CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK
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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 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 SPECIALTY CODE CMS SPECIALTY DESCRIPTION PROVIDER TAXONOMY CODE PROVIDER TAXONOMY DESCRIPTION TYPE 01 General Practice 208D00000X Allopathic/Osteopath 02 General X Allopathic/Osteopath 03 Allergy Immunology 207K00000X Allopathic/Osteopath 04 Otolaryngology 207Y00000X Allopathic/Osteopath 05 Anesthesiology 207L00000X Allopathic/Osteopath 06 Cardiology 207RC0000X Allopathic/Osteopath 07 Dermatology 207N00000X Allopathic/Osteopath 08 Family Practice 207Q00000X Allopathic/Osteopath 09 Interventional Pain 208VP0014X Allopathic/Osteopath Management PROVIDER TAXONOMY DESCRIPTION CLASSIFICATION and SPECIALIZATION General Practice Allergy & Immunology Otolaryngology Anesthesiology Cardiovascular Disease Dermatology Family Practice Pain Management, Interventional Pain Management Gastroenterology Internal Medicine 10 Gastroenterology 207RG0100X Allopathic/Osteopath 11 Internal Medicine 207R00000X Allopathic/Osteopath 12 Osteopathic Manipulative 204D00000X Allopathic/Osteopath Neuromusculoskeletal Therapy (OMM) Medicine & OMM 13 Neurology 2084N0400X Allopathic/Osteopath Psychiatry & Neurology, Neurology 14 Neurosurgery 207T00000X Allopathic/Osteopath Neurological 16 Obstetrics Gynecology 207V00000X Allopathic/Osteopath Obstetrics & Gynecology 18 Ophthalmology 207W00000X Allopathic/Osteopath Ophthalmology 19 Oral (dental only) 1223S0112X Dental Oral & Maxillofacial
2 20 Orthopedic 207X00000X Allopathic/Osteopath 22 Pathology 207ZP0102X Allopathic/Osteopath Orthopedic Pathology-Anatomic Pathology & Clinical Pathology, Plastic & Reconstructive Physical Medicine & Rehabilitation Psychiatry & Neurology- Psychiatry Colon & Rectal 24 Plastic and Reconstructive 2086S0122X Allopathic/Osteopath 25 Physical Medicine and X Allopathic/Osteopath Rehabilitation 26 Psychiatry 2084P0800X Allopathic/Osteopath 28 Colorectal 208C00000X Allopathic/Osteopath (formerly Proctology) 29 Pulmonary Disease 207RP1001X Allopathic/Osteopath Pulmonary Diseases 30 Diagnostic Radiology 2085R0202X Allopathic/Osteopath Radiology Group, Diagnostic Radiology 32 Anesthesiologist Assistant 367H00000X PA and Advanced Anesthesiologist Practice Nursing Assistant 33 Thoracic 208G00000X Allopathic/Osteopath Thoracic 34 Urology X Allopathic/Osteopath Urology 35 Chiropractic 111N00000X Chiropractors Chiropractor 36 Nuclear Medicine 207U00000X Allopathic/Osteopath Nuclear Medicine 37 Pediatric Medicine X Allopathic/Osteopath Pediatrics 38 Geriatric Medicine 207RG0300X Allopathic/Osteopath Geriatric Medicine 39 Nephrology 207RN0300X Allopathic/Osteopath Nephrology 40 Hand 2086S0105X Allopathic/Osteopath of the Hand 41 Optometry 152W00000X Eye and Vision Service Optometrist 42 Certified Nurse Midwife 367A00000X Physician Assistants & Midwife, Certified Nurse Nursing 43 Certified Registered Nurse Assistant (CRNA) X Physician Assistants & Nursing Nurse Anesthetist, Certified Registered 44 Infectious Disease 207R10200X Allopathic/Osteopath Infectious Disease 45 Mammography Screening Center 261QR0206X Ambulatory Health - Clinic/Center-Radiology, Mammography Clinic/Center 46 Endocrinology 207RE0101X Allopathic/Osteopath Internal Medicine-
