NUCC taxonomy code
Preferred Provider Organization
305R00000X
Non-IndividualManaged Care Organizations
- Grouping
- Managed Care Organizations
- Classification
- Preferred Provider Organization
- Specialization
- None
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Patientary is an informational reference tool built on public data (CMS NPPES and the official ICD-10-CM release). It is not medical, coding, legal or billing advice, and code assignment is the responsibility of a qualified professional. Always verify against the primary source before you bill or file.