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ProviderCodes     

In the absence of an all-encompassing Provider Classification System, both X12N and the National Provider System Workgroup from the Centers for Medicare and Medicaid Services (CMS) commenced work on identifying and coding an external provider table that would be able to codify provider type and provider area of specialization for all medical related providers. CMS' intent was to provide a single coding structure to support work on the National Provider System, while X12N needed a single common table for trading partner use. The two projects worked independently to some extent until April 1996 when the lists were coordinated and a single taxonomy was proposed. A sub-group of the X12N TG2 WG 15 was charged with resolving differences in the two proposed taxonomies. Their work resulted in a single taxonomy that both CMS and members of X12N found meaningful, easy to use, and functional for electronic transactions.

The sub-group initially started with the CMS draft taxonomy. This list incorporated all types of providers associated with medical care in various ways. Many of the providers listed, such as technologists or technicians, support or repair equipment/machinery. A number of the providers offer medical services, in concert with others, and do not or cannot bill independently for their portion. The amount of research to validate and classify all providers using the proposed hierarchical structure was enormous. The X12N sub-group focused on medical providers who are licensed practitioners, those who bill for health-related services rendered, and those who appeared on the Medicare CMS Provider Specialty listing. This included providers who were licensed to practice medicine via state licensure agencies. In addition, a very broad definition of "areas of specialization" was used, which included nationally recognized specialties, provider self-designated specialties, areas of practice focus, and any request by any agency or trading partner submitted before the first taxonomy release. This level of detail captured specialty information in categories detailed enough to support those trading credentialing information, yet broad enough to support those wishing to trade directory level specialization information.

In 2001, ANSI ASC X12N asked the NUCC to become the official maintainer of the Health Care Provider Taxonomy List. The NUCC has a formal operating protocol and its membership includes representation from key provider and payer organizations, as well as state and federal agencies, standard development organizations and the National Uniform Billing Committee (NUBC). Criteria for membership includes a national scope and representation of a unique constituency affected by health care electronic commerce, with an emphasis on maintaining a provider/payer balance.

Lvl Type, Domain name and/or Mnemonic code Concept ID Mnemonic Print Name Definition/Description
1 S: AgenciesProviderCodes (250000000X) S20669 250000000X Agencies

A non-facility provider that renders outpatient outreach services that are not provided at a specific location. The licensure or registration is assigned to the agency rather than to the individual practitioners as would be the case in a group practice.

2   L:  (251B00000X) C20670 251B00000X Case Management
2   L:  (251C00000X) C20671 251C00000X Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in theri homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

2   L:  (251E00000X) C20672 251E00000X Home Health
2   L:  (251F00000X) C20673 251F00000X Home Infusion
2   L:  (251G00000X) C20674 251G00000X Hospice Care, Community Based
2   L:  (251J00000X) C20675 251J00000X Nursing Care
2   L:  (251K00000X) C20676 251K00000X Public Health or Welfare
2   L:  (251V00000X) C20677 251V00000X Voluntary or Charitable
1 S: AllopathicandOsteopathicPhysiciansProviderCodes (200000000X) S20096 200000000X Allopathic & Osteopathic Physicians

A broad category grouping state licensed providers in allopathic or osteopathic medicine whose scope of practice is determined by education.

2   S: AllergyandImmunologyProviderCodes (207K00000X) S20097 207K00000X Allergy & Immunology
3     L:  (207KA0200X) C20098 207KA0200X Allergy
3     L:  (207KI0005X) C20099 207KI0005X Clinical & Laboratory Immunology
2   S: AnesthesiologyProviderCodes (207L00000X) S20100 207L00000X Anesthesiology
3     L:  (207LA0401X) C20101 207LA0401X Addiction Medicine
3     L:  (207LC0200X) C20102 207LC0200X Critical Care Medicine
3     L:  (207LP2900X) C20103 207LP2900X Pain Mediciine
2   L:  (208U00000X) C20104 208U00000X Clinical Pharmacology
2   L:  (208C00000X) C20105 208C00000X Colon & Rectal Surgery
2   S: DermatologyProviderCodes (207N00000X) S20106 207N00000X Dermatology
3     L:  (207NI0002X) C20107 207NI0002X Clinical & Laboratory Dermatological Immunology
3     L:  (207NS0135X) C20108 207NS0135X Dermatological Surgery
3     L:  (207ND0900X) C20109 207ND0900X Dermatopathology
3     L:  (207ND0101X) C20110 207ND0101X MOHS-Micrographic Surgery
3     L:  (207NP0225X) C20111 207NP0225X Pediatric Dermatology

A dermatologist trained to diagnose and treat pediatric patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles, and other tumors of the skin, the management of contact dermatitis, and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars, and the skin changes associated with aging. A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

2   S: EmergencyMedicineProviderCodes (207P00000X) S20112 207P00000X Emergency Medicine
3     L:  (207PE0004X) C20113 207PE0004X Emergency Medical Services
3     L:  (207PT0002X) C20114 207PT0002X Medical Toxicology
3     L:  (207PP0204X) C20115 207PP0204X Pediatric Emergency Medicine
3     L:  (207PS0010X) C20116 207PS0010X Sports Medicine
3     L:  (207PE0005X) C20117 207PE0005X Undersea and Hyperbaric Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None

2   S: FamilyPracticeProviderCodes (207Q00000X) S20118 207Q00000X Family Practice
3     L:  (207QA0401X) C20119 207QA0401X Addiction Medicine
3     L:  (207QA0000X) C20120 207QA0000X Adolescent Medicine
3     L:  (207QA0505X) C20121 207QA0505X Adult Medicine
3     L:  (207QG0300X) C20122 207QG0300X Geriatric Medicine
3     L:  (207QS0010X) C20123 207QS0010X Sports Medicine
2   L:  (208D00000X) C20124 208D00000X General Practice
2   L:  (208M00000X) C20125 208M00000X Hospitalist
2   S: InternalMedicineProviderCodes (207R00000X) S20126 207R00000X Internal Medicine
3     L:  (207RA0401X) C20127 207RA0401X Addiction Medicine
3     L:  (207RA0000X) C20128 207RA0000X Adolescent Medicine
3     L:  (207RA0201X) C20129 207RA0201X Allergy & Immunology
3     L:  (207RC0000X) C20130 207RC0000X Cardiovascular Disease
3     L:  (207RI0001X) C20131 207RI0001X Clinical & Laboratory Immunology
3     L:  (207RC0001X) C20132 207RC0001X Clinical Cardiac Electrophysiology
3     L:  (207RC0200X) C20133 207RC0200X Critical Care Medicine
3     L:  (207RE0101X) C20134 207RE0101X Endocrinology, Diabetes & Metabolism
3     L:  (207RG0100X) C20135 207RG0100X Gastroenterology
3     L:  (207RG0300X) C20136 207RG0300X Geriatric Medicine
3     L:  (207RH0000X) C20137 207RH0000X Hematology
3     L:  (207RH0003X) C20138 207RH0003X Hematology & Oncology
3     L:  (207RI0008X) C20139 207RI0008X Hepatology

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None

3     L:  (207RI0200X) C20140 207RI0200X Infectious Disease
3     L:  (207RI0011X) C20141 207RI0011X Interventional Cardiology

Interventional Cardiology is a field within Cardiology. Interventional Cardiology involves the use of specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and the use of technical procedures and medications to treat abnormalities that impair the function of the heart. Therapeutic interventional cardiac procedures are performed in special clinics or hospital-based laboratories. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

3     L:  (207RM1200X) C20142 207RM1200X Magnetic Resonance Imaging (MRI)
3     L:  (207RX0202X) C20143 207RX0202X Medical Oncology
3     L:  (207RN0300X) C20144 207RN0300X Nephrology
3     L:  (207RP1001X) C20145 207RP1001X Pulmonary Disease

See Definitions for Pulmonary Disease and Critical Care Medicine. ACGME Accredited Program Requirements: 3 years of training with 3 years in Internal Medicine for a total of 6 years.

