Substance Use Disorder Provider Taxonomy Indicator

SAS Name
IP_SUD_TXNMY_IND

Indicator that identifies whether the billing and/or servicing provider are substance use disorders (SUD) providers. Taxonomies for substance use treatment providers and facilities are used to identify substance use- related claims.

Comments

This variable is derived in the TAF using Taxonomy codes for SUD:

Codes            Classification and area of specialization

(a) Individual or Groups of Individuals

101YA0400X Behavioral Health & Social Service Providers: Counselor, Addiction (Substance Use Disorder)

103TA0400X Behavioral Health & Social Service Providers: Psychologist, Addiction (Substance Use Disorder)

163WA0400X Nursing Service Providers: Registered Nurse, Addiction (Substance Use Disorder)

207LA0401X Allopathic & Osteopathic Physicians: Anesthesiology, Addiction Medicine

207QA0401X Allopathic & Osteopathic Physicians: Family Medicine, Addiction Medicine

207RA0401X Allopathic & Osteopathic Physicians: Internal Medicine, Addiction Medicine

2084A0401X Allopathic & Osteopathic Physicians: Psychiatry & Neurology, Addiction Medicine

2084P0802X Allopathic & Osteopathic Physicians: Psychiatry & Neurology, Addiction Psychiatry

101YA0400X Behavioral Health & Social Service Providers: Counselor, Addiction (Substance Use Disorder)

103TA0400X Behavioral Health & Social Service Providers: Psychologist, Addiction (Substance Use Disorder)

163WA0400X Nursing Service Providers: Registered Nurse, Addiction (Substance Use Disorder)

207LA0401X Allopathic & Osteopathic Physicians: Anesthesiology, Addiction Medicine

207QA0401X Allopathic & Osteopathic Physicians: Family Medicine, Addiction Medicine

207RA0401X Allopathic & Osteopathic Physicians: Internal Medicine, Addiction Medicine

2084A0401X Allopathic & Osteopathic Physicians: Psychiatry & Neurology, Addiction Medicine

2084P0802X Allopathic & Osteopathic Physicians: Psychiatry & Neurology, Addiction Psychiatry

(b) Non-Individual

261QM2800X Ambulatory Health Care Facilities: Clinic/Center, Methadone

261QR0405X Ambulatory Health Care Facilities: Clinic/Center, Rehabilitation, Substance Use Disorder

276400000X Hospital Units: Rehabilitation, Substance Use Disorder Unit

324500000X Residential Treatment Facilities: Substance Abuse Rehabilitation Facility

3245S0500X Residential Treatment Facilities: Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children

For Substance Use Disorder Taxonomy Codes, please visit http://www.wpc-edi.com/reference/

SOURCE: T-MSIS Analytic File (TAF) Claims (derived)

Code Code value
0 Neither billing provider nor servicing provider(s) on claim are substance use disorders (SUD) providers
1 Both SUD billing provider and servicing provider(s) on claim
2 Only SUD billing provider on claim
3 Only SUD servicing provider(s) on claim
Null/missing source value is missing or unknown