August 10, 2022 Meeting

July 20, 2022

The NUCC will hold its next meeting open to the public on August 10, 2022 from 1:00 - 4:30 pm CT. A joint meeting will be held with the NUBC from 10:00 am - 12:00 pm CT. 

Meeting Location: American Hospital Association office at 155 N. Wacker Dr., Chicago, IL.

Virtual Attendance: There will be a virtual option to attend.

If you would like to attend the meeting, please email This email address is being protected from spambots. You need JavaScript enabled to view it. to RSVP. Due to ongoing COVID concerns, non-committee member attendees will be limited to virtual attendance only.

Here is the draft agenda for the meeting.

April 13, 2022 Meeting

February 28, 2022

The NUCC will hold its next meeting open to the public on April 13, 2022 from 1:00 - 4:30 pm CT. A joint meeting will be held with the NUBC from 9:30 am - 12:00 pm CT. 

Meeting Location: American Hospital Association office at 155 N. Wacker Dr., Chicago, IL.

Virtual Attendance: There will be a virtual option to attend.

If you would like to attend the meeting, please email This email address is being protected from spambots. You need JavaScript enabled to view it. to RSVP. Non-committee member attendees will be limited to virtual attendance only.

Here is the draft agenda for the meeting.

January 2022 Taxonomy Code Set Update Released

December 29, 2021

The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2022.  The complete code set is available under the "Code Sets" tab.  Changes to the code set are listed in the "New Codes" tab under in the Code Sets and Provider Taxonomy menu tabs.

Call for Applications for Open Vendor Seat

September 20, 2021

The National Uniform Claim Committee (NUCC) announces a call for applications for the open vendor membership seat. Applications can be submitted, in the form of a letter, from vendor organizations interested in serving as a member of the committee. Candidates must be a vendor organization or association in professional provider IT billing systems. The deadline for submitting an application is Friday, October 29, 2021.  

The following criteria for membership should be considered when applying for membership:

• The organization has a national scope. 

• The organization is affected by the administrative transactions pertaining to the professional billing requirements.

• The organization provides a perspective not currently provided by another organization serving on the committee.

• Committee members are intended to represent the perspective of the sponsoring organization and the applicable constituency.  

• Committee members will be required to attend meetings on a regular basis and shall possess a willingness to serve on at least one subcommittee.  

• Committee members are expected to have the ability to obtain quickly needed approvals from and communicate information to his/her company and constituency, so the committee can achieve an expedited process that meets the needs of the health care industry.  

The NUCC is a voluntary committee whose members include providers, payers, public health representatives, standards development organizations, and vendors. The NUCC works to promote the development of national standards for the professional claims process. It also maintains the paper 1500 Claim Form and NUCC’s 1500 Instruction Manual.  

The NUCC is one of four national organizations named in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to be consulted by the Secretary of the U.S. Department of Health and Human Services (HHS) when adopting administrative standards for health care.  In addition, the NUCC is one of six organizations designated by the HHS to collectively serve as the Designated Standard Maintenance Organizations (DSMO).

Applications submitted by October 29, 2021 will be reviewed the NUCC’s Administration Subcommittee for review and consideration.  Applications should be addressed to Nancy Spector, NUCC Chair, American Medical Association via This email address is being protected from spambots. You need JavaScript enabled to view it..  For more information, visit the NUCC’s website at www.nucc.org.

August 11, 2021 Virtual Meeting

The NUCC is holding a virtual meeting on August 11, 2021 from 3:00 - 4:00 pm ET.  A joint meeting will be held with the NUBC from 2:00 - 3:00 pm ET.  Both meetings are open to the public.  If you would like to attend either meeting, please email This email address is being protected from spambots. You need JavaScript enabled to view it. to RSVP.

The draft agenda is available here.

2021 Updated NUCC 1500 Instruction Manual Released

July 1, 2021

The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual.  The updated instruction manual, Version 9.0 7/21, goes into effect immediately and is available under the 1500 Claim Form tab. 