3     L:  (207RR0500X) C20146 207RR0500X Rheumatology
3     L:  (207RS0010X) C20147 207RS0010X Sports Medicine
2   L:  (209800000X) C20148 209800000X Legal Medicine

Legal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities. Since World War II, the domain of legal medicine has broadened to include not only aspects of medical science to solve legal and criminal problems but aspects of law as it applies to medicine. Legal Medicine continues to grow as medicolegal issues like medical malpractice and liability, government regulation of health care, issues of tort reform, and moral and ethical complexities presented by technological advances become increasingly prominent. Many medical schools have implemented courses which supply medicolegal instruction for medical students, and many law schools now offer medicolegal courses. Also, dual degree programs in law and medicine have been created to assist physicians to bridge the gap between medicine and the law. Source: American Board of Legal Medicine 08/1992 Training Programs, and/or Fellowships, Preceptorships: Certification available through the American Board of Legal Medicine. ACGME Accredited Residency Program Requirements: None

2   S: MedicalGeneticsProviderCodes (207S00000X) S20149 207S00000X Medical Genetics
3     L:  (207SG0202X) C20150 207SG0202X Clinical Biochemical Genetics
3     L:  (207SC0300X) C20151 207SC0300X Clinical Cytogenetics

A clinical cytogenetcist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

3     L:  (207SG0201X) C20152 207SG0201X Clinical Genetics (M.D.)
3     L:  (207SG0203X) C20153 207SG0203X Clinical Molecular Genetics
3     L:  (207SM0001X) C20154 207SM0001X Molecular Genetic Pathology

Molecular Genetic Pathology is a subspecialty of Medical Genetics. A molecular genetic pathologist is an expert in the principles, theory, and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function, and alteration and applies laboratory techniques for diagnosis, treatment, and prognosis for individuals with related disorders. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

3     L:  (207SG0205X) C20155 207SG0205X Ph.D. Medical Genetics
2   L:  (207T00000X) C20156 207T00000X Neurological Surgery
2   L:  (204D00000X) C20157 204D00000X Neuromusculoskeletal Medicine & OMM
2   L:  (204C00000X) C20158 204C00000X Neuromusculoskeletal Medicine, Sports Medicine
2   S: NuclearMedicineProviderCodes (207U00000X) S20159 207U00000X Nuclear Medicine
3     L:  (207UN0903X) C20160 207UN0903X In Vivo & In Vitro Nuclear Medicine
3     L:  (207UN0901X) C20161 207UN0901X Nuclear Cardiology
3     L:  (207UN0902X) C20162 207UN0902X Nuclear Imaging & Therapy
2   S: ObstetricsGynecologyProviderCodes (207V00000X) S20163 207V00000X Obstetrics & Gynecology
3     L:  (207VC0200X) C20164 207VC0200X Critical Care Medicine
3     L:  (207VX0201X) C20165 207VX0201X Gynecologic Oncology
3     L:  (207VG0400X) C20166 207VG0400X Gynecology
3     L:  (207VM0101X) C20167 207VM0101X Maternal & Fetal Medicine
3     L:  (207VX0000X) C20168 207VX0000X Obstetrics
3     L:  (207VE0102X) C20169 207VE0102X Reproductive Endocrinology
2   L:  (207W00000X) C20170 207W00000X Ophthalmology
2   L:  (204E00000X) C20171 204E00000X Oral & Maxillofacial Surgery
2   S: OrthopaedicSurgeryProviderCodes (207X00000X) S20172 207X00000X Orthopaedic Surgery
3     L:  (207XS0114X) C20173 207XS0114X Adult Reconstructive Orthopaedic Surgery
3     L:  (207XX0004X) C20174 207XX0004X Foot and Ankle Orthopaedics

Foot and Ankle Orthopaedics is a discipline of orthopaedic surgery that includes the in-depth study, prevention, and treatment of musculoskeletal diseases, disorders, and sequeiae of injuries in this anatomic region by medical, physical, and surgical methods. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

3     L:  (207XS0106X) C20175 207XS0106X Hand Suvrgery
3     L:  (207XS0117X) C20176 207XS0117X Orthopaedic Surgery of the Spine
3     L:  (207XX0801X) C20177 207XX0801X Orthopaedic Trauma
3     L:  (207XX0005X) C20178 207XX0005X Sports Medicine

Orthopaedic Surgery, Sports Medicine is a subspecialty of Orthopaedics specializing in medical and surgical treatment of musculoskeletal injuries arising from sports. Source: The American Academy of Orthopaedic Surgeons 02/14/1992. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

2   S: OtolaryngologyProviderCodes (207Y00000X) S20179 207Y00000X Otolaryngology
3     L:  (207YS0123X) C20180 207YS0123X Facial Plastic Surgery
3     L:  (207YX0602X) C20181 207YX0602X Otolaryngic Allergy
3     L:  (207YX0905X) C20182 207YX0905X Otolaryngology/Facial Plastic Surgery
3     L:  (207YX0901X) C20183 207YX0901X Otology & Neurotology
3     L:  (207YP0228X) C20184 207YP0228X Pediatric Otolaryngology
3     L:  (207YX0007X) C20185 207YX0007X Plastic Surgery within the Head & Neck
2   S: PainMedicineProviderCodes (208V00000X) S20186 208V00000X Pain Medicine
3     L:  (208VP0014X) C20187 208VP0014X Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

3     L:  (208VP0000X) C20188 208VP0000X Pain Management
2   S: PathologyProviderCodes (207Z00000X) S20189 207Z00000X Pathology
3     L:  (207ZP0101X) C20190 207ZP0101X Anatomic Pathology
3     L:  (207ZP0102X) C20191 207ZP0102X Anatomic Pathology & Clinical Pathology
3     L:  (207ZB0001X) C20192 207ZB0001X Blood Banking & Transfusion Medicine
3     L:  (207ZP0104X) C20193 207ZP0104X Chemical Pathology
3     L:  (207ZP0105X) C20194 207ZP0105X Clinical Pathology/Laboratory Medicine
3     L:  (207ZC0500X) C20195 207ZC0500X Cytopathology

A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. A subspecialty certificate was first issued by the ABMS in 1989. ACGME Accredited Residency Program Requirements: None.

