US · guidance
CMS Pub. 100-04, ch. 26, § 10.8.3
Nonphysician Practitioner, Supplier, and Provider Specialty
Codes
(Rev. 10124, Issued: 05-08-2020, Effective: 10-01-2020, Implementation:10-05-2020)
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
31 Intensive Cardiac Rehabilitation
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 certified by 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 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 Provider
89 Certified Clinical Nurse Specialist
95 Unknown Supplier
96 Optician
Code Non-physician Practitioner/Supplier/Provider Specialty
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
B1 Oxygen/Oxygen Related Equipment
B2 Pedorthic Personnel
B3 Medical Supply Company with Pedorthic Personnel
B4 Rehabilitation Agency
B5 Ocularist
C1 Centralized Flu
C2 Indirect Payment Procedure
C4 Restricted Use
D1 Medicare Diabetes Preventive Program
D2 Restricted Use
D5 Opioid Treatment Program
D6 Home Infusion Therapy Services
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".
History
(Rev. 10124, Issued: 05-08-2020, Effective: 10-01-2020, Implementation:10-05-2020)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
7e27ddcd2a65486c610307b3309bf35f743ec82b8210e4a560d2838b21b2564f
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