The health care providers taxonomy codes are unique alphanumeric codes, ten characters in length. The codes are divided into three distinct "levels": Provider Grouping, Classification, and Area of Specialization. The code set levels are organized to allow navigating down from generic classification to a provider's most specific level of specialization. The code set is designed for use in electronic health care transactions mandated under HIPAA.
Taxonomy codes are self-selected by the health care providers. Their specialty is defined based on their education level and training. Taxonomy codes do not specify the actual services rendered by the health care provider.
| Code | Specialization | Definition |
|---|---|---|
| Clinic/Center | ||
| 261Q00000X | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). | |
| 261QM0855X | Adolescent and Children Mental Health | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| 261QA0600X | Adult Day Care | Definition to come... |
| 261QM0850X | Adult Mental Health | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| 261QA0005X | Ambulatory Family Planning Facility | An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| 261QA0006X | Ambulatory Fertility Facility | A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |
| 261QA1903X | Ambulatory Surgical | Definition to come... |
| 261QA0900X | Amputee | An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |
| 261QA3000X | Augmentative Communication | An entity, facility, or distinct part of a facility staffed by audiology and/or speech professionals with special training in the evaluation of a patient's potential for use of an augmentative communication device, determination of the most appropriate device, adjustment and maintenance of the device, and training the patient to use the device. |
| 261QB0400X | Birthing | A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| 261QC1500X | Community Health | Definition to come... |
| 261QC1800X | Corporate Health | Definition to come... |
| 261QC0050X | Critical Access Hospital | An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| 261QD0000X | Dental | Definition to come... |
| 261QD1600X | Developmental Disabilities | An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| 261QE0002X | Emergency Care | Definition to come... |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment | Definition to come... |
| 261QE0800X | Endoscopy | Definition to come... |
| 261QF0050X | Family Planning, Non-Surgical | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| 261QF0400X | Federally Qualified Health Center (FQHC) | Definition to come... |
| 261QG0250X | Genetics | An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |
| 261QH0100X | Health Service | Definition to come... |
| 261QH0700X | Hearing and Speech | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| 261QI0500X | Infusion Therapy | Definition to come... |
| 261QL0400X | Lithotripsy | Definition to come... |
| 261QM1200X | Magnetic Resonance Imaging (MRI) | Definition to come... |
| 261QM2500X | Medical Specialty | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| 261QM3000X | Medically Fragile Infants and Children Day Care | An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| 261QM0801X | Mental Health (Including Community Mental Health Center) | Definition to come... |
| 261QM2800X | Methadone | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| 261QM1000X | Migrant Health | Definition to come... |
| 261QM1103X | Military Ambulatory Procedure Visits Operational (Transportable) | "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure | That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| 261QM1102X | Military Outpatient Operational (Transportable) Component | "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| 261QM1100X | Military/U.S. Coast Guard Outpatient | The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| 261QM1300X | Multi-Specialty | Definition to come... |
| 261QX0100X | Occupational Medicine | Definition to come... |
| 261QX0200X | Oncology | An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| 261QX0203X | Oncology, Radiation | Definition to come... |
| 261QS0132X | Ophthalmologic Surgery | Definition to come... |
| 261QS0112X | Oral and Maxillofacial Surgery | The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| 261QP3300X | Pain | Definition to come... |
| 261QP2000X | Physical Therapy | An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. |
| 261QP1100X | Podiatric | Definition to come... |
| 261QP2300X | Primary Care | Definition to come... |
| 261QP2400X | Prison Health | Definition to come... |
| 261QP0904X | Public Health, Federal | Definition to come... |
| 261QP0905X | Public Health, State or Local | Definition to come... |
| 261QR0200X | Radiology | Definition to come... |
| 261QR0206X | Radiology, Mammography | Definition to come... |
| 261QR0208X | Radiology, Mobile | Definition to come... |
| 261QR0207X | Radiology, Mobile Mammography | Definition to come... |
| 261QR0800X | Recovery Care | Definition to come... |
| 261QR0400X | Rehabilitation | Definition to come... |
| 261QR0404X | Rehabilitation, Cardiac Facilities | Definition to come... |
| 261QR0401X | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | Definition to come... |
| 261QR0405X | Rehabilitation, Substance Use Disorder | Definition to come... |
| 261QR1100X | Research | Definition to come... |
| 261QR1300X | Rural Health | Definition to come... |
| 261QS1200X | Sleep Disorder Diagnostic | Definition to come... |
| 261QS1000X | Student Health | Definition to come... |
| 261QU0200X | Urgent Care | Definition to come... |
| 261QV0200X | VA | Definition to come... |