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Thread: Help needed for taxonomy choice

  1. #1
    Join Date
    Apr 2007

    Question Help needed for taxonomy choice

    AAPC: Back to School
    Hi, we've been informed of changing in billing specifications by Wellcare Health Plans, requiring putting in a ten-character taxonomy code in box 24j of form 1500.

    Now our office has two providers sharing the same tax id. shall we choose a code for "group practice" (208D00000X) as a common code for both doctors , or shall we choose a taxonomy code for each doctor respectively: one for internal medicine(207R00000X) and one for pediatrics (208000000X)?

    Timely help will be greatly appreciated.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Individual specialty

    If you are billing for professional services, I would choose the taxonomy for the individual provider's specialty.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    I would choose the specialty specific ones. Not sure if your doctors see the same patients or refer back and forth to each other, but having specialty taxonomy codes will help with any denials you might get if the patient is seen in the hospital on the same day by both of your providers or if one refers to the other and you charge a new pt visit and the insurance denies saying they should be established. Just a thought.

    Hope this helps!
    Susie Corrado, CPC
    ENT Coding/Billing

  4. #4
    Join Date
    Apr 2007


    Thanks a lot for your quick response, Tessa and Susie! I appreciate that.
    We'll go with the individual specialty as you advised.

    Have a nice day!


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