This variable is contained in the following files:
SAS Name
RFRG_SPCLTY_CD
The code used to identify the CMS specialty code of the referring physician/practitioner.
Code | Code value |
---|---|
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) |
Source: NCH