There were two minor changes to the Version 8.0 7/20 manual.  A change log is available on the 1500 Instructions page.  Any interim changes, clarifications, or corrections to the instructions following this release will be posted on the NUCC website.

For more information on the 1500 Health Insurance Claim Form Reference Instruction Manual, see the 1500 Claim Form tab. 

Do NOT email, fax, or mail completed 1500 Claim Forms to the NUCC. The NUCC does not process claims. Send completed forms to the appropriate payer.

July 2021 Provider Taxonomy Code Set Update

July 1, 2021

The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on October 1. 2021.  The complete Provider Taxonomy code set is available at: www.nucc.org/taxonomy.  Changes to the code set are listed in the "New Codes" tab under the Code Sets and Provider Taxonomy menu tabs. 

April 7, 2021 Virtual Meeting

The NUCC is holding a virtual meeting on April 7, 2021 from 3:00 - 4:00 pm ET.  The meeting is open to the public.  If you would like to attend the meeting, please email This email address is being protected from spambots. You need JavaScript enabled to view it. to RSVP.

The draft agenda is available here.

Condition Codes 90 and 91 Approved for Use on Professional Claims, Effective Immediately

January 19, 2021

The NUCC has approved the use of Condition Codes 90 and 91 for immediate use on the 1500 Claim Form and in the 837 Professional as follows:

  • 90 - Service provided as part of an Expanded Access (EA) approval
  • 91 - Service provided as part of an Emergency Use Authorization (EUA)

 

The Centers for Medicare & Medicaid Services (CMS) recently released MLN Matters MM12049 on the use of these Condition Codes for Medicare claims effective February 1, 2021.  

The complete list of Condition Codes available for use in the professional claim is available on the Condition Codes page under the Code Sets tab.

January 2021 Provider Taxonomy and Provider Characteristics Code Sets Updates

January 4, 2021

The NUCC has released the semi-annual updates to the Health Care Provider Taxonomy and Provider Characteristics code sets. The changes to both code sets go into effect on April 1, 2021, with one exception.  Provider Characteristic code 6K “This provider offers a vaccine for COVID-19” went into effect on January 1, 2021.

Web pages with the list of new and modified codes for both code sets are available from the Code Sets drop down menu.  The complete Provider Taxonomy code set is available at: www.nucc.org/taxonomy.  The complete Provider Characteristics code set is available at: https://www.nucc.org/index.php/code-sets-mainmenu-41/provider-characteristics-mainmenu-39.  

1500 Claim Form Renewed by OMB

October 22, 2020

The Office of Management and Budget (OMB) has completed its review and renewed the 1500 claim form for use by government programs, most notably Medicare.  The form has been renewed in its current format, with no changes to the OMB number, data fields, or other text on the form.

Forms with the 02/12 NUCC approval date and OMB number 0938-1197 (02-12) remain in effect and valid.

The renewal of the 1500 claim form by OMB occurs every three years and is outside the scope of the NUCC's work.

August 12, 2020 Virtual Meeting

The NUCC's in-person meeting scheduled for August 12, 2020 has been changed to a virtual meeting.  The meeting will occur on Wednesday August 12 from 1:00 pm - 3:00 pm ET. If you would like to attend the meeting, please email This email address is being protected from spambots. You need JavaScript enabled to view it. to RSVP.

The draft agenda is available here.

July 2020 Taxonomy Code Set Update Released

July 1, 2020

The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which had no changes.  The 20.1 version will go into effect on October 1, 2020.  The complete code set is available as a PDF under the "Code Sets" tab.  

Questions or comments about the code sets or revisions can be emailed to: This email address is being protected from spambots. You need JavaScript enabled to view it..

