Medicare speciality code full list

Medicare provider/supplier speciality codes

Here is the list of Medicare provider/supplier specialty codes you can use as a reference during the enrollment process.


New physician specialty codes C7, C8, and C9

Effective date: October 1, 2017

Summary

Medicare physician specialty codes describe the specific/unique types of medicine that physicians (and certain other suppliers) practice. The Centers for Medicare & Medicaid Services (CMS) uses specialty codes for programmatic and claims processing purposes. Physicians self-designate their Medicare physician specialty on the Medicare enrollment application.

Change request (CR) 9957 establishes the following new physician specialty codes:

C7 - Advanced heart failure and transplant cardiology
C8 - Medical toxicology
C9 - Hematopoietic cell transplantation and cellular therapy

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 pathology

16 Obstetrics/gynecology

17 Hospice and palliative Care

18 Ophthalmology

19 Oral surgery (dentist 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

29 Pulmonary disease

30 Diagnostic radiology

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

59 Ambulance service (private)

63 Portable x-ray supplier

64 Audiologist (billing independently)

65 Physical therapist (private practice)

66 Rheumatology

67 Occupational therapist (private practice)

68 Clinical psychologist

69 Clinical laboratory (billing independently)

70 Multi-specialty clinic or group practice

71 Dietitian/nutritionist (effective 1/1/2002)

72 Pain management (effective 1/1/2002)

73 Mass immunization roster biller

74 Radiation therapy center

75 Slide preparation facility

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 Preventative medicine

85 Maxillofacial surgery

86 Neuropsychiatry

87 All other (drug and department store, etc.)

88 Unknown supplier/provider

89 Certified clinical nurse specialist

90 Medical oncology

91 Surgical oncology

92 Radiation oncology

93 Emergency medicine

94 Interventional radiology

95 Open

96 Optician

97 Physician assistant

98 Gynecological/oncology

99 Unknown physician specialty