. [if claim is for primary insurance other payer is secondary insurance, similarly if claim is for secondary insurance other payer is primary insurance and if claim is for tertiary insurance the other payer is secondary insurance] 3. 24.i. Please compare the information submitted to the information registered with the state of North Carolina. For the CMS-1500 version 02/12, the Taxonomy code associated to the Rendering Provider billed in Box 31 is placed within Box 24J (shaded) for each line billed on the claim. 24j. Required when applicable and for any waiver-related services. When Using the CMS-1500 Form When completing professional claims form (CMS-1500), please note the following: Field 24J (Rendering Provider ID #): This field is mandatory and should include the appropriate taxonomy code* for the provider rendering care. You can decide how often to receive updates. Attending Provider Taxonomy Code is missing. Taxonomy Code Example: 282N00000X . Specialist. endobj 19 field from Others tab in Charge Entry/Charge Master. You will use this code when applying for a National Provider Identifier, commonly referred to as an NPI. PR0029 V1.5 01/24/2018 . Taxonomy codes are assigned to both individual and organizational providers. State Government websites value user privacy. Taxonomy codes are assigned to both individual and organizational providers. If you have a Payer requirement to display a Taxonomy code on your HCFA claims form, this will normally display in either HCFA Box 24j or Box 33b. 23 Display AUTH# selected in the Charge Entry/Charge Master under Main tab. Taxonomy codes are administrative codes set for identifying the provider type and area of specialization for health care providers. The revenue codes and UB-04 codes are the IP of the American Hospital Association. Taxonomy codes are administrative codes set for identifying the provider type and area of specialization for health care providers. lock Claim processing only accepts a set number of alphabet characters or digits for your code. Medicaid provider number (1D for CMS 1500 and G2 for UB04) or a taxonomy code (ZZ for CMS 1500 and B3 for UB04). This setting can be managed in your global insurance company settings > HCFA 1500 tab. the NPI and taxonomy code in 24J. Type the taxonomy code in the Other ID (17a) text box. Per the California Official Medical Fee Schedule (OMFS) the reimbursement amounts for treatment can differ based on the providers Taxonomy Codes. 7. A providers taxonomy code can easily be found on the. Heres how you know. Name of the INSURED PERSON of other payer in Insurance Information screen under Patient Master. lock A lock icon or https:// means youve safely connected to the official website. You can apply for an NPI at: www.cms.hhs.gov . Here's how you know %%EOF Taxonomy codes will be required when submitting professional claims for all HAP and HAP Empowered business lines beginning January 1, 2020. 11.a. Please compare the information submitted to the information registered with, Common Billing Error: Taxonomy Codes Missing, Incorrect or Inactive bulletin, How to view and update Taxonomy on the Provider Profile in NCTracks User Guide, information registered with the state of North Carolina. The NUCC provider taxonomy codes can be very detailed and will provide enough granularity for most research purposes. % Below are simple instructions to determine the correct taxonomy code. hb```b``fe`a``cg@ ~r``xJwEC0H >(f`gcieMmu :[p0k,vbE1s"E/jvI,81x7~'qe,IA7A{`8& a/t6vLf )Cvt53|Dc]> KK*f/~;e=X ~\.Nl$K>J?$. Type the taxonomy code in the Facility ID (32b) text box. http://www.wpc-edi.com/products/codelists/alertservice. BILLING OR RENDERING PROVIDER TAXONOMY CODE IS REQUIRED, Missing/incomplete/invalid billing provider taxonomy, Missing/incomplete/invalid rendering provider taxonomy, Missing/incomplete/invalid attending provider taxonomy, Missing/incomplete/invalid rendering provider name, Submitted billing provider NPI is not registered with submitted Taxonomy, Rendering provider NPI Taxonomy is missing, Submitted rendering provider NPI is not registered with submitted Taxonomy. 9.b. To validate your taxonomy code, please use the NCTracks How to view and update Taxonomy on the Provider Profile in NCTracks User Guide. 