2020 Annual 1500 Instruction Manual Released

July 1, 2020

The NUCC has released its annual, updated version of its 1500 Health Insurance Claim Form Reference Instruction Manual.  The updated instruction manual, Version 8.0 7/20, goes into effect immediately and is available under the 1500 Claim Form tab. 

No changes were made since the Version 6.0 7/18 manual was released.  A change log is available on the 1500 Instructions page and states that no changes were made to the manual during the previous year.  Any interim changes, clarifications, or corrections to the instructions following this release will be posted on the NUCC website.

For more information on the 1500 Health Insurance Claim Form Reference Instruction Manual, email This email address is being protected from spambots. You need JavaScript enabled to view it.

Do NOT email, fax, or mail completed 1500 Claim Forms to the NUCC. The NUCC does not process claims. Send completed forms to the appropriate payer.

Condition Code DR Approved for Use on Professional Claims for COVID-19 Related Claims, Effective Immediately

March 24, 2020

The NUCC has approved the use of Condition Code “DR – Disaster Related” effective immediately for COVID-19 related claims on the 1500 Claim Form and in the 837 Professional.  The codes available for use for COVID-19 related claims are:

  • Condition Code DR - Disaster related; Reported at the claim level in Item Number 10d
  • Modifier CR - Catastrophe/disaster related; Reported at the service line level in Item Number 24D 

 

The Centers for Medicare & Medicaid Services (CMS) recently released MLN Matters SE20011 on the use of Condition Code DR and Modifier CR for COVID-19 related Medicare claims.  For Medicare, Condition Code DR is reported only in the institutional claim (electronic ASC X12 837I or paper UB-04).  The NUCC has approved the use of Condition Code DR in the professional claim (electronic ASC X12 837P or paper 1500) due to the business need by other payers to identify COVID-19 related claims, as it can be used to trigger internal payer steps or processing of claims (e.g. a different routing of the claim for processing).

 

The complete list of Condition Codes available for use in the professional claim is available on the Condition Codes page under the Code Sets tab.

New Provider Characteristics Code for COVID-19 Testing, Effective 4/1/20

March 23, 2020

The NUCC has released a new Health Care Provider Characteristics code to identify providers offering COVID-19 testing.  The new code will go into effect out-of-cycle on April 1, 2020.  The new code is "6J - This provider offers testing for COVID-19."

The complete code set is available under the "Code Sets" tab.  

April 8, 2020 Virtual Meeting

The NUCC will meet virtually on Wednesday April 8th from 2:00 pm - 4:00 pm ET. If you would like to attend, email This email address is being protected from spambots. You need JavaScript enabled to view it. for the dial-in information.

The draft agenda is available here.

January 2020 Taxonomy Code Set Update Released

January 2, 2020

The NUCC has released the semi-annual update to the Health Care Provider Taxonomy code set, which will go into effect on April 1, 2020.  The complete code set is available under the "Code Sets" tab.  The PDF download version of the code set is also available there.

When reviewing the Health Care Provider Taxonomy code set online, revisions made since the last release can be identified by the color code; modified items are orange. 

Questions or comments about the code sets or revisions can be emailed to: This email address is being protected from spambots. You need JavaScript enabled to view it..

Updated 1500 Form - 837P Map

August 13, 2018

The NUCC has updated its map of the 02/12 1500 Claim Form to the X12 837 Health Care Claim: Professional (837P) Version 5010/5010A1 electronic transaction.  The substantive change in the map is the addition of the 837P REF01 and REF02 data elements in the mapping of 1500 claim form Item Number 19.  The map is available under the 1500 Claim Form tab.

The 1500 Claim Form - 837P map is a simplified crosswalk of the 1500 Item Numbers to the corresponding data elements in the 837P 5010/5010A1 transaction.  Users of the map will need to refer to the NUCC's 1500 Reference Instruction Manual and the X12 Technical Report Type 3 (TR3) for more information about the data elements and reporting requirements.

Questions about the map can be sent to: This email address is being protected from spambots. You need JavaScript enabled to view it..