Variable: CLM_PRVDR_SPCLTY_CD
Provider Speciality Code
Description:
CMS (previously called HCFA) specialty code used for pricing the line-item service on the non-institutional claim.
Values
This variable is coded, and will contain one of the following values.
| Value | 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 PATHOLOGISTS |
| 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 (EFFECTIVE JULY 1, 1988) |
| 43 | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| 44 | INFECTIOUS DISEASE |
| 45 | MAMMOGRAPHY SCREENING CENTER |
| 46 | ENDOCRINOLOGY |
| 47 | INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF) |
| 48 | PODIATRY |
| 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 | 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 MULTISPECIALTY CLINIC OR GROUP PRACTICE |
| 71 | REGISTERED DIETICIAN/NUTRITION PROFESSIONAL |
| 72 | PAIN MANAGEMENT |
| 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 |
| 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 |
| A9 | INDIAN HEALTH SERVICE FACILITY |
| 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 | NON-PROVIDER CONVENER PARTICIPANTS IN THE BPCI ADVANCED MODEL |
| C5 | DENTIST |
| C6 | HOSPITALIST |
| C7 | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| C8 | MEDICAL TOXICOLOGY |
| C9 | HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR THERAPY |
| D1 | MEDICARE DIABETES PREVENTIVE PROGRAM |
| D2 | RESTRICTED USE |
| D3 | MEDICAL GENETICS AND GENOMICS |
| D4 | UNDERSEA AND HYPERBARIC MEDICINE |
| D5 | OPIOID TREATMENT PROGRAM (OTP) |
| D6 | HOME INFUSION THERAPY SERVICES |
| D7 | MICROGRAPHIC DERMATOLOGIC SURGERY |
| D8 | ADULT CONGENITAL HEART DISEASE |
| E1 | MARRIAGE AND FAMILY THERAPISTS |
| E2 | MENTAL HEALTH COUNSELORS |
| E3 | DENTAL ANESTHESIOLOGY |
| E4 | DENTAL PUBLIC HEALTH |
| E5 | ENDODONTICS |
| E6 | ORAL AND MAXILLOFACIAL PATHOLOGY |
| E7 | ORAL AND MAXILLOFACIAL RADIOLOGY |
| E9 | ORAL MEDICINE |
| F1 | OROFACIAL PAIN |
| F2 | ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS |
| F3 | PEDIATRIC DENTISTRY |
| F4 | PERIODONTICS |
| F5 | PROSTHODONTICS |
| F6 | EPILEPTOLOGISTS |
| Z1 | HOSPITAL DEPARTMENT(S) |
| Z2 | MANAGED CARE PLAN (NON-MEDICARE + CHOICE) |
| Z3 | MEDICARE + CHOICE ORGANIZATION |
| Z4 | MEDICAL FACULTY PRACTICE PLAN |
| Z5 | OTHER MEDICAL CARE GROUP |
| ~ | NO DESCRIPTION AVAILABLE |