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| Health Care Provider Taxonomy Code Set Change Log: Last Update July 1, 2008 |
New Code Values
Added 7/1/2008, Effective 10/1/2008 |
207QS1201X | |
Under the Allopathic & Osteopathic Physicians Type, Family Medicine Classification, the Sleep Medicine Specialization was added:
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
American Academy of Sleep Medicine, 2008
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103K00000X | |
Under the Behavioral Health & Social Service Providers Type, the Behavioral Analyst Classification was added:
A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma.
Source: National Uniform Claim Committee
Additional Resources: Behavior Analysts may become Board Certified Behavioral Analysts (BCBA) through the Behavior Analysis Certification Board (BACB) www.bacb.com
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225XG0600X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the Gerontology Specialization was added:
Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Gerontology Occupational Therapist if the applicant meets the following requirements:
- Professional degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 5 years of practice as an occupational therapist.
- Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
- Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Fact Sheets: Senior Center and Assisted Living Facilities
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225XM0800X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the Mental Health Specialization was added:
Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Mental Health Occupational Therapist if the applicant meets the following requirements:
- Professional degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 5 years of practice as an occupational therapist.
- Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
- Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Fact Sheets: Partial Hospitalization Programs and Consumer
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225XP0019X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the Physical Rehabilitation Specialization was added:
Occupational therapists are experts at helping people lead as independent a life as possible. Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability to perform the tasks of daily living. Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving. They also may fabricate custom orthotics to improve function, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons’ physical endurance and strength. Occupational therapists' knowledge of adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Physical Rehabilitation Occupational Therapist if the applicant meets the following requirements:
- Professional degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 5 years of practice as an occupational therapist.
- Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
- Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Consumer Tip Sheets: Stroke, Hip
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225XE0001X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the Environmental Modification Specialization was added:
Occupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living. Occupational therapy practitioners evaluate the client, their environment, and their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity. Occupational therapists can evaluate both the skills of the client and the environmental features that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being. Based on this assessment, they recommend modification and intervention strategies that improve the fit between the person and his or her environment.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for an Environmental Modification Occupational Therapist if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Fact Sheets: Home Modifications
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225XF0002X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the Feeding, Eating & Swallowing Specialization was added:
Occupational therapists provide interventions to clients of all ages with feeding, eating and swallowing difficulties. Occupational therapists provide comprehensive rehabilitative, habilitative, and palliative dysphagia care, which includes collaborating with clients to provide individualized compensatory swallowing strategies, modified diet textures, adapted mealtime environments, enhanced feeding skills, preparatory exercises and positioning to clients, reinforcement of mealtime strategies to enhance and improve swallowing skills, and training to caregivers to enhance eating and feeding performance. Occupational therapists provide screening and in-depth clinical assessment which may include instrumental dysphagia assessments including videofluroscopy.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Feeding, Eating & Swallowing Occupational Therapist if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Feeding, Eating and Swallowing in Occupational Therapy Practice, 2007; AOTA Fact Sheets: OT: A Vital Role in Dysphagia Care
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225XL0004X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the Low Vision Specialization was added:
Occupational therapists enable children and adults with visual impairment to engage in their chosen daily living activities safely and as independently as possible. This is accomplished by 1) teaching the person to use their remaining vision as efficiently as possible to complete activities; (2) modifying activities so that they can be completed with less vision; (3) training the person in use of adaptive equipment to compensate for vision loss, including high and low technology assistive devices; and (4) modifying the person’s environment.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Low Vision Occupational Therapist if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Fact Sheets: Low Vision; OT Services for Individuals with Visual Impairments
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224ZF0002X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapy Assistant Classification, the Feeding, Eating & Swallowing Specialization was added:
Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Feeding, Eating & Swallowing Occupational Therapy Assistant if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Website: Specialty Certifications; AOTA Specialized Knowledge and Skills Paper: Feeding, Eating and Swallowing in Occupational Therapy Practice, 2007; AOTA Fact Sheets: OT: A Vital Role in Dysphagia Care
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224ZL0004X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapy Assistant Classification, the Low Vision Specialization was added:
Occupational therapy assistants contribute to the completion of an individualized occupational therapy low-vision evaluation under the direction and supervision of the occupational therapist to identify factors that may facilitate, compensate for, or inhibit use of vision in occupational performance. Clients are engaged in the identification of strengths, limitations, and goals as they relate to low vision to optimize independence and participation in desired occupations. Occupational therapy assistants also contribute to the development and implementation of an individualized occupational therapy low-vision intervention plan in collaboration with the occupational therapist, client, and relevant others that reflects the client’s priorities for occupational performance.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Low Vision Occupational Therapy Assistant if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Fact Sheets: Low Vision; OT Services for Individuals with Visual Impairments
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224ZR0403X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapy Assistant Classification, the Driving & Community Mobility Specialization was added:
Occupational therapy assistants contribute to the completion of an individualized occupational therapy driving and community mobility evaluation by administering delegated assessments and identifying findings that impact the client's occupational performance. Clients engage in the assessment and occupational profile process to customize the evaluation to their individual driving and community mobility needs. Occupational therapy assistants administer and continuously modify individualized in-vehicle and community mobility assessments within the naturalistic context of the community in response to the occupational performance and safety behaviors of the client. They also implement an individualized intervention plan, within the parameters established in collaboration with the occupational therapist that reflects the contexts of the client and meets his or her occupational performance and safety needs. Occupational therapy assistants address immediate and long-term implications of psychosocial issues related to compromised driving and community mobility throughout the occupational therapy process and makes recommendations to the occupational therapist for modification to service delivery.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Driving & Community Mobility Occupational Therapy Assistant if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
AOTA Fact Sheets: Older Driver; AOTA Website: Specialty Certification
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224ZE0001X | |
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapy Assistant Classification, the Environmental Modification Specialization was added:
Occupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts of the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational performance and participation goals and that have adequate flexibility to accommodate for their future needs.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.
Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for an Environmental Modification Occupational Therapy Assistant if the applicant meets the following requirements:
- Professional or technical degree or equivalent in occupational therapy.
- Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
- Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
- 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
- Verification of employment.
Fact Sheet: Home Modifications and OT, AOTA Website: Specialty Certifications
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243U00000X | |
Under the Technologists, Technicians & Other Technical Service Providers Type the Radiology Practitioner Assistant Classification, was added:
A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.
Source: Certification Board of Radiology Practitioner Assistants
Additional Resources: www.cbrpa.org
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253Z00000X | |
Under the Agencies Type the In Home Supportive Care Classification, was added:
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Source: National Uniform Claim Committee, 2008
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