Wiki taxonomy code or specialty code?

[eutsler]

Hi,

Does Medicare use the different taxonomy codes to determine whether a subspecialist can bill for a second initial visit, or do they only look at the specialty code? We have an ortho practice with multiple orthopedic subspecialties and different taxonomy codes, but the specialty code is the same for all of them.

If the status is determined by taxonomy, do you find that you have to appeal on a regular basis?

Thanks.