Line CMS Provider Specialty Code
CMS (previously called HCFA) specialty code used for pricing the line item service on the non-institutional claim.
Assigned by the Medicare Administrative Contractor (MAC) based on the corresponding provider identification number (performing NPI or UPIN).
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
00 |
Carrier wide |
01 |
General practice |
02 |
General surgery |
03 |
Allergy/immunology |
04 |
Otolaryngology |
05 |
Anesthesiology |
06 |
Cardiology |
07 |
Dermatology |
08 |
Family practice |
09 |
Interventional Pain Management (IPM) (eff. 4/1/03) |
10 |
Gastroenterology |
11 |
Internal medicine |
12 |
Osteopathic manipulative therapy |
13 |
Neurology |
14 |
Neurosurgery |
15 |
Speech / language pathology |
16 |
Obstetrics/gynecology |
17 |
Hospice and Palliative Care |
18 |
Ophthalmology |
19 |
Oral surgery (dentists only) |
20 |
Orthopedic surgery |
21 |
Cardiac Electrophysiology |
22 |
Pathology |
24 |
Plastic and reconstructive surgery |
25 |
Physical medicine and rehabilitation |
26 |
Psychiatry |
27 |
General Psychiatry |
28 |
Colorectal surgery (formerly proctology) |
29 |
Pulmonary disease |
30 |
Diagnostic radiology |
31 |
Intensive cardiac rehabilitation |
32 |
Anesthesiologist Assistants (eff. 4/1/03--previously grouped with Certified Registered Nurse Anesthetists [CRNA]) |
33 |
Thoracic surgery |
34 |
Urology |
35 |
Chiropractic |
36 |
Nuclear medicine |
37 |
Pediatric medicine |
38 |
Geriatric medicine |
39 |
Nephrology |
40 |
Hand surgery |
41 |
Optometrist |
42 |
Certified nurse midwife |
43 |
Certified Registered Nurse Anesthetist (CRNA) (Anesthesiologist Assistants were removed from this specialty 4/1/03) |
44 |
Infectious disease |
45 |
Mammography screening center |
46 |
Endocrinology |
47 |
Independent Diagnostic Testing Facility (IDTF) |
48 |
Podiatry |
49 |
Ambulatory surgical center (formerly miscellaneous) |
50 |
Nurse practitioner |
51 |
Medical supply company with certified orthotist (certified by American Board for Certification in Prosthetics and Orthotics) |
52 |
Medical supply company with certified prosthetist (certified by American Board for Certification in Prosthetics and Orthotics) |
53 |
Medical supply company with certified prosthetist-orthotist (certified by American Board for Certification in Prosthetics and Orthotics) |
54 |
Medical supply company for DMERC (and not included in 51-53) |
55 |
Individual certified orthotist |
56 |
Individual certified prosthetist |
57 |
Individual certified prosthetist-orthotist |
58 |
Medical supply company with registered pharmacist |
59 |
Ambulance service supplier, (e.g., private ambulance companies, funeral homes, etc.) |
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 |
64 |
Audiologist (billing independently) |
65 |
Physical therapist (private practice added 4/1/03) (independently practicing removed 4/1/03) |
66 |
Rheumatology |
67 |
Occupational therapist (private practice added 4/1/03) (independently practicing removed 4/1/03) |
68 |
Clinical psychologist |
69 |
Clinical laboratory (billing independently) |
70 |
Multispecialty clinic or group practice |
71 |
Registered Dietician/Nutrition Professional (eff. 1/1/02) |
72 |
Pain Management (eff. 1/1/02) |
73 |
Mass Immunization Roster Biller |
74 |
Radiation Therapy Centers (prior to 4/2003 this included Independent Diagnostic Testing Facilities (IDTF) |
75 |
Slide Preparation Facilities (added to differentiate them from Independent Diagnostic Testing Facilities (IDTFs -- eff. 4/1/03) |
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 and department stores) |
88 |
Unknown supplier/provider specialty |
89 |
Certified clinical nurse specialist |
90 |
Medical oncology |
91 |
Surgical oncology |
92 |
Radiation oncology |
93 |
Emergency medicine |
94 |
Interventional radiology |
95 |
Competitive Acquisition Program (CAP) Vendor (eff. 07/01/06). Prior to 07/01/06, known as Independent physiological laboratory |
96 |
Optician |
97 |
Physician assistant |
98 |
Gynecologist/oncologist |
99 |
Unknown physician specialty |
A0 |
Hospital (DMERCs only) |
A1 |
SNF (DMERCs only) |
A2 |
Intermediate care nursing facility (DMERCs only) |
A3 |
Nursing facility, other (DMERCs only) |
A4 |
Home Health Agency (DMERCs only) |
A5 |
Pharmacy (DMERC) |
A6 |
Medical supply company with respiratory therapist (DMERCs only) |
A7 |
Department store (DMERC) |
A8 |
Grocery store (DMERC) |
A9 |
Indian Health Service (IHS), tribe and tribal organizations (non-hospital or non-hospital based facilities, eff. 1/2005) |
B1 |
Supplier of oxygen and/or oxygen related equipment (eff. 10/2/07) |
B2 |
Pedorthic Personnel (eff. 10/2/07) |
B3 |
Medical Supply Company with pedorthic personnel (eff. 10/2/07) |
B4 |
Does not meet definition of health care provider (e.g., Rehabilitation agency, organ procurement organizations, histocompatibility labs) (eff. 10/2/07) |
B5 |
Ocularist |
C0 |
Sleep medicine |
C1 |
Centralized flu |
C2 |
Indirect payment procedure |
C3 |
Interventional cardiology |
Some additional information on this variable: