00 =
Carrier Wide
01 = General Practice
02 = General Surgery
03 = Allergy/Immunology
04 = Otolaryngology
05 = Anesthesiology
06 = Cardiology
07 = Dermatology
08 = Family Practice
09 = Gynecology (Osteopaths only) (Discontinued 5/92
use code 16)
10 = Gastroenterology
11 = Internal Medicine
12 = Osteopathic Manipulative Therapy
13 = Neurology
14 = Neurosurgery
15 = Obstetrics (Osteopaths only) (Discontinued 5/92
use code 16)
16 = Obstetrics/Gynecology
17 = Ophthalmology, Otology, Laryngology, Rhimology
(Osteopaths only) (Discontinued 5/92 use codes 18 or 04 depending on percentage of
practice)
18 = Ophthalmology
19 = Oral Surgery (Dentists only)
20 = Orthopedic Surgery
21 = Pathologic Anatomy, Clinical Pathology
(Osteopaths only) (Discontinued 5/92 use code 22)
22 = Pathology
23 = Peripheral Vascular Disease, medical or surgical
(Osteopaths only) (Discontinued 5/92 use code 76)
24 = Plastic and Reconstructive Surgery
25 = Physical Medicine and Rehabilitation
26 = Psychiatry
27 = Psychiatry, Neurology (Osteopaths only)
(Discontinued 5/92 use code 86)
28 = Colorectal Surgery (Formerly Proctology)
29 = Pulmonary Disease
30 = Diagnostic Radiology
31 = Roentgenology, Radiology (Osteopaths only)
(Discontinued 5/92 use code 30)
32 = Radiation Therapy (Osteopaths only) (Discontinued
5/92 use code 92)
33 = Thoracic Surgery
34 = Urology
35 = Chiropractic
36 = Nuclear Medicine
37 = Pediatric Medicine
38 = Geriatric Medicine
39 = Nephrology
40 = Hand Surgery
41 = Optometry (Revised 10/93 to mean Optometrist)
42 = Certified Nurse Midwife (Eff 1/87)
43 = CRNA, Anesthesia Assistant (Eff 1/87)
44 = Infectious Disease
45 = Mammography Screening Center
46 = Endocrinology (Eff 5/92)
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 not Included in 51, 52, or
53. (Revised 10/93 to mean medical supply company for DMERC)
55 = Individual Certified Orthotist
56 = Individual Certified Prosthetist
57 = Individual Certified Prosthetist-Orthotist
58 = Individuals not included in 55, 56, or 57
(Revised 10/93 to mean 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 (Independently Practicing)
66 = Rheumatology (EFF 5/92) Note: During 93/94 DMERC
also used this to mean medical supply company with respiratory therapist
67 = occupational Therapist (Independently Practicing)
68 = Clinical Psychologist
69 = Clinical Laboratory (Billing Independently)
70 = Multispecialty Clinic or Group Practice
71 = Diagnostic X-Ray (GPPP) (Not to be assigned after
5/92)
72 = Diagnostic Laboratory (GPPP) (Not to be assigned
after 5/92)
73 = Physiotherapy (GPPP) (Not to be assigned after
5/92)
74 = Occupational Therapy (GPPP) (Not to be assigned
after 5/92)
75 = Other Medical Care (GPPP) (Not to be assigned
after 5/92)
76 = Peripheral Vascular Disease (Eff 5/92)
77 = Vascular Surgery (Eff 5/92)
78 = Cardiac Surgery (Eff 5/92)
79 = Addiction Medicine (Eff 5/92)
80 = Licensed Clinical Social Worker
81 = Critical Care (Intensivists) (Eff 5/92)
82 = Hematology (Eff 5/92)
83 = Hematology/Oncology (Eff 5/92)
84 = Preventive Medicine (Eff 5/92)
85 = Maxillofacial Surgery (Eff 5/92)
86 = Neuropsychiatry (Eff 5/92)
87 = All Other Suppliers (E.G. Drug and Department
Stores) (Note: DMERC used 87 to mean department store from 10/93 through 9/94; recoded eff
10/94 to A7; NCH cross-walked DMERC reported 87 to A7)
88 = Unknown Supplier/Provider Specialty (Note: DMERC
used 87 to mean grocery store from 10/93 - 9/94; recorded off
10/94 to A8; NCH cross-walked DMERC reported 88 to A8)
89 = Certified Clinical Nurse Specialist
90 = Medical Oncology (Eff 5/92)
91 = Surgical Oncology (Eff 5/92)
92 = Radiation Oncology (Eff 5/92)
93 = Emergency Medicine (Eff 5/92)
94 = Interventional Radiology (Eff 5/92)
95 = Independent Physiological Laboratory (Eff 5/92)
96 = Optician (Eff 5/92)
97 = Physician Assistant (Eff 5/92)
98 = Gynecologist/Oncologist (Eff 10/94)
99 = Unknown Physician Specialty
A0 = Hospital (Eff 10/93)
A1 = SNF (Eff 10/93)
A2 = Intermediate Care Nursing Facility (Eff 10/93)
A3 = Nursing Facility, Other (Eff 10/93)
A4 = HHA (Eff 10/93)
A5 = Pharmacy (Eff 10/93)
A6 = Medical Supply Company with Respiratory Therapist
(Eff 10/93)
A7 = Department Store (For DMERC use: Eff 10/94, but
cross-walked from code 87 eff 10/93)
A8 = Grocery Store (For DMERC use: Eff 10/94, but
cross-walked from code 88 eff 10/93)
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