CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY
CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK
This table reflects Medicare Specialty Codes as of April 1, 2003.
This table reflects Healthcare Provider Taxonomy Codes (HPTC) effective July 1, 2004. The page numbers in parentheses correspond to the taxonomy publication, version 4.1, dated July 2004. This information is the same as version 4.0 that was published in January 2004. Major changes are in red italics.
The following definitions, as defined by the National Uniform Claim Committee, relate to specialty code 70: A multi-specialty group (193200000X) is a business group of one or more individual practitioners who practice within different areas of specialization. A single specialty group (193400000X) is a business group of one or more individual practitioners, all of who practice within the same area of specialization. Single specialty groups will normally reflect the actual area of specialization code rather than the 193400000X code.
CMS SPECIALTY
CODE
CMS SPECIALTY 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
Therapy (OMM)
13
Neurology
14
Neurosurgery
PROVIDER TAXONOMY
CODE
PROVIDER TAXONOMY DESCRIPTION
TYPE
208D00000X 208600000X 207K00000X 207Y00000X 207L00000X 207RC0000X 207N00000X 207Q00000X 208VP0014X
Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians
Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians
207RG0100X 207R00000X 204D00000X 2084N0400X 207T00000X
Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic Physicians Allopathic/Osteopathic
PROVIDER TAXONOMY DESCRIPTION CLASSIFICATION and SPECIALIZATION General Practice (8)
Surgery (23)
Allergy & Immunology (6)
Otolaryngology (13)
Anesthesiology (6)
Internal Medicine, Cardiovascular Disease (7) Dermatology (7)
Family Practice (7)
Pain Medicine, Interventional Pain Medicine (14) Internal Medicine, Gastroenterology (9) Internal Medicine (9)
Neuromusculoskeletal Medicine & OMM (11) Psychiatry & Neurology, Neurology (22) Neurological Surgery (11)
Physicians
16
Obstetrics Gynecology
207V00000X Allopathic/Osteopathic Obstetrics & Gynecology
Physicians
(12)
18
Ophthalmology
207W00000X Allopathic/Osteopathic Ophthalmology (12)
Physicians
19
Oral Surgery (dental only) 1223S0112X Dental Providers
Oral & Maxillofacial
Surgery (32)
20
Orthopedic Surgery
207X00000X Allopathic/Osteopathic Orthopedic Surgery (13)
Physicians
22
Pathology
207ZP0102X Allopathic/Osteopathic Pathology-Anatomic
Physicians
Pathology & Clinical
Pathology (15)
24
Plastic and Reconstructive 2086S0122X Allopathic/Osteopathic Surgery, Plastic &
Surgery
Physicians
Reconstructive (23)
25
Physical Medicine and
208100000X Allopathic/Osteopathic Physical Medicine &
Rehabilitation
Physicians
Rehabilitation (20)
26
Psychiatry
2084P0800X Allopathic/Osteopathic Psychiatry & Neurology-
Physicians
Psychiatry (22)
28
Colorectal Surgery
208C00000X Allopathic/Osteopathic Colon & Rectal Surgery
(formerly Proctology)
Physicians
(6)
29
Pulmonary Disease
207RP1001X Allopathic/Osteopathic Internal Medicine,
Physicians
Pulmonary Diseases (10)
30
Diagnostic Radiology
2085R0202X Allopathic/Osteopathic Radiology Group,
Physicians
Diagnostic Radiology (23)
32
Anesthesiologist Assistant 367H00000X PA and Advanced
Anesthesiologist Assistant
Practice Nursing
(50)
Providers
33
Thoracic Surgery
208G00000X Allopathic/Osteopathic Thoracic Surgery (23)
Physicians
34
Urology
208800000X Allopathic/Osteopathic Urology (24)
Physicians
35
Chiropractic
111N00000X Chiropractor Providers Chiropractor (29)
36
Nuclear Medicine
207U00000X Allopathic/Osteopathic Nuclear Medicine (12)
Physicians
37
Pediatric Medicine