11.c. For claims that have been submitted to PHPs and denied for invalid billing, rendering, or attending provider taxonomy codes, please immediately resubmit the denied claims with the corrected data. stream Taxonomy code searches are assigned at both the individual provider and organizational provider level. The Health Care Provider Taxonomy code is a ten-character alphanumeric code that is unique. Per the California Official Medical Fee Schedule (OMFS) the reimbursement amounts for treatment can differ based on the provider's Taxonomy Codes. For example, a chiropractor (111N00000X - CHIROPRACTOR) receives greater reimbursement than a physician assistant (363A00000X - PHYSICIAN ASSISTANT). It complies with the National Standardized Billing Standards and is required for the accurate and timely claim processing. In Application: By default, the system uses the information found under Admin > Member Info to populate Box 33b. Provider Taxonomy (The qualifier in the 5010A1 for Provider Taxonomy is PXC, but ZZ will remain the qualifier for the 1500 Claim Form.) The Healthcare Provider Taxonomy Code Set is available from the Washington Publishing Company (www.wpc-edi.com) and is maintained by the National Uniform Claim Committee (www.nucc.org). Taxonomy codes on electronic claim submissions with the ASC X12N 837I format are placed in below-listed data elements in respective Segment and Loop. 1 0 obj You can find a full list of taxonomy codes on the Washington Publishing Company (WPC) website in the Health Insurance Portability and Accountability Act (HIPAA) related code list section, at http://www.wpc-edi.com/products/codelists/alertservice. Enter the qualifier "ZZ" followed by the 10-digit taxonomy code. The information may also be given to other providers of services, carriers, intermediaries, medical review boards, health plans, and other . How Do I Add A Taxonomy Code To My Claim Form? Below are three scenarios with Billing Requirements for each scenario. Shaded Portion: Enter the taxonomy code. . JavaScript is disabled. When billing with a Type 1 NPI the individual's associated servicing taxonomy code. BCBS prefix Why its important to read correctly. PAYER TYPE of the destination payer. . Patient GROUP # of the other payer in Insurance Information screen under Patient Master. dD LkH `Y']& l9? Taxonomy does not exist for Billing Provider. The sub-group initially started with the CMS draft taxonomy code set. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Display the NDC code Details for J codes on the top colored area above the CPT code. CMS Forms; Home; Healthcare Lookup Services; Taxonomy Codes Lookup; 367500000X; 367500000X Taxonomy Code Nurse Anesthetist, Certified Registered . Taxonomy Code in the shaded area. (Required if applicable.) Clearinghouses may be updating taxonomy information submitted by providers, so it is important that providers work with their clearinghouse to ensure valid taxonomy data is submitted to the PHPs on their claims. 24.g. Official websites use .govA 2) If Separate Account in LE is YES and organization type is SOLO, it will show the NPI# of Rendering Provider. Follow the steps described below:-. Box 33b is used to indicate a payer-assigned identifier of the Billing Provider. The anesthesiology codes cannot be used to derive COS 030. 3 0 obj 4. Secure .gov websites use HTTPSA The code set is divided into three distinct Levels, which include Provider Grouping, Classification, and Area of Specialization. [On the Top Colored area] NPI# or the rendering provider from Provider Master. 261QC1800X Corporate Health. This guide will provide basic information to further instruct and educate all providers in assistance with taxonomy submittals. @i;pU- }@pHK00Ui00zMb0 ] 3 CMS-1500 FORM FIELDS & DESCRIPTION FIELD NUMBER & DESCRIPTION 1. As the name itself suggests, this one is the level of specialization as it provides the specific categories of Taxonomy codes. 261QC0050X Critical Access Hospital. <>>> For paper claims submissions, on a UB-04 form, include the taxonomy code in box 57 or in box 81. