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Taxonomy Codes Updates Effective October 1, 2024

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

Effective October 1, 2024, the Texas Medicaid & Healthcare Partnership (TMHP) will update the definition and title of some taxonomy codes associated with the following:

  • Allopathic and osteopathic physicians providing urogynecology and reconstructive pelvic surgery. (Title and definition update only)
  • Dental providers providing oral medicine. (Definition update only)
  • Dietary and nutritional service providers providing metabolic nutrition. (Definition update only)

The updates of the following taxonomy codes definitions and titles will apply to Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program:

Provider TypeTaxonomy Code
Allopathic and osteopathic physicians; obstetrics and gynecology; urogynecology and reconstructive pelvic surgery207VF0040X – A subspecialist in urogynecology and reconstructive pelvic surgery is a physician in urology or obstetrics and gynecology who, by virtue education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Allopathic and osteopathic physicians; urology; urogynecology and reconstructive pelvic surgery2088F0040X – A subspecialist in urogynecology and reconstructive pelvic surgery is a physician in urology or obstetrics and gynecology who, by virtue education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Dental providers; dentist; oral medicine125Q00000X – Oral medicine is a dentistry specialty that is responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders, and conditions affecting the oral and maxillofacial region. Oral medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases and the medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, and autoimmune disorders, including acute and chronic pain conditions of the oral and maxillofacial regions. Oral medicine specialists comanage oral and maxillofacial conditions and diseases with medical specialists and other dentists in hospitals and outpatient medical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary health care intervention.
Dietary and nutritional service providers; dietitian, registered; nutrition, metabolic133VN1006X – A registered dietitian who achieves specialized competency in metabolic nutrition.

Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.