Code |
Description |
|---|---|
01 |
General practice |
02 |
General surgery |
03 |
Allergy/immunology |
04 |
Otolaryngology |
05 |
Anesthesiology |
06 |
Cardiology |
07 |
Dermatology |
08 |
Family practice |
09 |
Interventional pain management |
10 |
Gastroenterology |
11 |
Internal medicine |
12 |
Osteopathic manipulative medicine |
13 |
Neurology |
14 |
Neurosurgery |
15 |
Speech language pathologist in private practice |
16 |
Obstetrics/gynecology |
17 |
Hospice and palliative care |
18 |
Ophthalmology |
19 |
Oral surgery (dentists only) |
20 |
Orthopedic surgery |
21 |
Cardiac electrophysiology |
22 |
Pathology |
23 |
Sports medicine |
24 |
Plastic and reconstructive surgery |
25 |
Physical medicine and rehabilitation |
26 |
Psychiatry |
27 |
Geriatric psychiatry |
28 |
Colorectal surgery (formerly proctology) |
29 |
Pulmonary disease |
30 |
Diagnostic radiology |
31 |
Intensive cardiac rehabilitation |
32 |
Anesthesiologist assistant |
33 |
Thoracic surgery |
34 |
Urology |
35 |
Chiropractic |
36 |
Nuclear medicine |
37 |
Pediatric medicine |
38 |
Geriatric medicine |
39 |
Nephrology |
40 |
Hand surgery |
41 |
Optometry |
42 |
Certified nurse midwife |
43 |
Certified registered nurse anesthetist (CRNA) |
44 |
Infectious disease |
45 |
Mammography screening center |
46 |
Endocrinology |
47 |
Independent diagnostic testing facility |
48 |
Podiatry |
49 |
Ambulatory surgical center |
50 |
Nurse practitioner |
51 |
Medical supply company with certified orthotist |
52 |
Medical supply company with certified prosthetist |
53 |
Medical supply company with certified prosthetist-orthotist |
54 |
Medical supply company not included in specialties 51-53 |
55 |
Individual orthotic personnel certified by an accrediting organization |
56 |
Individual prosthetic personnel certified by an accrediting organization |
57 |
Individual prosthetic/orthotic personnel certified by an accrediting organization |
58 |
Medical supply company with registered pharmacist |
59 |
Ambulance service (private) |
60 |
Public health or welfare agencies (federal, state, and local) |
61 |
Voluntary health or charitable agencies (e.g., National Cancer Society, National Heart Association, Catholic Charities) |
62 |
Psychologist (billing independently) |
63 |
Portable x-ray supplier (billing independently) |
64 |
Audiologist (billing independently) |
65 |
Physical therapist in private practice |
66 |
Rheumatology |
67 |
Occupational therapist in private practice |
68 |
Clinical psychologist |
69 |
Clinical laboratory (billing independently) |
70 |
Single or Multi-specialty clinic or group practice (PA Group) |
71 |
Registered dietician/nutrition professional |
72 |
Pain management |
73 |
Mass immunization roster biller |
74 |
Radiation therapy center |
76 |
Peripheral vascular disease |
77 |
Vascular surgery |
78 |
Cardiac surgery |
79 |
Addiction medicine |
80 |
Licensed clinical social worker |
81 |
Critical care (intensivists) |
82 |
Hematology |
83 |
Hematology/oncology |
84 |
Preventive medicine |
85 |
Maxillofacial surgery |
86 |
Neuropsychiatry |
87 |
All other suppliers, e.g., drug stores |
88 |
Unknown provider |
89 |
Certified clinical nurse specialist |
90 |
Medical oncology |
91 |
Surgical oncology |
92 |
Radiation oncology |
93 |
Emergency medicine |
94 |
Interventional radiology |
95 |
Unknown supplier |
96 |
Optician |
97 |
Physician assistant |
98 |
Gynecological/oncology |
99 |
Unknown physician specialty |
A0 |
Hospital |
A1 |
Skilled nursing facility |
A2 |
Intermediate care nursing facility |
A3 |
Nursing facility, other |
A4 |
Home health agency |
A5 |
Pharmacy |
A6 |
Medical supply company with respiratory therapist |
A7 |
Department store |
A8 |
Grocery store |
B1 |
Oxygen/Oxygen Related Equipment |
B2 |
Pedorthic personnel |
B3 |
Medical supply company with pedorthic personnel |
B4 |
Rehabilitation agency |
B5 |
Ocularist |
C0 |
Sleep medicine |
C1 |
Centralized flu |
C2 |
Indirect payment procedure |
C3 |
Interventional cardiology |
C4 |
Restricted use |
C5 |
Dentist |
C6 |
Hospitalist |
C7 |
Advanced heart failure and transplant cardiology |
C8 |
Medical toxicology |
C9 |
Hematopoietic cell transplantation and cellular therapy |
D1 |
Medicare Diabetes Prevention Program |
D3 |
Medical genetics and genomics |
D4 |
Undersea and Hyperbaric Medicine |
D5 |
Opioid Treatment Program |
D6 |
Home Infusion Therapy Services (effective October 1, 2020) |
D7 |
Micrographic Dermatologic Surgery (MDS) (effective October 1, 2020) |
D8 |
Adult Congenital Heart Disease (ACHD) (effective October 1, 2020) |