208000000X Allopathic/Osteopathic Pediatrics (17)
Physicians
38
Geriatric Medicine
207RG0300X Allopathic/Osteopathic Internal Medicine,
Physicians
Geriatric Medicine (9)
39
Nephrology
207RN0300X Allopathic/Osteopathic Internal Medicine,
Physicians
Nephrology (10)
40
Hand Surgery
2086S0105X Allopathic/Osteopathic Surgery, Surgery of the
Physicians
Hand (23)
41
Optometry
152W00000X Eye and Vision Service Optometrist (37)
Providers
42
Certified Nurse Midwife 367A00000X Physician Assistants & Midwife, Certified Nurse
Advanced Practice
(53)
Nursing Providers
43
Certified Registered Nurse 367500000X Physician Assistants & Nurse Anesthetist,
Assistant (CRNA)
Advanced Practice
Certified Registered (53)
Nursing Providers
44
Infectious Disease
207RI0200X Allopathic/Osteopathic Internal Medicine,
Physicians
Infectious Disease (9)
45
Mammography Screening 261QR0206X Ambulatory Health
Clinic/Center-Radiology,
Center
Care Facilities-
Mammography (81)
Clinic/Center
46
Endocrinology
207RE0101X Allopathic/Osteopathic Internal Medicine-
Physicians
Endocrinology, Diabetes &
Metabolism (9)
47
Independent Diagnostic
293D00000X Laboratories
Physiological Laboratory:
Testing Facility
(Independent Physiological
Lab) (87)
48
Podiatry
213E00000X Podiatric Medicine & Podiatrist (56)
Surgery Providers
49
Ambulatory Surgical Center 261QA1903X Ambulatory Health
Clinic/Center, Ambulatory
Care Facilities
Surgical (78)
50
Nurse Practitioner
363L00000X Physician Assistants & Nurse Practitioner (54)
Advanced Practice
Nursing Providers
51
Medical Supply Company 335E00000X Suppliers
Prosthetic/Orthotic
with Orthotist
Supplier (97)
52
Medical Supply Company 335E00000X Suppliers
Prosthetic/Orthotic
with Prosthetist
Supplier (97)
53
Medical Supply Company 335E00000X Suppliers
Prosthetic/Orthotic
with Orthotist-Prosthetist
Supplier (97)
54
Other Medical Supply
332B00000X Suppliers
Durable Medical
Company
Equipment & Medical
Supplies (96)
55
Individual Certified
222Z00000X Respiratory,
Orthotist (59)
Orthotist
Rehabilitative, and
Restorative Service
Providers
56
Individual Certified
224P00000X Respiratory,
Prosthetist (61)
Prosthetist
Rehabilitative, and
Restorative Service
Providers
57
Individual Certified
225000000X Respiratory,
Orthotics/Prosthetics Fitter
Prosthetist-Orthotist
Rehabilitative, and
(58)
Restorative Service
Providers
58
Medical Supply Company 332B00000X Suppliers
Durable Medical
with Pharmacist
Equipment & Medical
Supplies (96)
59
Ambulance Service
3416L0300X Transportation Services Ambulance (Land) (98)
Provider
60
Public Health or Welfare 251K00000X Agencies
Public Health or Welfare
Agency
(76)
61
Voluntary Health or
251V00000X Agencies
Voluntary or Charitable
Charitable Agency
(76)
62
Psychologist
103T00000X Behavioral Health & Psychologist (26)
Social Service
Providers
63
Portable X-Ray Supplier 335V00000X Suppliers
Portable X-ray Supplier
(97)
64
Audiologist
231H00000X Speech, Language and Audiologist (69) Hearing Providers
65
Physical Therapist
225100000X Respiratory,
Physical Therapist (60)
Rehabilitative &
Restorative Service
Providers
66
Rheumatology
207RR0500X Allopathic/Osteopathic Internal Medicine,
Physicians
Rheumatology (10)
67
Occupational Therapist
225X00000X Respiratory,
Occupational Therapist
Rehabilitative &
(58)
Restorative Service
Providers
68
Clinical Psychologist
103TC0700X Behavioral Health & Psychologist/Clinical (26)
Social Service
Providers
69
Clinical Laboratory
291U00000X Laboratories
Clinical Medical
Laboratory (87)
70
Multi-specialty Clinic or 193200000X Group
Group Practice/single
or
specialty
193400000X
71
Registered
133V00000X Dietary & Nutritional Dietitian, Registered (34)
