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CMS SPECIALTY CODES/HEALTHCARE PROVIDER ...

CMS SPECIALTY CODES/HEALTHCARE PROVIDER . TAXONOMY CROSSWALK. This document walks the CMS Medicare SPECIALTY codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Although this crosswalk is geared more for Medicare contractor use, this could assist current Medicare providers and suppliers in determining their taxonomy if they are required to use it on a claim form. CMS CMS SPECIALTY PROVIDER PROVIDER PROVIDER . SPECIALTY DESCRIPTION TAXONOMY TAXONOMY TAXONOMY. code code DESCRIPTION DESCRIPTION. TYPE CLASSIFICATION. and SPECIALIZATION. 01 General Practice 208D00000X Allopathic/Osteopath General Practice Physicians 02 General Surgery 208600000X Allopathic/Osteopath Surgery Physicians 03 Allergy Immunology 207K00000X Allopathic/Osteopath Allergy & Immunology Physicians 04 Otolaryngology 207Y00000X Allopathic/Osteopath Otolaryngology Physicians 05 Anesthesiology 207L00000X Allopathic/Osteopath Anesthesiology Physicians 06 Cardiology 207RC0000X Allopathic/Osteopath Internal Medicine, Physicians Cardiovascular Disease 07 Dermatology 207N00000X Allopathic/Osteopath Dermatology Physicians 08 Family Practice 207Q00000X Allopathic/Osteopath Family Practice Physicians 09 Interventional Pain 208VP0014X Allopathic/Osteopath Pain Ma

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This document “walks” the CMS Medicare specialty codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated by the Health Insurance

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Transcription of CMS SPECIALTY CODES/HEALTHCARE PROVIDER ...

1 CMS SPECIALTY CODES/HEALTHCARE PROVIDER . TAXONOMY CROSSWALK. This document walks the CMS Medicare SPECIALTY codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Although this crosswalk is geared more for Medicare contractor use, this could assist current Medicare providers and suppliers in determining their taxonomy if they are required to use it on a claim form. CMS CMS SPECIALTY PROVIDER PROVIDER PROVIDER . SPECIALTY DESCRIPTION TAXONOMY TAXONOMY TAXONOMY. code code DESCRIPTION DESCRIPTION. TYPE CLASSIFICATION. and SPECIALIZATION. 01 General Practice 208D00000X Allopathic/Osteopath General Practice Physicians 02 General Surgery 208600000X Allopathic/Osteopath Surgery Physicians 03 Allergy Immunology 207K00000X Allopathic/Osteopath Allergy & Immunology Physicians 04 Otolaryngology 207Y00000X Allopathic/Osteopath Otolaryngology Physicians 05 Anesthesiology 207L00000X Allopathic/Osteopath Anesthesiology Physicians 06 Cardiology 207RC0000X Allopathic/Osteopath Internal Medicine, Physicians Cardiovascular Disease 07 Dermatology 207N00000X Allopathic/Osteopath Dermatology Physicians 08 Family Practice 207Q00000X Allopathic/Osteopath Family Practice Physicians 09 Interventional Pain 208VP0014X Allopathic/Osteopath Pain Management, Management Physicians Interventional Pain Management 10 Gastroenterology 207RG0100X Allopathic/Osteopath Internal Medicine.

2 Physicians Gastroenterology 11 Internal Medicine 207R00000X Allopathic/Osteopath Internal Medicine Physicians 12 Osteopathic Manipulative 204D00000X Allopathic/Osteopath Neuromusculoskeletal Therapy (OMM) Physicians Medicine & OMM. 13 Neurology 2084N0400X Allopathic/Osteopath Psychiatry & Neurology, Physicians Neurology 14 Neurosurgery 207T00000X Allopathic/Osteopath Neurological Surgery Physicians 16 Obstetrics Gynecology 207V00000X Allopathic/Osteopath Obstetrics & Gynecology Physicians 18 Ophthalmology 207W00000X Allopathic/Osteopath Ophthalmology Physicians 19 Oral Surgery (dental only) 1223S0112X Dental Providers Oral & Maxillofacial Surgery 20 Orthopedic Surgery 207X00000X Allopathic/Osteopath Orthopedic Surgery Physicians 22 Pathology 207ZP0102X Allopathic/Osteopath Pathology-Anatomic Physicians Pathology & Clinical Pathology 24 Plastic and Reconstructive 2086S0122X Allopathic/Osteopath Surgery, Plastic &.