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R 20 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Usage: This code requires use of an Entity Code, ACK/REJECT MISS INFO Entitys specialty/taxonomy code. Taxonomy may be needed to establish a one-to-one NPI/LPI match if the provider has multiple locations. CMS-1500 Form Requirements Item Number 19 Instructions Do not enter a space, hyphen or other separator between the qualifier code and the number. For paper CMS-1500 professional statements, the taxonomy code should be marked with the qualifier ZZ in the shaded portion of box 24i. 11.d. If all the 3 are entered it will take ONSET OF CURRENT ILLNESS. This code is used to denote that the provider has an NPI . 2 0 obj 24.e. Each taxonomy code is a unique ten character alphanumeric code that enables providers to identify their specialty at the claim level. 1.a. The top shaded portion is the location for the reporting supplemental information. INSURED'S ID NUMBER . An official website of the United States government %PDF-1.5 9.d. For a specific payer, please see: Box 33: Insurance Specific Billing Provider. 12 & 13 are on file and enter the SIGNATURE DATE under Authorization Information section in Other Attributes page in Patient Master. Secure websites use HTTPS certificates. A taxonomy code is a unique 10-character code that designates your classification and specialization. 81b with B3 qualifier. Usage: This code requires use of an Entity Code. Hope that helps. To enroll, you must have an NPI. HCFA Box 24j You must select the Qualifier for Taxonomy and enter the code: INSTRUCTIONS FOR USE OF THE CMS-1500 (02-12), BILLING FORM . APPROVED OMB-093B-1197 FORM CMS-1500 (06-15) OMB No. The provider does not need to mark the claim as such. . A taxonomy code is a one-of-a-kind 10-character code that denotes your classification and specialization. endstream endobj 278 0 obj <. Providers may submit multiple rendering provider NPI and taxonomy at the line level on the CMS 1500 form, but rendering provider NPI and taxonomy can only be submitted at the claim level on the 837. 10.a., 10.b., 10.c. Fields 66 . registered for member area and forum access. The CMS-1450 (UB-04) form is the industry standard for submitting institutional claims for inpatient and outpatient services. INVALID PAYER CLAIM CONTROL NUMBER SUBMITTED ACK/REJECT INVAL INFO Payer Assigned Claim Control Number ACK/REJECT MISS INFO Entitys specialty/taxonomy code. 3) If Separate Account in LE is NO, it will show the Primary Legal Entity Name & Address. Gavin. If you are a behavioral health facility that bills Anthem at the organizational level on the CMS 1500, report the following taxonomy codes in the Billing Taxonomy field on the CMS-1500 (paper - field 33b, electronic - Loop 2000A/Segment PRV - field . EMPLOYER name of the other payer insured person in Insurance Information screen under Patient Master. Each year the Centers for Medicare and Medicaid Services (CMS) rolls out the proverbial carpet and ushers in new rules on regulatory compliance, coding and reimbursement. 33.a. Paper claims submitted via mail are processed an average of 12 days faster than paper claims submitted by fax. b) If Primary LE organization type is NOT SOLO and, 1) If Separate Account in LE is YES and organization type is NOT SOLO, it will show the value from Legal Entity. Enter the clinician's NPI in the NPPES NPI Registry. 33 Display the details according to the rules below. number or CPT codes will delay payment or may result in rejection of the claim because of incomplete information. Patient MARITAL STATUS, EMPLOYMENT STATUS & STUDENT STATUS from Patient Master. The Health Insurance Portability and Accountability Act include a comprehensive list of taxonomy codes (HIPAA). FIELD NUMBE R FIELD NAME INSTRUCTIONS 1 a . DMAS does not provide CMS-1500 and CMS-1450 (UB-04) forms. A Type 1 NPI is an NPI for a person. View the complete data set on data.cms.gov, where you can select various download formats to view the entire list. In place of TPIs, providers will need to submit their NPI/API, taxonomy code, benefit code (if applicable), and complete address with city, state, and ZIP+4 code. All Rights Reserved to AMA. The Healthcare Provider Taxonomy code set is an external, nonmedical data code set designed for use in an electronic environment, specifically within the ASC X12N Healthcare transactions. ( Required when applicable and for any waiver-related services. or 25-27 . 