Dietitian/Nutrition
Service Providers
Professional
72
Pain Management
208VP0000X Allopathic/Osteopathic Pain Medicine (14)
Physicians
73
Mass Immunization Roster N/A
N/A
N/A
Billers
74
Radiation Therapy Center 261QX0203X Ambulatory Health
Clinic/Center: Oncology,
Care Facilities
Radiation (81)
75
Slide Preparation Facilities N/A
N/A
N/A
76
Peripheral Vascular Disease 2086S0129X Allopathic/Osteopathic Surgery, Vascular Surgery
Physicians
(23)
77
Vascular Surgery
2086S0129X Allopathic/Osteopathic Surgery, Vascular Surgery
Physicians
(23)
78
Cardiac Surgery
2086S0129X Allopathic/Osteopathic Surgery, Vascular Surgery
Physicians
(23)
79
Addiction Medicine
207RA0401X Allopathic/Osteopathic Internal Medicine,
Physicians
Addiction Medicine (9)
80
Licensed Clinical Social 1041C0700X Behavioral Health & Social Worker, Clinical
Worker
Social Service
(28)
Providers
81
Critical Care (Intensivists) 207RC0200X Allopathic/Osteopathic Internal Medicine, Critical
Physicians
Care Medicine (9)
82
Hematology
207RH0000X Allopathic/Osteopathic Internal Medicine,
Physicians
Hematology (9)
83
Hematology/Oncology
207RH0003X Allopathic/Osteopathic Internal Medicine,
Physicians
Hematology & Oncology
(9)
84
Preventive Medicine
2083P0901X Allopathic/Osteopathic Preventive Medicine,
Physicians
Public Health & General
Preventive Medicine (21)
85
Maxillofacial Surgery
204E00000X Allopathic/Osteopathic Oral & Maxillofacial
Physicians
Surgery (12)
86
Neuropsychiatry
2084N0600X Allopathic/Osteopathic Psychiatry & Neurology,
Physicians
Clinical Neurophysiology
(23)
87
All Other Suppliers
N/A
Suppliers
N/A
88
Unknown Supplier/Provider N/A
Suppliers
N/A
Specialty
89
Certified Clinical Nurse
364S00000X Physician Assistants & Clinical Nurse Specialist
Specialist
Advanced Practice
(51)
Nursing Providers
90
Medical Oncology
207RX0202X Allopathic/Osteopathic Internal Medicine, Medical
Physicians
Oncology (10)
91
Surgical Oncology
2086X0206X Allopathic/Osteopathic Surgery, Surgical
Physicians
Oncology (23)
92
Radiation Oncology
2085R0001X Allopathic/Osteopathic Radiology, Radiation
Physicians
Oncology (23)
93
Emergency Medicine
207P00000X Allopathic/Osteopathic Emergency Medicine (8)
Physicians
94
Interventional Radiology 2085R0204X Allopathic/Osteopathic Radiology Group, Vascular
Physicians
& Interventional Radiology
(23)
96
Optician
156FX1800X Eye and Vision Service Technician/Technologist-
Providers
Optician (37)
97
Physician Assistant
363A00000X Physician Assistants & Physician Assistant (55)
Advanced Practice
Nursing Providers
98
Gynecological/Oncology 207VX0201X Allopathic/Osteopathic Obstetrics & Gynecology,
Physicians
Gynecologic Oncology
(12)_
99
Unknown Physician
N/A
Allopathic/Osteopathic N/A
Specialty
Physicians
A0
Hospital
282N00000X Hospitals
General Acute Care
Hospital (85)
A1
Skilled Nursing Facility
314000000X Nursing and Custodial Skilled Nursing Facility
Care Facilities
(92)
A2
Intermediate Care Nursing 313M00000X Nursing and Custodial Nursing
Facility
Care Facilities
Facility/Intermediate Care
Facility (91)
A3
Other Nursing Facility
313M00000X Nursing and Custodial Nursing
Care Facilities
Facility/Intermediate Care
Facility (91)
A4
Home Health Agency
251E00000X Agencies
Home Health (76)
A5
Pharmacy
333600000X Suppliers
Pharmacy (97)
A6
Medical Supply Company 332B00000X Suppliers
with Respiratory Therapist
A7
Department Store
332B00000X Suppliers
A8
Grocery Store
332B00000X Suppliers
Durable Medical Equipment & Medical Suppliers (96) Durable Medical Equipment & Medical Suppliers (96) Durable Medical Equipment & Medical Suppliers (96)
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