3 Surgery Physicians Reconstructive 25 Physical Medicine and 208100000X Allopathic/Osteopath Physical Medicine &. Rehabilitation Physicians Rehabilitation 26 Psychiatry 2084P0800X Allopathic/Osteopath Psychiatry & Neurology- Physicians Psychiatry 28 Colorectal Surgery 208C00000X Allopathic/Osteopath Colon & Rectal Surgery (formerly Proctology) Physicians 29 Pulmonary Disease 207RP1001X Allopathic/Osteopath Internal Medicine, Physicians Pulmonary Diseases 30 Diagnostic Radiology 2085R0202X Allopathic/Osteopath Radiology Group, Physicians Diagnostic Radiology 32 Anesthesiologist Assistant 367H00000X PA and Advanced Anesthesiologist Practice Nursing Assistant Providers 33 Thoracic Surgery 208G00000X Allopathic/Osteopath Thoracic Surgery Physicians 34 Urology 208800000X Allopathic/Osteopath Urology Physicians 35 Chiropractic 111N00000X Chiropractors Chiropractor 36 Nuclear Medicine 207U00000X Allopathic/Osteopath Nuclear Medicine Physicians 37 Pediatric Medicine 208000000X Allopathic/Osteopath Pediatrics Physicians 38 Geriatric Medicine 207RG0300X Allopathic/Osteopath Internal Medicine, Physicians Geriatric Medicine 39 Nephrology 207RN0300X Allopathic/Osteopath Internal Medicine.

4 Physicians Nephrology 40 Hand Surgery 2086S0105X Allopathic/Osteopath Surgery of the Hand Physicians 41 Optometry 152W00000X Eye and Vision Service Optometrist Providers 42 Certified Nurse Midwife 367A00000X Physician Assistants & Midwife, Certified Nurse Advanced Practice Nursing Providers 43 Certified Registered Nurse 367500000X Physician Assistants & Nurse Anesthetist, Assistant (CRNA) Advanced Practice Certified Registered Nursing Providers 44 Infectious Disease 207R10200X Allopathic/Osteopath Internal Medicine, Physicians Infectious Disease 45 Mammography Screening 261QR0206X Ambulatory Health Clinic/Center-Radiology, Center Care Facilities- Mammography Clinic/Center 46 Endocrinology 207RE0101X Allopathic/Osteopath Internal Medicine- Physicians Endocrinology, Diabetes & Metabolism 47 Independent Diagnostic 293D00000X Laboratories Physiological Testing Facility Laboratory: (Independent Physiological Lab).

5 48 Podiatry 213E00000X Podiatric Medicine & Podiatrist Surgery Providers 49 Ambulatory Surgical 261QA1903X Ambulatory Health Clinic/Center, Center Care Facilities Ambulatory Surgical 50 Nurse Practitioner 363L00000X Physician Assistants & Nurse Practitioner Advanced Practice Nursing Providers 51 Medical Supply Company 335E00000X Suppliers Prosthetic/Orthotic with Orthotist Supplier 52 Medical Supply Company 335E00000X Suppliers Prosthetic/Orthotic with Prosthetist Supplier 53 Medical Supply Company 335E00000X Suppliers Prosthetic/Orthotic with Orthotist-Prosthetist Supplier 54 Other Medical Supply 332B00000X Suppliers Durable Medical Company Equipment & Medical Supplies 55 Individual Certified 222Z00000X Respiratory, Orthotist Orthotist Rehabilitative, and Restorative Service Providers 56 Individual Certified 224P00000X Respiratory, Prosthetist Prosthetist Rehabilitative, and Restorative Service Providers 57 Individual Certified 225000000X Respiratory, Orthotics/Prosthetics Prosthetist-Orthotist Rehabilitative, and Fitter Restorative Service Providers 58 Medical Supply Company 332B00000X Suppliers Durable Medical with Pharmacist Equipment & Medical Supplies 59 Ambulance Service 3416L0300X Transportation Services Ambulance (Land).

6 PROVIDER 60 Public Health or Welfare 251K00000X Agencies Public Health or Welfare Agency 61 Voluntary Health or 251V00000X Agencies Voluntary or Charitable Charitable Agency 62 Psychologist 103T00000X Behavioral Health & Psychologist Social Service Providers 63 Portable X-Ray Supplier 335V00000X Suppliers Portable X-ray Supplier 64 Audiologist 231H00000X Speech, Language and Audiologist Hearing Providers 65 Physical Therapist 225100000X Respiratory, Physical Therapist Rehabilitative &. Restorative Service Providers 66 Rheumatology 207RR0500X Allopathic/Osteopath Internal Medicine, Physicians Rheumatology 67 Occupational Therapist 225X00000X Respiratory, Occupational Therapist Rehabilitative &. Restorative Service Providers 68 Clinical Psychologist 103TC0700X Behavioral Health & Psychologist/Clinical Social Service Providers 69 Clinical Laboratory 291U00000X Laboratories Clinical Medical Laboratory 70 Multi- SPECIALTY Clinic or 261QM1300X Ambulatory Health Clinic/Center: Multi- Group Practice Care Facilities SPECIALTY 71 Registered 133V00000X Dietary & Nutritional Dietitian, Registered Dietitian/Nutrition Service Providers Professional 72 Pain Management 208VP0000X Allopathic/Osteopath Pain Medicine, Pain Physicians Management 73 Mass Immunization N/A N/A N/A.