3     L:  (207ZD0900X) C20196 207ZD0900X Dermatopathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None.

3     L:  (207ZF0201X) C20197 207ZF0201X Forensic Pathology
3     L:  (207ZH0000X) C20198 207ZH0000X Hematology
3     L:  (207ZI0100X) C20199 207ZI0100X Immunopathology
3     L:  (207ZM0300X) C20200 207ZM0300X Medical Microbiology
3     L:  (207ZP0007X) C20201 207ZP0007X Molecular Genetic Pathology

Molecular Genetic Pathology is a subspecialty of Pathology. A molecular genetic pathologist is an expert in the principles, theory, and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function, and alteration and applies laboratory techniques for diagnosis, treatment, and prognosis for individuals with related disorders. A subspecialty certificate for MGP was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

3     L:  (207ZN0500X) C20202 207ZN0500X Neuropathology
3     L:  (207ZP0213X) C20203 207ZP0213X Pediatric Pathology
2   S: PediatricsProviderCodes (208000000X) S20204 208000000X Pediatrics
3     L:  (2080A0000X) C20205 2080A0000X Adolescent Medicine
3     L:  (2080I0007X) C20206 2080I0007X Clinical & Laboratory Immunology
3     L:  (2080P0006X) C20207 2080P0006X Developmental - Behavioral Pediatrics

Developmental-Behavioral Pediatrics is a subspecialty of Pediatrics. A pediatrician who treats children having developmental delays, or learning disorders, including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. A subspecialty certificate for DBP was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions regarding proposal.

3     L:  (2080T0002X) C20208 2080T0002X Medical Toxicology

Medical Toxicologists evaluate and manage patients with accidental or intentional poisoning through exposure to prescription and non-prescription medications, drugs of abuse, household or industrial toxins, and environmental toxins. These physicians provide consultations through affiliations with regional poison control centers or within their respective medical institutions. The more important areas of Medical Toxicology include but are not limited to the following list subjects: acute pediatric and adult drug ingestion; drug abuse, addiction, and withdrawal; chemical poisoning exposure and toxicity; hazardous materials exposure and toxicity; occupational toxicology; biological poisons; basic concepts of toxicology such as kinetics, dose-response relationships, indices of toxicity and safety standards; basic principles of poison prevention; basic principles of toxic exposure and preventive methodologies. ACGME Accredited Residency Program Requirements: Medical Toxicology (EM) 2 years with 3-4 years Emergency Medicine for a total of 5-6 years; for Medical Toxicology (Preventive Medicine) 2 years with 3 years Preventive Medicine for a total of 5 years. Medical Toxicology (Pediatrics): None. ABMS Approved Subspecialty Certificates (Emergency Medicine) (Pediatrics) (Preventive Medicine)

3     L:  (2080N0001X) C20209 2080N0001X Neonatal-Perinatal Medicine
3     L:  (2080P0008X) C20210 2080P0008X Neurodevelopmental Disabilities

Neurodevelopmental Disabilities is a subspecialty of Pediatrics. A pediatrician who treats children having developmental delays, or learning disorders, including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. A subspecialty certificate for NDP was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal.

3     L:  (2080P0201X) C20211 2080P0201X Pediatric Allergy & Immunology
3     L:  (2080P0202X) C20212 2080P0202X Pediatric Cardiology
3     L:  (2080P0203X) C20213 2080P0203X Pediatric Critical Care Medicine

Pediatric Critical Care Medicine focuses on advanced life support for children from term or near term neonate to the adolescent. These physicians are concerned with the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. They also coordinate the multitude of health care plans prescribed for the patient by other involved physicians. In addition, they coordinate and order the priority of health care services provided by the Intensive Care Unit. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

3     L:  (2080P0204X) C20214 2080P0204X Pediatric Emergency Medicine
3     L:  (2080P0205X) C20215 2080P0205X Pediatric Endocrinology
3     L:  (2080P0206X) C20216 2080P0206X Pediatric Gastroenterology
3     L:  (2080P0207X) C20217 2080P0207X Pediatric Hematology-Oncology
3     L:  (2080P0208X) C20218 2080P0208X Pediatric Infectious Diseases
3     L:  (2080P0210X) C20219 2080P0210X Pediatric Nephrology
3     L:  (2080P0214X) C20220 2080P0214X Pediatric Pulmonology
3     L:  (2080P0216X) C20221 2080P0216X Pediatric Rheumatology
3     L:  (2080S0010X) C20222 2080S0010X Sports Medicine
2   S: PhysicalMedicineandRehabilitationProviderCodes (208100000X) S20223 208100000X Physical Medicine & Rehabilitation
3     L:  (2081P2900X) C20224 2081P2900X Pain Medicine

Pain Management is a subspecialty of Physical Medicine & Rehabilitation. A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. A subspecialty certificate for PMR was approved by the ABMS in 1998. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal.

3     L:  (2081P0010X) C20225 2081P0010X Pediatric Rehabilitation Medicine

Pediatric Rehabilitation Medicine is a subspecialty of Physical Medicine & Rehabilitation. A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment, and management of congenital and childhood onset physical impairments including related or secondary medical, physical, functional, psychosocial, and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway

3     L:  (2081P0004X) C20226 2081P0004X Spinal Cord Injury Medicine

Physicians in the discipline of Spinal Cord Injury addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic myelopathies including, on a life-long basis, the prevention, diagnosis and treatment of related medical, physical, psychosocial and vocational disabilities and complications. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation)

3     L:  (2081S0010X) C20227 2081S0010X Sports Medicine
2   S: PlasticSurgeryProviderCodes (208200000X) S20228 208200000X Plastic Surgery
3     L:  (2082S0099X) C20229 2082S0099X Plastic Surgery Within the Head and Neck

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery are practiced, there are many additional procedures which interface with them. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

3     L:  (2082S0105X) C20230 2082S0105X Surgery of the Hand
2   S: PreventiveMedicineProviderCodes (208300000X) S20231 208300000X Preventive Medicine
3     L:  (2083A0100X) C20232 2083A0100X Aerospace Medicine
3     L:  (2083T0002X) C20233 2083T0002X Medical Toxicology
3     L:  (2083X0100X) C20234 2083X0100X Occupational Medicine
3     L:  (2083P0500X) C20235 2083P0500X Preventive Medicine/Occupational Environmental-Medicine
3     L:  (2083P0901X) C20236 2083P0901X Public Health & General Preventive Medicine
3     L:  (2083S0010X) C20237 2083S0010X Sports Medicine
3     L:  (2083P0011X) C20238 2083P0011X Undersea and Hyperbaric Medicine
2   S: PsychiatryandNeurologyProviderCodes (208400000X) S20239 208400000X Psychiatry & Neurology
3     L:  (2084A0401X) C20240 2084A0401X Addiction Medicine
3     L:  (2084P0802X) C20241 2084P0802X Addiction Psychiatry
3     L:  (2084P0804X) C20242 2084P0804X Child & Adolescent Psychiatry
3     L:  (2084N0600X) C20243 2084N0600X Clinical Neurophysiology
3     L:  (2084F0202X) C20244 2084F0202X Forensic Psychiatry
3     L:  (2084P0805X) C20245 2084P0805X Geriatric Psychiatry
3     L:  (2084P0005X) C20246 2084P0005X Neurodevelopmental Disabilities

Neurodevelopmental Disabilities is a subspecialty of Psychiatry and Neurology. A pediatrician or neurogist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation, and chronic behavioral syndromes, or neurologic conditions. A subspecialty certificate for NDN was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal.

