Program_Memos / 2003 / B-03-042

Why This Topic Matters

Organizations that validate provider taxonomy data need to know when the updated code set becomes effective, how CMS expected contractors to manage tables and communications, and when editing changes were to resume. The memorandum also highlights issues with the published taxonomy files and the need to coordinate system updates with external trading partners.

Article Sections

1. Change Request 2698

   Introduces the purpose of the memorandum and identifies the CMS change request associated with the update.

2. Subject: Bi-Annual Updates to the Health Care Provider Taxonomy Code (HPTC)

   Summarizes the scope of the provider taxonomy update and the general background on the code set and its publication cycle.

3. Physician Codes

   Describes broad changes to physician-related taxonomy structure and the way classifications were reorganized.

4. Other Code Changes

   Notes that additional provider taxonomy entries outside the physician category were also revised and refers readers to supporting references.

5. Instructions To Carriers

   Provides operational guidance for contractors and carriers regarding taxonomy table maintenance, notification timing, and system processing changes.