CMS Pub. 100-06, ch. 6, § 400.5

The following list of codes and narrative describe the kind of medicine non -

physician practitioners or other healthcare providers/suppliers practice.

Code Non-Physician Practitioner/Supplier Specialty Codes

15 Speech Language Pathologist in Private Practice

31 Intensive Cardiac Rehabilitation (ICR)

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

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 Dietitian/Nutrition Professional

73 Mass Immunization Roster Biller (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

88 Unknown Provider

89 Certified Clinical Nurse Specialist

95 Unknown Supplier

97 Physician Assistant

A5 Pharmacy

C1 Centralized Flu

C2 Indirect Payment Procedure

C4 Restricted Use

D1 Medicare Diabetes Prevention 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 supplier code

“69”.