7 Roster Billers 74 Radiation Therapy Center 261QX0203X Ambulatory Health Clinic/Center: Oncology, Care Facilities Radiation 75 Slide Preparation N/A N/A N/A. Facilities 76 Peripheral Vascular 2086S0129X Allopathic/Osteopath Surgery, Vascular Disease Physicians Surgery 77 Vascular Surgery 2086S0129X Allopathic/Osteopath Surgery, Vascular Physicians Surgery 78 Cardiac Surgery 2086S0129X Allopathic/Osteopath Surgery, Vascular Physicians Surgery 79 Addiction Medicine 207RA0401X Allopathic/Osteopath Internal Medicine, Physicians Addiction Medicine 80 Licensed Clinical Social 1041C0700X Behavioral Health & Social Worker, Clinical Worker Social Service Providers 81 Critical Care (Intensivists) 207RC0200X Allopathic/Osteopath Internal Medicine, Physicians Critical Care Medicine 82 Hematology 207RH0000X Allopathic/Osteopath Internal Medicine, Physicians Hematology 83 Hematology/Oncology 207RH0003X Allopathic/Osteopath Internal Medicine, Physicians Hematology & Oncology 84 Preventive Medicine 2083P0901X Allopathic/Osteopath Preventive &.

8 Physicians Occupational Medicine- Public Health & General Preventive Medicine 85 Maxillofacial Surgery 2084N0600X Allopathic/Osteopath Oral & Maxillofacial Physicians Surgery 86 Neuropsychiatry 2084N0600X Allopathic/Osteopath Psychiatry & Neurology, Physicians Clinical Neurophysiology 87 All Other Suppliers N/A Suppliers N/A. 88 Unknown N/A Suppliers N/A. Supplier/ PROVIDER SPECIALTY 89 Certified Clinical Nurse 364S00000X Physician Assistants & Clinical Nurse Specialist Specialist Advanced Practice Nursing Providers 90 Medical Oncology 207RX0202X Allopathic/Osteopath Internal Medicine, Physicians Medical Oncology 91 Surgical Oncology 2086X0206X Allopathic/Osteopath Surgery, Surgical Physicians Oncology 92 Radiation Oncology 2085R0001X Allopathic/Osteopath Radiology Group- Physicians Radiation Oncology 93 Emergency Medicine 207P00000X Allopathic/Osteopath Emergency Medicine Physicians 94 Interventional Radiology 2085R0204X Allopathic/Osteopath Radiology Group, Physicians Vascular &.

9 Interventional Radiology 96 Optician 156FX1800X Eye and Vision Service Technician/Technologist- Providers Optician 97 Physician Assistant 363A00000X Physician Assistants & Physician Assistant Advanced Practice Nursing Providers 98 Gynecological/Oncology 207VX0201X Allopathic/Osteopath Obstetrics &. Physicians Gynecology, Gynecologic Oncology 99 Unknown Physician N/A Allopathic/Osteopath N/A. SPECIALTY Physicians A0 Hospital 282N00000X Hospitals General Acute Care Hospital A1 Skilled Nursing Facility 314000000X Nursing and Custodial Skilled Nursing Facility Care Facilities A2 Intermediate Care Nursing 313M00000X Nursing and Custodial Nursing Facility Care Facilities Facility/Intermediate Care Facility A3 Other Nursing Facility 313M00000X Nursing and Custodial Nursing Care Facilities Facility/Intermediate Care Facility A4 Home Health Agency 251E00000X Agencies Home Health A5 Pharmacy 333600000X Suppliers Pharmacy A6 Medical Supply Company 332B00000X Suppliers Durable Medical with Respiratory Therapist Equipment & Medical Suppliers A7 Department Store 332B00000X Suppliers Durable Medical Equipment & Medical Suppliers A8 Grocery Store 332B00000X Suppliers Durable Medical Equipment & Medical Suppliers


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