3 Endocrinology, Diabetes & Metabolism 47 Independent Diagnostic Testing Facility 293D00000X Laboratories Physiological Laboratory: (Independent Physiological Lab) 48 Podiatry 213E00000X Podiatric Medicine & Podiatrist 49 Ambulatory Surgical Center 261QA1903X Ambulatory Health Clinic/Center, Ambulatory Surgical 50 Nurse Practitioner 363L00000X Physician Assistants & Nurse Practitioner Nursing 51 Medical Supply Company with Orthotist 335E00000X Suppliers Prosthetic/Orthotic Supplier 52 Medical Supply Company with Prosthetist 335E00000X Suppliers Prosthetic/Orthotic Supplier 53 Medical Supply Company with Orthotist-Prosthetist 335E00000X Suppliers Prosthetic/Orthotic Supplier 54 Other Medical Supply Company 332B00000X Suppliers Durable Medical 55 Individual Certified Orthotist 56 Individual Certified Prosthetist 57 Individual Certified Prosthetist-Orthotist 58 Medical Supply Company with Pharmacist 222Z00000X 224P00000X X Respiratory, Rehabilitative, and Respiratory, Rehabilitative, and Respiratory, Rehabilitative, and Supplies Orthotist Prosthetist Orthotics/Prosthetics Fitter 332B00000X Suppliers Durable Medical Supplies 59 Ambulance Service Provider 3416L0300X 60 Public Health or Welfare Agency 61 Voluntary Health or Charitable Agency 62 Psychologist 103T00000X Behavioral Health & Social Service Transportation Services Ambulance (Land) 251K00000X Agencies Public Health or Welfare 251V00000X Agencies Voluntary or Charitable Psychologist 63 Portable X-Ray Supplier 335V00000X Suppliers Portable X-ray Supplier 64 Audiologist 231H00000X Speech, Language and Audiologist Hearing 65 Physical Therapist X Respiratory, Rehabilitative & Physical Therapist
4 66 Rheumatology 207RR0500X Allopathic/Osteopath 67 Occupational Therapist 225X00000X Respiratory, Rehabilitative & 68 Clinical Psychologist 103TC0700X Behavioral Health & Social Service Rheumatology Occupational Therapist Psychologist/Clinical 69 Clinical Laboratory 291U00000X Laboratories Clinical Medical Laboratory 70 Multi-specialty Clinic or Group Practice 261QM1300X Ambulatory Health Clinic/Center: Multispecialty 71 Registered Dietitian/Nutrition Professional 133V00000X Dietary & Nutritional Service Dietitian, Registered 72 Pain Management 208VP0000X Allopathic/Osteopath Pain Medicine, Pain Management 73 Mass Immunization N/A N/A N/A Roster Billers 74 Radiation Therapy Center 261QX0203X Ambulatory Health Clinic/Center: Oncology, Radiation 75 Slide Preparation N/A N/A N/A Facilities 76 Peripheral Vascular Disease 2086S0129X Allopathic/Osteopath, Vascular 77 Vascular 2086S0129X Allopathic/Osteopath, Vascular 78 Cardiac 2086S0129X Allopathic/Osteopath, Vascular 79 Addiction Medicine 207RA0401X Allopathic/Osteopath Addiction Medicine 80 Licensed Clinical Social Worker 1041C0700X Behavioral Health & Social Service Social Worker, Clinical 81 Critical Care (Intensivists) 207RC0200X Allopathic/Osteopath Critical Care Medicine 82 Hematology 207RH0000X Allopathic/Osteopath Hematology 83 Hematology/Oncology 207RH0003X Allopathic/Osteopath Hematology & Oncology 84 Preventive Medicine 2083P0901X Allopathic/Osteopath Preventive & Occupational Medicine- Public Health & General Preventive Medicine 85 Maxillofacial 2084N0600X Allopathic/Osteopath Oral & Maxillofacial 86 Neuropsychiatry 2084N0600X Allopathic/Osteopath Psychiatry & Neurology,