3     L:  (2084N0400X) C20247 2084N0400X Neurology
3     L:  (2084N0402X) C20248 2084N0402X Neurology with Special Qualifications in Child Neurology
3     L:  (2084P2900X) C20249 2084P2900X Pain Medicine

A psychiatrist, neurologist, or child neurologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None.

3     L:  (2084P0800X) C20250 2084P0800X Psychiatry
3     L:  (2084S0010X) C20251 2084S0010X Sports Medicine
3     L:  (2084V0102X) C20252 2084V0102X Vascular Neurology
2   S: RadiologyProviderCodes (208500000X) S20253 208500000X Radiology
3     L:  (2085B0100X) C20254 2085B0100X Body Imaging
3     L:  (2085R0202X) C20255 2085R0202X Diagnostic Radiology
3     L:  (2085U0001X) C20256 2085U0001X Diagnostic Ultrasound
3     L:  (2085N0700X) C20257 2085N0700X Neuroradiology
3     L:  (2085N0904X) C20258 2085N0904X Nuclear Radiology
3     L:  (2085P0229X) C20259 2085P0229X Pediatric Radiology
3     L:  (2085R0001X) C20260 2085R0001X Radiation Oncology
3     L:  (2085R0205X) C20261 2085R0205X Radiological Physics
3     L:  (2085R0203X) C20262 2085R0203X Therapeutic Radiology
3     L:  (2085R0204X) C20263 2085R0204X Vascular & Interventional Radiology
2   S: SurgeryProviderCodes (208600000X) S20264 208600000X Surgery
3     L:  (2086S0120X) C20265 2086S0120X Pediatric Surgery
3     L:  (2086S0122X) C20266 2086S0122X Plastic & Reconstructive Surgery
3     L:  (2086S0105X) C20267 2086S0105X Surgery of the Hand
3     L:  (2086S0102X) C20268 2086S0102X Surgical Critical Care
3     L:  (2086X0206X) C20269 2086X0206X Surgical Oncology
3     L:  (208G00000X) C20272 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
3     L:  (204F00000X) C20273 204F00000X Transplant Surgery
3     L:  (2086S0127X) C20270 2086S0127X Trauma Surgery
3     L:  (2086S0129X) C20271 2086S0129X Vascular Surgery
2   L:  (208800000X) C20274 208800000X Urology
1 S: AmbulatoryHealthCareFacilitiesProviderCodes (260000000X) S20678 260000000X Ambulatory Health Care Facilities

A State-licensed facility that is not hospital-based where services are provided at a fixed specific location. An ambulatory care facility does not provide overnight accommodations.

2   S: ClinicCenterProviderCodes (261Q00000X) S20679 261Q00000X Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/center" is irregularly defined, either including or excluding physician's offices and allied health professionals, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, public health). Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 185

3     L:  (261QM0855X) C20806 261QM0855X Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

3     L:  (261QA0600X) C20680 261QA0600X Adult Day Care
3     L:  (261QM0850X) C20807 261QM0850X Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

3     L:  (261QA0005X) C20681 261QA0005X Ambulatory Family Planning Facility

An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.

3     L:  (261QA0006X) C20682 261QA0006X Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

3     L:  (261QA1903X) C20683 261QA1903X Ambulatory Surgical
3     L:  (261QA0900X) C20808 261QA0900X Amputee

An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.

3     L:  (261QA3000X) C20809 261QA3000X Augmentative Communication

An entity, facility, or distinct part of a facility staffed by audiology and/or speech professionals with special training in the evaluation of a patient's potential for use of an augmentative communication device, determination of the most appropriate device, adjustment and maintenance

3     L:  (261QB0400X) C20684 261QB0400X Birthing
3     L:  (261QC1500X) C20685 261QC1500X Community Health
3     L:  (261QC1800X) C20686 261QC1800X Corporate Health
3     L:  (261QC0050X) C20810 261QC0050X Critical Access Hospital

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

3     L:  (261QD0000X) C20687 261QD0000X Dental
3     L:  (261QD1600X) C20811 261QD1600X Developmental Disabilities

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

3     L:  (261QE0002X) C20688 261QE0002X Emergency Care
3     L:  (261QE0700X) C20690 261QE0700X End-Stage Renal Disease (ESRD) Treatment
3     L:  (261QE0800X) C20689 261QE0800X Endoscopy
3     L:  (261QF0050X) C20812 261QF0050X Family Planning, Non-Surgical

An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.

3     L:  (261QF0400X) C20691 261QF0400X Federally Qualified Health Center (FQHC)
3     L:  (261QG0250X) C20813 261QG0250X Genetics

An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced.

3     L:  (261QH0100X) C20692 261QH0100X Health
3     L:  (261QH0700X) C20814 261QH0700X Hearing and Speech

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.

3     L:  (261QI0500X) C20693 261QI0500X Infusion Therapy
3     L:  (261QL0400X) C20694 261QL0400X Lithotripsy
3     L:  (261QM1200X) C20695 261QM1200X Magnetic Resonance Imaging (MRI)
3     L:  (261QR0206X) C20714 261QR0206X Mammography
3     L:  (261QM2500X) C20815 261QM2500X Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3     L:  (261QM3000X) C20816 261QM3000X Medically Fragile Infants and Children Day Care

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile hildren with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

3     L:  (261QM0801X) C20696 261QM0801X Mental Health (Including Community Mental Health Center)
3     L:  (261QM2800X) C20817 261QM2800X Methadone

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services elated to individuals with drug addiction.