2. Usage: This code requires use of an Entity Code. Attending Provider Taxonomy Code. Usage: This code requires use of an Entity Code. This is a reminder to providers that taxonomy codes must be included when submitting claims to prepaid health plans (PHPs), whether the claim comes from the individual provider or through a clearinghouse. 1240-0044 Expires: 06/30/2024. For additional assistance, please follow up with the PHP with which your agency contracts. If this is your first visit, be sure to check out the. Display the NPI# according to the rules below. Taxonomy Code (CMS 1500) - administrative code set used to report a physicians specialty. To avoid any claims processing errors, providers should complete their claims with the same information that was included on the prior authorization request. To give you a much clearer idea, let us first talk about the general structure that all the Taxonomy codes follow. Claims Denied - Taxonomy Codes Missing, Incorrect, Or Inactive. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). or Claim Form for both Block Kaiser Permanente also requires that all CMS-1450 claims submitted are reported using the specific code sets as adopted by HIPAA. taxonomy code if the NPI is entered in locator 33a open line. CMS has developed a taxonomy code crosswalk that connects the types of providers and suppliers who are eligible to apply for Medicare enrollment with the appropriate Healthcare Provider Taxonomy Codes. PATIENT NAME from Patient Master. PATIENT ADDRESS, CITY, STATE, ZIP CODE & HOME PHONE from Patient Master. 682. 28 . Billing - endobj 22 Display corresponding codes for selected value from MEDICAID RESUB. 9.a. Now the dust has settled, learn about the greatest impacts as a result of the CMS 2023 Final Rule. How to Setup Taxonomy Codes in Medisoft for Paper CMS-1500 Form - YouTube Gavin demonstrates how to setup the taxonomy code so it will print on a CMS-1500 claim form. CODE field under Encounter tab within Charge Master. For a better experience, please enable JavaScript in your browser before proceeding. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Medicare Enrollment Assistance & Contacts, National Plan & Provider Enumeration System, or NPPES, View the complete data set on data.cms.gov, National Uniform Claim Committee (NUCC) code set list. 8. (Required if applicable.) Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. 363A00000X. You will use this code when applying for a National Provider Identifier, commonly referred to as an NPI. ZZ and PXC are the qualifiers that apply to the provider taxonomy code. Enter the patient's Medicaid identification number 2 . Electronic claims are processed an average of 14 days faster than paper claims. 17.b. 18 Display the ADMISSION DATE FROM & TO from Main tab in Charge Entry/Charge Master. rendering/performing the service in the . 2) If Separate Account in LE is YES and organization type is SOLO, it will show the Rendering Provider Name & Address. Enter appropriate ICD diagnosis codes horizontally in alpha order, 1.a. Note: Applications for NPIs are processed through the National Plan & Provider Enumeration System, or NPPES. 24.c. SECONDARY ID for the rendering provider against the billed insurance entered in Setup Insurance page under Provider Master. Taxonomy Codes on Paper Claims Submissions If you choose to submit your claims on paper, we need them to be legible. Once you click on search you will find your taxonomy number listed on the website. Taxonomy Code(s) Billing Loop (2000A), PRV segments - PRV02 = PXC PRV03 = taxonomy code. The taxonomy code is designated by the provider in order to identify his or her provider type, classification and/or area of specialization. 32.a. Usage: This code requires use of an Entity Code. Select Provider Taxonomy from the Qualifier (17a) drop-down menu. . 9. Medicare COB : 003 Optical Services . If you need help identifying your taxonomy code, or have other questions about the enrollment process, please contact us.