List of Specialty codes
Specialty codes are used by CMS for programmatic and claims processing purposes. They are used in expenditure analysis. Medicare contractors use specialty code data to develop claims processing edits.The following list of 2-digit codes and narrative describe the kind of medicine non-physician practitioners or other healthcare providers / suppliers practice.
Code – Non-physician Practitioner/Supplier/Provider Specialty
15 – Speech Language Pathologists
31 – Intensive Cardiac Rehabilitation
32 – Anesthesiologist Assistant
42 – Certified Nurse Midwife (effective July 1, 1988)
43 – Certified Registered Nurse Anesthetist (CRNA)
45 – Mammography Screening Center
47 – Independent Diagnostic Testing Facility (IDTF)
49 – Ambulatory Surgical Center
50 – Nurse Practitioner
51 – Medical supply company with orthotic personnel certified by an accrediting organization
52 – Medical supply company with prosthetic personnel certified by an accrediting organization
53 – Medical supply company with prosthetic/orthotic personnel certified by an accrediting organization
54 – Medical supply company not included in 51, 52, or 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 Supplier, e.g., private ambulance companies, funeral homes
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 – Clinical Psychologist (Billing Independently)
63 – Portable X-Ray Supplier (Billing Independently)
64 – Audiologist (Billing Independently)
65 – Physical Therapist in Private Practice
67 – Occupational Therapist in Private Practice
68 – Clinical Psychologist
69 – Clinical Laboratory (Billing Independently)
71 – Registered Dietician/Nutrition Professional
73 – Mass Immunization Roster Billers (Mass Immunizers have to roster bill assigned claims and can only bill for immunizations)
74 – Radiation Therapy Centers
75 – Slide Preparation Facilities
80 – Licensed Clinical Social Worker
87 – All other suppliers, e.g., Drug Stores
88 – Unknown Supplier/Provider
89 – Certified Clinical Nurse Specialist
95 – Open
96 – Optician
97 – Physician Assistant
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
B2 – Pedorthic Personnel
B3 – Medical Supply Company with Pedorthic Personnel
B4 – Rehabilitation Agency
B5 – Ocularist
Effective April 1, 2011 for services performed in an independent laboratory, show the specialty code of the physician ordering the x-rays and requesting payment. If the independent laboratory requests payment, use type of supplier code “69”.