3     L:  (261QM1000X) C20697 261QM1000X Migrant Health
3     L:  (261QM1100X) C20698 261QM1100X Military
3     L:  (261QM1101X) C20699 261QM1101X Military Expanded Services
3     L:  (261QM1102X) C20700 261QM1102X Military Operational Component
3     L:  (261QR0208X) C20715 261QR0208X Mobile
3     L:  (261QR0207X) C20716 261QR0207X Mobile Mammography
3     L:  (261QM1300X) C20701 261QM1300X Multi-Specialty
3     L:  (261QX0100X) C20702 261QX0100X Occupational Medicine
3     L:  (261QX0200X) C20818 261QX0200X Oncology

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

3     L:  (261QX0203X) C20703 261QX0203X Oncology, Radiation
3     L:  (261QS0132X) C20704 261QS0132X Ophthalmologic Surgery
3     L:  (261QS0112X) C20705 261QS0112X Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (261QP3300X) C20706 261QP3300X Pain
3     L:  (261QP2000X) C20707 261QP2000X Physical Therapy
3     L:  (261QP1100X) C20708 261QP1100X Podiatric
3     L:  (261QP2300X) C20709 261QP2300X Primary Care
3     L:  (261QP2400X) C20710 261QP2400X Prison Health
3     L:  (261QP0904X) C20711 261QP0904X Public Health, Federal
3     L:  (261QP0905X) C20712 261QP0905X Public Health, State or Local
3     L:  (261QR0200X) C20713 261QR0200X Radiology
3     L:  (261QR0800X) C20717 261QR0800X Recovery Care
3     L:  (261QR0400X) C20718 261QR0400X Rehabilitation
3     L:  (261QR0401X) C20720 261QR0401X Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
3     L:  (261QR0405X) C20721 261QR0405X Rehabilitation, Substance Use Disorder
3     L:  (261QR0404X) C20719 261QR0404X Rehabilitation: Cardiac Facilities
3     L:  (261QR1100X) C20722 261QR1100X Research
3     L:  (261QR1300X) C20723 261QR1300X Rural Health
3     L:  (261QS1200X) C20724 261QS1200X Sleep Disorder Diagnostic
3     L:  (261QS1000X) C20725 261QS1000X Student Health
3     L:  (261QU0200X) C20726 261QU0200X Urgent Care
3     L:  (261QV0200X) C20727 261QV0200X VA
1 S: BehavioralHealthandSocialServiceProvidersProviderCodes (100000000X) S20275 100000000X Behavioral Health and Social Service Providers

Broad classification aggregating providers who are trained and educated to perform services related to behavioral health, mental health, and counseling and may be licensed or practice within the scope or licensure or training.

2   S: CounselorProviderCodes (101Y00000X) S20276 101Y00000X Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

3     L:  (101YA0400X) C20277 101YA0400X Addiction (Substance Use Disorder)
3     L:  (101YM0800X) C20278 101YM0800X Mental Health
3     L:  (101YP1600X) C20279 101YP1600X Pastoral
3     L:  (101YP2500X) C20280 101YP2500X Professional
3     L:  (101YS0200X) C20281 101YS0200X School
2   L:  (106H00000X) C20282 106H00000X Marriage & Family Therapist

A mental health provider, e.g. social worker, psychologist, etc. who concentrates his/her practice on the social, emotional and psychological treatment of married couples and families.

2   S: NeuropsychologistProviderCodes (103G00000X) S20283 103G00000X Neuropsychologist

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. Source: American Psychological Association, Washington, DC, 1997.

3     L:  (103GC0700X) C20284 103GC0700X Clinical
2   S: PsychologistProviderCodes (103T00000X) S20285 103T00000X Psychologist

An individual who specializes in psychological research, testing, and/or therapy. Psychology is the branch of science that deals with mental processes and behavior, composed of the following major fields: abnormal, clinical, comparative, counseling, developmental, educational, engineering, experimental, industrial, learning, motivation, perception, personality, physiological, psychometrics, school, and social psychology. Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 654.

3     L:  (103TA0400X) C20286 103TA0400X Addiction (Substance Use Disorder)
3     L:  (103TA0700X) C20287 103TA0700X Adult Development & Aging
3     L:  (103TB0200X) C20288 103TB0200X Behavioral
3     L:  (103TC2200X) C20289 103TC2200X Child, Youth & Family
3     L:  (103TC0700X) C20290 103TC0700X Clinical
3     L:  (103TC1900X) C20291 103TC1900X Counseling
3     L:  (103TE1000X) C20292 103TE1000X Educational
3     L:  (103TE1100X) C20293 103TE1100X Exercise & Sports
3     L:  (103TF0000X) C20294 103TF0000X Family
3     L:  (103TF0200X) C20295 103TF0200X Forensic
3     L:  (103TH0100X) C20296 103TH0100X Health
3     L:  (103TM1700X) C20297 103TM1700X Men & Masculinity
3     L:  (103TM1800X) C20298 103TM1800X Mental Retardation & Developmental Disabilities
3     L:  (103TP0814X) C20299 103TP0814X Psychoanalysis

(1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor's degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure. Sources: (1) Dorlands Illustrated Medical Dictionary, 28th Edition, W.B. Saunders Company: Philadelphia, 1994, p. 1382; (2)American Psychological Association, Washington, DC, 1997, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

3     L:  (103TP2700X) C20300 103TP2700X Psychotherapy
3     L:  (103TP2701X) C20301 103TP2701X Psychotherapy, Group
3     L:  (103TR0400X) C20302 103TR0400X Rehabilitation
3     L:  (103TS0200X) C20303 103TS0200X School
3     L:  (103TW0100X) C20304 103TW0100X Women
2   S: SocialWorkerProviderCodes (104100000X) S20305 104100000X Social Worker

A clinical social worker is a person who is qualified by a master of Social Work (M.S.W.) degree, licensed, certified or registered by the state as a social worker and practicing within the scope of that license. A social worker provides assistance and counseling to patients and their families and dealing with social, emotional and environmental problems.

3     L:  (1041C0700X) C20306 1041C0700X Clinical
3     L:  (1041S0200X) C20307 1041S0200X School
1 S: ChiropracticProvidersProviderCodes (110000000X) S20308 110000000X Chiropractic Providers

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2   S: ChiropractorProviderCodes (111N00000X) S20309 111N00000X Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3     L:  (111NI0900X) C20310 111NI0900X Internist
3     L:  (111NN0400X) C20311 111NN0400X Neurology
3     L:  (111NN1001X) C20312 111NN1001X Nutrition
3     L:  (111NX0100X) C20313 111NX0100X Occupational Medicine
3     L:  (111NX0800X) C20314 111NX0800X Orthopedic
3     L:  (111NR0200X) C20315 111NR0200X Radiology
3     L:  (111NS0005X) C20316 111NS0005X Sports Physician
3     L:  (111NT0100X) C20317 111NT0100X Thermography
1 S: DentalProvidersProviderCodes (120000000X) S20318 120000000X Dental Providers

Broad category to identify practitioners who render services related the practice of dentistry. Dentistry is defined as the evaluation, diagnosis, prevention and/or treatment (nonsurgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated structures and their impact on the human body; provided by a dentist, within the scope of his/her education, training and experience, in accordance with the ethics of the profession and applicable law.