5 Clinical Neurophysiology 87 All Other Suppliers N/A Suppliers N/A 88 Unknown Supplier/Provider Specialty N/A Suppliers N/A 89 Certified Clinical Nurse Specialist 364S00000X Physician Assistants & Nursing 90 Medical Oncology 207RX0202X Allopathic/Osteopath 91 Surgical Oncology 2086X0206X Allopathic/Osteopath 92 Radiation Oncology 2085R0001X Allopathic/Osteopath 93 Emergency Medicine 207P00000X Allopathic/Osteopath 94 Interventional Radiology 2085R0204X Allopathic/Osteopath 96 Optician 156FX1800X Eye and Vision Service 97 Physician Assistant 363A00000X Physician Assistants & Nursing 98 Gynecological/Oncology 207VX0201X Allopathic/Osteopath Clinical Nurse Specialist Medical Oncology, Surgical Oncology Radiology Group- Radiation Oncology Emergency Medicine Radiology Group, Vascular & Interventional Radiology Technician/Technologist- Optician Physician Assistant Obstetrics & Gynecology, Gynecologic Oncology N/A 99 Unknown Physician Specialty N/A Allopathic/Osteopath A0 Hospital 282N00000X Hospitals General Acute Care Hospital A1 Skilled Nursing Facility X Nursing and Custodial Skilled Nursing Facility A2 Intermediate Care Nursing 313M00000X Nursing and Custodial Nursing Facility Facility/Intermediate A3 Other Nursing Facility 313M00000X Nursing and Custodial Care Facility Nursing Facility/Intermediate Care Facility A4 Home Health Agency 251E00000X Agencies Home Health A5 Pharmacy X Suppliers Pharmacy A6 Medical Supply Company with Respiratory Therapist 332B00000X Suppliers Durable Medical Suppliers A7 Department Store 332B00000X Suppliers Durable Medical Suppliers A8 Grocery Store 332B00000X Suppliers Durable Medical
6 Suppliers
CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK. This table reflects Medicare Specialty Codes as of April 1, 2003.
CMS SPECIALTY CODE 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)
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Mapping Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Practice Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and
Taxonomy Code Mapping Professional Providers
Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and Immunology 207K00000X
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ForwardHealth-Required s Provider Type Ambulance Air Ambulance 3416A0800X Air Transport Ambulance Land Ambulance 3416L0300X Land Transport Federally Qualified Health Ambulance Water Ambulance 3416S0300X
155-Counselor, Addiction 177-Counselor, Licensed Associate Professional (LAPC) 425-Social Worker (LSW) 212-Oral Maxillofacial Surgery
PROVIDER TYPE CODE PROVIDER SPECIALTY CODE TAXONOMY CODE 074-Clinical Neuropsychologist 103G00000X 152-Counselor 101Y00000X 155-Counselor, Addiction 101YA0400X 177-Counselor, Licensed Associate Professional
MGMA PROVIDER COMPENSATION 2015
Physicians Allergy/Immunology 203 86 Anesthesiology 2,146 120 Anesthesiology: Pain Management 127 59 Cardiology: Electrophysiology 327 126 Cardiology: Invasive 424 148 Cardiology: Invasive-Interventional
no taxonomy code 339-Lodging Providers 393-Provide Meals 357-Community/Behavioral Health 060-Early Intervention; Provider Agency
PROVIDER TYPE CODE PROVIDER SPECIALTY CODE TAXONOMY CODE 335-Case Manager/Care Coordinator 171M00000X 468-County Social Service Office 171M00000X 017-Other Service 339-Lodging Providers 393-Provide Meals
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