Nonphysician Practitioner, Supplier, and Provider Specialty Codes
The following list of 2-digit codes and narrative describe the kind of medicine non-physician practitioners or other healthcare providers/suppliers practice.
Code Non-physician Practitioner/Supplier/Provider Specialty
15 Speech Language Pathologists
32 Anesthesiologist Assistant
42 Certified Nurse Midwife (effective July 1, 1988)
43 Certified Registered Nurse Anesthetist (CRNA)
45 Mammography Screening Center
47 Independent Diagnostic Testing Facility (IDTF)
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 certifiedby 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 Clinical Psychologist (Billing Independently)
63 Portable X-Ray Supplier (Billing Independently)
64 Audiologist (Billing Independently)
65 Physical Therapist in Private Practice
67 Occupational Therapist in Private Practice
68 Clinical Psychologist
69 Clinical Laboratory (Billing Independently)
71 Registered Dietician/Nutrition Professional
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
80 Licensed Clinical Social Worker
87 All other suppliers, e.g., Drug Stores
88 Unknown Supplier/Provider
89 Certified Clinical Nurse Specialist
95 Available
96 Optician
97 Physician Assistant
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
B2 Pedorthic Personnel
B3 Medical Supply Company with Pedorthic Personnel
B4 Rehabilitation Agency
NOTE: Specialty Code Use for Service in an Independent Laboratory. For services performed in an independent laboratory, show the specialty code of the physician ordering the x-rays and requesting payment. If the independent laboratory requests payment, use type of supplier code "69".
Instructions and guideline for CMS 1500 claim form and UB 04 form. Tips and updates. Detailed review of all the fields and box in CMS 1500 claim form and UB 04 form and ADA form. HCFA 1500 and UB 92 form instruction.
Pages
- Home
- CMS 1500 claim form - How to fill out correctly - Instruction
- Referring provider, Ordering provider and billing provider - CMS 1500 & UB04 form FAQ
- Medicare provider Enrollment question and answer part 1
- Medicare Enrollment - question and answer part 2
- Complete claim submission - some tips
- Medicare Deductible FAQ
- Secondary claim submission CMS 1500 requirements
- UB 04 - Complete instruction to fill the form
Friday, June 11, 2010
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