2   L:  (126800000X) C20319 126800000X Dental Assistant

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

2   L:  (124Q00000X) C20320 124Q00000X Dental Hygienist

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

2   L:  (126900000X) C20321 126900000X Dental Laboratory Technician

An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

2   S: DentistProviderCodes (122300000X) S20322 122300000X Dentist

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223D0001X) C20323 1223D0001X Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223E0200X) C20324 1223E0200X Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223G0001X) C20325 1223G0001X General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Source: Academy of General Dentistry

3     L:  (1223P0106X) C20326 1223P0106X Oral and Maxillofacial Pathology

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223X0008X) C20327 1223X0008X Oral and Maxillofacial Radiology

The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223S0112X) C20328 1223S0112X Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223X0400X) C20329 1223X0400X Orthodontics and Dentofacial Orthopedics

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. 1-30-2003

3     L:  (1223P0221X) C20330 1223P0221X Pediatric Dentistry

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223P0300X) C20331 1223P0300X Periodontics

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Source: Council on Dental Education and Licensure, American Dental Association

3     L:  (1223P0700X) C20332 1223P0700X Prosthodontics

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Source: Council on Dental Education and Licensure, American Dental Association

2   L:  (122400000X) C20333 122400000X Denturist
1 S: DietaryandNutritionalServiceProvidersProviderCodes (130000000X) S20334 130000000X Dietary and Nutritional Service Providers

Broad category defining practitioners who help prevent and treat illness by promoting healthy eating habits, scientifically evaluating diets and suggesting modifications. They may also assess the nutritional needs of patients, develop and implement nutritional care plans.

2   L:  (132700000X) C20335 132700000X Dietary Manager

A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.

2   L:  (136A00000X) C20336 136A00000X Dietetic Technician, Registered

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate's degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

2   S: DietitianRegisteredProviderCodes (133V00000X) S20337 133V00000X Dietitian, Registered

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor's degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. Source: The American Dietetic Association. Becoming a Registered Dietitian - a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

3     L:  (133VN1006X) C20338 133VN1006X Nutrition, Metabolic
3     L:  (133VN1004X) C20339 133VN1004X Nutrition, Pediatric
3     L:  (133VN1005X) C20340 133VN1005X Nutrition, Renal
2   S: NutritionistProviderCodes (133N00000X) S20341 133N00000X Nutritionist

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

3     L:  (133NN1002X) C20342 133NN1002X Nutrition, Education
1 S: EmergencyMedicalServiceProvidersProviderCodes (140000000X) S20343 140000000X Emergency Medical Service Providers

Broad category for individuals who complete additional training and education in the area of pre-hospital emergency services and are licensed and/or practice within the scope of that training.

2   L:  (146N00000X) C20344 146N00000X Emergency Medical Technician, Basic

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

2   L:  (146M00000X) C20345 146M00000X Emergency Medical Technician, Intermediate

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

2   L:  (146L00000X) C20346 146L00000X Emergency Medical Technician, Paramedic

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

2   L:  (146D00000X) C20347 146D00000X Personal Emergency Response Attendant

Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

1 S: EyeandVisionServiceProvidersProviderCodes (150000000X) S20348 150000000X Eye and Vision Service Providers

Broad category grouping individuals who renders services related to the human eye and visual systems, but are not an allopathic or osteopathic physicians.

2   S: OptometristProviderCodes (152W00000X) S20349 152W00000X Optometrist

An optometrist is a person qualified by a Doctor of Optometry (O.D. / degree, licensed by the state and practicing within the scope of that license. Optometrists examine the eyes and related structures to determine the presence of any abnormality and prescribe and adapt lenses or optical aids. They use drugs for diagnosis in all states and for treatment in some states. They do not perform surgery.

3     L:  (152WC0802X) C20350 152WC0802X Corneal and Contact Management
3     L:  (152WL0500X) C20351 152WL0500X Low Vision Rehabilitation
3     L:  (152WX0102X) C20352 152WX0102X Occupational Vision
3     L:  (152WP0200X) C20353 152WP0200X Pediatrics
3     L:  (152WS0006X) C20354 152WS0006X Sports Vision
3     L:  (152WV0400X) C20355 152WV0400X Vision Therapy
2   S: TechnicianTechnologistProviderCodes (156F00000X) S20356 156F00000X Technician/Technologist

A broad category grouping different kinds of technologists and technicians. See individual definitions.

3     L:  (156FC0800X) C20357 156FC0800X Contact Lens
3     L:  (156FC0801X) C20358 156FC0801X Contact Lens Fitter
3     L:  (156FX1700X) C20359 156FX1700X Ocularist
3     L:  (156FX1100X) C20360 156FX1100X Ophthalmic
3     L:  (156FX1101X) C20361 156FX1101X Ophthalmic Assistant
3     L:  (156FX1800X) C20362 156FX1800X Optician
3     L:  (156FX1201X) C20363 156FX1201X Optometric Assistant
3     L:  (156FX1202X) C20364 156FX1202X Optometric Technician
3     L:  (156FX1900X) C20365 156FX1900X Orthoptist
1 S: GroupProviderCodes (190000000X) S20800 190000000X Group

A business entity under which one or more individuals practice. A group does not require multiple professional providers. A single provider group is a valid group and would be identified by the business entity name, for instance - John Doe, PC.

2   L:  (193200000X) C20801 193200000X Multi-Specialty

A business group of one or more individual practitioners, who practice with different areas of specialization.

2   L:  (193400000X) C20802 193400000X Single Specialty

A business group of one or more individual practitioners, all of who practice with the same area of specialization.

1 S: HospitalUnitsProviderCodes (270000000X) S20728 270000000X Hospital Units

A distinct part of a general acute care hospital. The distinctness of a unit is determined by characteristics such as the following: the unit has admission and discharge records that are separately identified from those of the hospital; the hospital has policies specifying that necessary clinical information is transferred to the unit when a patient of the hospital is transferred to the unit; the hospital's utilization review plan includes separate standards for the type of care offered in the unit; the beds assigned to the unit are physically separate from beds not included in the unit; the unit is treated as a separate cost center for cost reporting, funding and apportionment purposes.

2   L:  (275N00000X) C20729 275N00000X Medicare Defined Swing Bed Unit

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. Source: Code of Federal Regulations #42, Section 482.66.

2   L:  (273R00000X) C20730 273R00000X Psychiatric Unit

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

2   L:  (273Y00000X) C20731 273Y00000X Rehabilitation Unit

In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment , and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. Source: Code of Federal Regulations #42, Section 412.29.

2   L:  (276400000X) C20732 276400000X Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) Source: Department of Defense Regulation 6010.8-R, Chapter 6.

1 S: HospitalsProviderCodes (280000000X) S20733 280000000X Hospitals

A health care organization that has a governing body, an organized medical staff and professional staff and inpatient facilities and provides medical nursing and related services for ill and injured patients 24 hrs per day, seven days per week. For licensing purposes, each state has its own definition of hospital.

2   L:  (287300000X) C20734 287300000X Christian Science Sanitarium(hospital services)

A Christian Science sanitarium operated, or listed and certified, by The First Church of Christ, Scientist, Boston, Massachusetts, furnishing inpatient hospital care services. Source: Paraphrased from Section 1861(e) of the Social Security Act.

2   S: ChronicDiseaseHospitalProviderCodes (281P00000X) S20735 281P00000X Chronic Disease Hospital

(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

3     L:  (281PC2000X) C20736 281PC2000X Children
2   S: GeneralAcuteCareHospitalProviderCodes (282N00000X) S20737 282N00000X General Acute Care Hospital

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

3     L:  (282NC2000X) C20738 282NC2000X Children
3     L:  (282NC0060X) C20819 282NC0060X Critical Access
3     L:  (282NR1301X) C20739 282NR1301X Rural
3     L:  (282NW0100X) C20740 282NW0100X Women
2   S: MilitaryHospitalProviderCodes (286500000X) S20741 286500000X Military Hospital

A health care facility operated by the Department of Defense.

