HL7 Terminology (THO)
5.4.0 - Continuous Process Integration (ci build) International flag

HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 5.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: NUCCProviderCodes

Official URL: http://terminology.hl7.org/ValueSet/v3-NUCCProviderCodes Version: 3.0.0
Active as of 2014-03-26 Responsible: Health Level Seven International Computable Name: NUCCProviderCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.1.11.19465

Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

In the absence of an all-encompassing Provider Classification System, both X12N and the National Provider System Workgroup from the Centers for Medicare and Medicaid Services (CMS) commenced work on identifying and coding an external provider table that would be able to codify provider type and provider area of specialization for all medical related providers. CMS’ intent was to provide a single coding structure to support work on the National Provider System, while X12N needed a single common table for trading partner use. The two projects worked independently to some extent until April 1996 when the lists were coordinated and a single taxonomy was proposed. A sub-group of the X12N TG2 WG 15 was charged with resolving differences in the two proposed taxonomies. Their work resulted in a single taxonomy that both CMS and members of X12N found meaningful, easy to use, and functional for electronic transactions.

The sub-group initially started with the CMS draft taxonomy. This list incorporated all types of providers associated with medical care in various ways. Many of the providers listed, such as technologists or technicians, support or repair equipment/machinery. A number of the providers offer medical services, in concert with others, and do not or cannot bill independently for their portion. The amount of research to validate and classify all providers using the proposed hierarchical structure was enormous. The X12N sub-group focused on medical providers who are licensed practitioners, those who bill for health-related services rendered, and those who appeared on the Medicare CMS Provider Specialty listing. This included providers who were licensed to practice medicine via state licensure agencies. In addition, a very broad definition of “areas of specialization” was used, which included nationally recognized specialties, provider self-designated specialties, areas of practice focus, and any request by any agency or trading partner submitted before the first taxonomy release. This level of detail captured specialty information in categories detailed enough to support those trading credentialing information, yet broad enough to support those wishing to trade directory level specialization information.

In 2001, ANSI ASC X12N asked the NUCC to become the official maintainer of the Health Care Provider Taxonomy List. The NUCC has a formal operating protocol and its membership includes representation from key provider and payer organizations, as well as state and federal agencies, standard development organizations and the National Uniform Billing Committee (NUBC). Criteria for membership includes a national scope and representation of a unique constituency affected by health care electronic commerce, with an emphasis on maintaining a provider/payer balance.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include all codes defined in http://nucc.org/provider-taxonomy

 

Expansion

Expansion based on codesystem http://nucc.org/provider-taxonomy version 22.1

This value set contains 868 concepts.