3     L:  (2865C1500X) C20742 2865C1500X Community Health
3     L:  (2865M2000X) C20743 2865M2000X Medical Center
3     L:  (2865X1600X) C20744 2865X1600X Operational Component Facility
2   L:  (283Q00000X) C20745 283Q00000X Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   S: RehabilitationHospitalProviderCodes (283X00000X) S20746 283X00000X Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

3     L:  (283XC2000X) C20747 283XC2000X Children
2   L:  (284300000X) C20748 284300000X Special Hospital

A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. Source: AHA Guide, Registration section, p. A5.

1 S: LaboratoriesProviderCodes (290000000X) S20749 290000000X Laboratories

A room or building equipped for scientific experimentation, research, testing, or clinical studies of materials, fluids, or tissues obtained from patients.

2   L:  (291U00000X) C20750 291U00000X Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

2   L:  (292200000X) C20751 292200000X Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245.

2   L:  (293D00000X) C20752 293D00000X Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

1 S: ManagedCareOrganizationsProviderCodes (300000000X) S20753 300000000X Managed Care Organizations
2   L:  (302F00000X) C20754 302F00000X Exclusive Provider Organization

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   L:  (302R00000X) C20755 302R00000X Health Maintenance Organization

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

2   L:  (305S00000X) C20756 305S00000X Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

2   L:  (305R00000X) C20757 305R00000X Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

1 S: NursingServiceProvidersProviderCodes (160000000X) S20366 160000000X Nursing Service Providers

Providers who are trained and educated to perform services in health promotion, disease prevention, acute and chronic care, and restoration of health, and health maintenance across the life span.

2   L:  (164W00000X) C20367 164W00000X Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   L:  (167G00000X) C20368 167G00000X Licensed Psychiatric Technician

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

2   L:  (164X00000X) C20369 164X00000X Licensed Vocational Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   S: RegisteredNurseProviderCodes (163W00000X) S20370 163W00000X Registered Nurse

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

3     L:  (163WA0400X) C20371 163WA0400X Addiction (Substance Use Disorder)
3     L:  (163WA2000X) C20372 163WA2000X Administrator
3     L:  (163WP2201X) C20373 163WP2201X Ambulatory Care
3     L:  (163WC3500X) C20374 163WC3500X Cardiac Rehabilitation
3     L:  (163WC0400X) C20375 163WC0400X Case Management
3     L:  (163WC1400X) C20376 163WC1400X College Health
3     L:  (163WC1500X) C20377 163WC1500X Community Health
3     L:  (163WC2100X) C20378 163WC2100X Continence Care
3     L:  (163WC1600X) C20379 163WC1600X Continuing Education/Staff Development
3     L:  (163WC0200X) C20380 163WC0200X Critical Care Medicine
3     L:  (163WD0400X) C20381 163WD0400X Diabetes Educator
3     L:  (163WD1100X) C20382 163WD1100X Dialysis, Peritoneal
3     L:  (163WE0003X) C20383 163WE0003X Emergency
3     L:  (163WE0900X) C20384 163WE0900X Enterostomal Therapy
3     L:  (163WF0300X) C20385 163WF0300X Flight
3     L:  (163WG0100X) C20386 163WG0100X Gastroenterology
3     L:  (163WG0000X) C20387 163WG0000X General Practice
3     L:  (163WG0600X) C20388 163WG0600X Gerontology
3     L:  (163WH0500X) C20389 163WH0500X Hemodialysis
3     L:  (163WH0200X) C20390 163WH0200X Home Health
3     L:  (163WH1000X) C20391 163WH1000X Hospice
3     L:  (163WI0600X) C20392 163WI0600X Infection Control
3     L:  (163WI0500X) C20393 163WI0500X Infusion Therapy
3     L:  (163WL0100X) C20394 163WL0100X Lactation Consultant
3     L:  (163WM0102X) C20395 163WM0102X Maternal Newborn
3     L:  (163WM0705X) C20396 163WM0705X Medical-Surgical
3     L:  (163WN0002X) C20397 163WN0002X Neonatal Intensive Care
3     L:  (163WN0003X) C20398 163WN0003X Neonatal, Low-Risk
3     L:  (163WN0300X) C20399 163WN0300X Nephrology
3     L:  (163WN0800X) C20400 163WN0800X Neuroscience
3     L:  (163WM1400X) C20401 163WM1400X Nurse Massage Therapist (NMT)
3     L:  (163WN1003X) C20402 163WN1003X Nutrition Support
3     L:  (163WX0002X) C20403 163WX0002X Obstetric, High-Risk
3     L:  (163WX0003X) C20404 163WX0003X Obstetric, Inpatient
3     L:  (163WX0106X) C20405 163WX0106X Occupational Health
3     L:  (163WX0200X) C20406 163WX0200X Oncology
3     L:  (163WX1100X) C20407 163WX1100X Ophthalmic
3     L:  (163WX0800X) C20408 163WX0800X Orthopedic
3     L:  (163WX1500X) C20409 163WX1500X Ostomy Care
3     L:  (163WX0601X) C20410 163WX0601X Otorhinolaryngology & Head-Neck
3     L:  (163WP0000X) C20411 163WP0000X Pain Management
3     L:  (163WP0218X) C20412 163WP0218X Pediatric Oncology
3     L:  (163WP0200X) C20413 163WP0200X Pediatrics
3     L:  (163WP1700X) C20414 163WP1700X Perinatal
3     L:  (163WS0121X) C20415 163WS0121X Plastic Surgery
3     L:  (163WP0808X) C20416 163WP0808X Psychiatric/Mental Health
3     L:  (163WP0809X) C20417 163WP0809X Psychiatric/Mental Health, Adult
3     L:  (163WP0807X) C20418 163WP0807X Psychiatric/Mental Health, Child & Adolescent
3     L:  (163WR0400X) C20419 163WR0400X Rehabilitation
3     L:  (163WR1000X) C20420 163WR1000X Reproductive Endocrinology/Infertility
3     L:  (163WS0200X) C20421 163WS0200X School
3     L:  (163WU0100X) C20422 163WU0100X Urology
3     L:  (163WW0101X) C20423 163WW0101X Women's Health Care, Ambulatory
3     L:  (163WW0000X) C20424 163WW0000X Wound Care
1 S: NursingServiceRelatedProvidersProviderCodes (370000000X) S20425 370000000X Nursing Service Related Providers

Providers who are trained and educated to perform and administer services related to health promotion, disease prevention, acute and chronic care, spiritual guidance and comfort for healing and health, restoration of health and health maintenance across the life span.

2   L:  (372600000X) C20803 372600000X Adult Companion

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

2   L:  (372500000X) C20804 372500000X Chore Provider

An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

2   L:  (374T00000X) C20426 374T00000X Christian Science Practitioner/Nurse

A practitioner listed and certified by The First Church of Christ, Scientist, Boston, Massachusetts. Source: Paraphrased from Code of Federal Regulations #42, Section 440.170.