CodeSystemDisplay - English (English, en)
  101200000Xhttp://nucc.org/provider-taxonomy
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  3418M1120Xhttp://nucc.org/provider-taxonomy
  3418M1130Xhttp://nucc.org/provider-taxonomy
  342000000Xhttp://nucc.org/provider-taxonomy
  343800000Xhttp://nucc.org/provider-taxonomy
  343900000Xhttp://nucc.org/provider-taxonomy
  344600000Xhttp://nucc.org/provider-taxonomy
  344800000Xhttp://nucc.org/provider-taxonomy
  347B00000Xhttp://nucc.org/provider-taxonomy
  347C00000Xhttp://nucc.org/provider-taxonomy
  347D00000Xhttp://nucc.org/provider-taxonomy
  347E00000Xhttp://nucc.org/provider-taxonomy
  363A00000Xhttp://nucc.org/provider-taxonomy
  363AM0700Xhttp://nucc.org/provider-taxonomy
  363AS0400Xhttp://nucc.org/provider-taxonomy
  363L00000Xhttp://nucc.org/provider-taxonomy
  363LA2100Xhttp://nucc.org/provider-taxonomy
  363LA2200Xhttp://nucc.org/provider-taxonomy
  363LC0200Xhttp://nucc.org/provider-taxonomy
  363LC1500Xhttp://nucc.org/provider-taxonomy
  363LF0000Xhttp://nucc.org/provider-taxonomy
  363LG0600Xhttp://nucc.org/provider-taxonomy
  363LN0000Xhttp://nucc.org/provider-taxonomy
  363LN0005Xhttp://nucc.org/provider-taxonomy
  363LP0200Xhttp://nucc.org/provider-taxonomy
  363LP0222Xhttp://nucc.org/provider-taxonomy
  363LP0808Xhttp://nucc.org/provider-taxonomy
  363LP1700Xhttp://nucc.org/provider-taxonomy
  363LP2300Xhttp://nucc.org/provider-taxonomy
  363LS0200Xhttp://nucc.org/provider-taxonomy
  363LW0102Xhttp://nucc.org/provider-taxonomy
  363LX0001Xhttp://nucc.org/provider-taxonomy
  363LX0106Xhttp://nucc.org/provider-taxonomy
  364S00000Xhttp://nucc.org/provider-taxonomy
  364SA2100Xhttp://nucc.org/provider-taxonomy
  364SA2200Xhttp://nucc.org/provider-taxonomy
  364SC0200Xhttp://nucc.org/provider-taxonomy
  364SC1501Xhttp://nucc.org/provider-taxonomy
  364SC2300Xhttp://nucc.org/provider-taxonomy
  364SE0003Xhttp://nucc.org/provider-taxonomy
  364SE1400Xhttp://nucc.org/provider-taxonomy
  364SF0001Xhttp://nucc.org/provider-taxonomy
  364SG0600Xhttp://nucc.org/provider-taxonomy
  364SH0200Xhttp://nucc.org/provider-taxonomy
  364SH1100Xhttp://nucc.org/provider-taxonomy
  364SI0800Xhttp://nucc.org/provider-taxonomy
  364SL0600Xhttp://nucc.org/provider-taxonomy
  364SM0705Xhttp://nucc.org/provider-taxonomy
  364SN0000Xhttp://nucc.org/provider-taxonomy
  364SN0800Xhttp://nucc.org/provider-taxonomy
  364SP0200Xhttp://nucc.org/provider-taxonomy
  364SP0807Xhttp://nucc.org/provider-taxonomy
  364SP0808Xhttp://nucc.org/provider-taxonomy
  364SP0809Xhttp://nucc.org/provider-taxonomy
  364SP0810Xhttp://nucc.org/provider-taxonomy
  364SP0811Xhttp://nucc.org/provider-taxonomy
  364SP0812Xhttp://nucc.org/provider-taxonomy
  364SP0813Xhttp://nucc.org/provider-taxonomy
  364SP1700Xhttp://nucc.org/provider-taxonomy
  364SP2800Xhttp://nucc.org/provider-taxonomy
  364SR0400Xhttp://nucc.org/provider-taxonomy
  364SS0200Xhttp://nucc.org/provider-taxonomy
  364ST0500Xhttp://nucc.org/provider-taxonomy
  364SW0102Xhttp://nucc.org/provider-taxonomy
  364SX0106Xhttp://nucc.org/provider-taxonomy
  364SX0200Xhttp://nucc.org/provider-taxonomy
  364SX0204Xhttp://nucc.org/provider-taxonomy
  367500000Xhttp://nucc.org/provider-taxonomy
  367A00000Xhttp://nucc.org/provider-taxonomy
  367H00000Xhttp://nucc.org/provider-taxonomy
  372500000Xhttp://nucc.org/provider-taxonomy
  372600000Xhttp://nucc.org/provider-taxonomy
  373H00000Xhttp://nucc.org/provider-taxonomy
  374700000Xhttp://nucc.org/provider-taxonomy
  3747A0650Xhttp://nucc.org/provider-taxonomy
  3747P1801Xhttp://nucc.org/provider-taxonomy
  374J00000Xhttp://nucc.org/provider-taxonomy
  374K00000Xhttp://nucc.org/provider-taxonomy
  374T00000Xhttp://nucc.org/provider-taxonomy
  374U00000Xhttp://nucc.org/provider-taxonomy
  376G00000Xhttp://nucc.org/provider-taxonomy
  376J00000Xhttp://nucc.org/provider-taxonomy
  376K00000Xhttp://nucc.org/provider-taxonomy
  385H00000Xhttp://nucc.org/provider-taxonomy
  385HR2050Xhttp://nucc.org/provider-taxonomy
  385HR2055Xhttp://nucc.org/provider-taxonomy
  385HR2060Xhttp://nucc.org/provider-taxonomy
  385HR2065Xhttp://nucc.org/provider-taxonomy
  390200000Xhttp://nucc.org/provider-taxonomy
  405300000Xhttp://nucc.org/provider-taxonomy

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26