2   L:  (373H00000X) C20427 373H00000X Day Traning/Habilitation Specialist

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

2   L:  (374U00000X) C20428 374U00000X Home Health Aide

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   L:  (376J00000X) C20429 376J00000X Homemaker

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

2   L:  (376K00000X) C20430 376K00000X Nurse's Aide

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   L:  (376G00000X) C20431 376G00000X Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home. Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

2   S: TechnicianProviderCodes (374700000X) S20432 374700000X Technician

(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland's Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster's II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 776.

3     L:  (3747A0650X) C20805 3747A0650X Attendant Care Provider

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent ermitted by state law.

3     L:  (3747P1801X) C20433 3747P1801X Personal Care Attendant

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards.

1 S: NursingandCustodialCareFacilitiesProviderCodes (310000000X) S20758 310000000X Nursing and Custodial Care Facilities

Broad category identifying licensed facilities with inpatient beds specializing in nursing and custodial care.

2   L:  (311500000X) C20759 311500000X Alzheimer Center /Dementia Center/Dementia Special Care Unit

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

2   S: AssistedLivingFacilityProviderCodes (310400000X) S20820 310400000X Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3     L:  (3104A0630X) C20821 3104A0630X Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

3     L:  (3104A0625X) C20822 3104A0625X Assisted Living, Mental Illness

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

2   L:  (317400000X) C20760 317400000X Christian Science Facility (skilled nursing services)

A Christian Science sanitarium operated, or listed and certified, by The First Church of Christ, Scientist, Boston, Massachusetts, furnishing extended care services. Source: Paraphrased from Section 1861(y) (1) of the Social Security Act.

2   S: CustodialCareFacilityProviderCodes (311Z00000X) S20761 311Z00000X Custodial Care Facility

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

3     L:  (311ZA0620X) C20823 311ZA0620X Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2   L:  (315D00000X) C20762 315D00000X Hospice, Inpatient

A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. Source: AHA Guide, American Hospital Association.

2   L:  (315P00000X) C20763 315P00000X Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

2   L:  (310500000X) C20824 310500000X Intermediate Care, Mental Illness

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

2   L:  (313M00000X) C20764 313M00000X Nursing Facility/Intermediate Care Facility

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. Source: Paraphrased from Section 1919 (a) of the Social Security Act.

2   S: SkilledNursingFacilityProviderCodes (314000000X) S20765 314000000X Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

3     L:  (3140N1450X) C20825 3140N1450X Nursing Care, Pediatric

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

1 S: OtherServiceProvidersProviderCodes (170000000X) S20434 170000000X Other Service Providers

Providers not otherwise classified, who perform or administer services in or related to the delivery or research of health care services, disease, and restoration of health. An individual provider who is not represented in one of the identified categories but whose data may be needed for clinical, operational or administrative processes.

2   L:  (171100000X) C20435 171100000X Acupuncturist

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

2   S: ContractorProviderCodes (171W00000X) S20436 171W00000X Contractor

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

3     L:  (171WH0202X) C20437 171WH0202X Home Modifications
3     L:  (171WV0202X) C20438 171WV0202X Vehicle Modifications

A contractor who makes modifications to private vehicles to accommodate a health condition.

2   L:  (172A00000X) C20439 172A00000X Driver

A person employed to operate a motor vehicle as a carrier of persons or property.

2   L:  (176P00000X) C20440 176P00000X Funeral Director

A person, usually an embalmer, whose business is to arrange for the burial or cremation of the dead and to assist at the funeral rites. Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

2   L:  (175L00000X) C20441 175L00000X Homeopath

A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. Source: Dorland's Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981.

2   L:  (173000000X) C20442 173000000X Legal Medicine

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

2   L:  (177F00000X) C20443 177F00000X Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

2   L:  (176B00000X) C20444 176B00000X Midwife, Certified

A provider educated in the independent management of women's health and focusing particularly on pregnancy, childbirth, the post-partum period, care of the newborn, family planning and gynecological needs of women and primary care of women. Certification requires education at the post-secondary level in midwifery and health services. Source: The American College of Nurse-Midwives, Position Statements, www.midwife.org/prof/defcnm.htm

2   L:  (175M00000X) C20445 175M00000X Midwife, Lay

A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.

2   L:  (175F00000X) C20446 175F00000X Naturopath

An individual who practices naturopathy, a system of therapeutics in which neither surgical nor medicinal agents are used, dependence being placed only on natural (nonmedicinal) forces.

2   L:  (170100000X) C20447 170100000X Ph.D. Medical Genetics

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

2   S: SpecialistProviderCodes (174400000X) S20448 174400000X Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Source: Expanded from Webster's II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

3     L:  (1744G0900X) C20449 1744G0900X Graphics Designer
3     L:  (1744P3200X) C20450 1744P3200X Prosthetics Case Management
3     L:  (1744R1103X) C20451 1744R1103X Research Data Abstracter/Coder
3     L:  (1744R1102X) C20452 1744R1102X Research Study
3     S: VeterinarianProviderCodes (174M00000X) S20453 174M00000X Veterinarian

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. Source: Dorland's Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823

4       L:  (174MM1900X) C20454 174MM1900X Medical Research
1 S: PharmacyServiceProvidersProviderCodes (180000000X) S20455 180000000X Pharmacy Service Providers

A broad category grouping providers who render services relating to the preparation and dispensing of drugs.

2   S: PharmacistProviderCodes (183500000X) S20456 183500000X Pharmacist

An individual who is licensed to prepare and sell or dispense drugs and compounds and to make up prescriptions. Source: Dorland's Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.. Saunders Company, 1981.

3     L:  (1835G0000X) C20457 1835G0000X General Practice
3     L:  (1835N0905X) C20458 1835N0905X Nuclear Pharmacy
3     L:  (1835N1003X) C20459 1835N1003X Nutrition Support
3     L:  (1835P1200X) C20460 1835P1200X Pharmacotherapy
3     L:  (1835P1300X) C20461 1835P1300X Psychopharmacy
2   L:  (183700000X) C20462 183700000X Pharmacy Technician
1 S: PhysicianAssistantsandAdvancedPracticeNursingProvidersProviderCodes (360000000X) S20463 360000000X Physician Assistants and Advanced Practice Nursing Providers

A broad grouping of providers who are: 1) trained, educated, and certified to perform basic medical and minor surgical services (or to assist the physician in performance of more complex services) under general physician supervision; and 2) trained, educated at a post-graduate level, and certified to perform autonomous and specialized roles as nurse practitioners, midwives, nurse anesthetists, or clinical nurse specialists.

2   L:  (367H00000X) C20464 367H00000X Anesthesiologist Assistant

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

2   S: ClinicalNurseSpecialistProviderCodes (364S00000X) S20465 364S00000X Clinical Nurse Specialist

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

3     L:  (364SA2100X) C20466 364SA2100X Acute Care
3     L:  (364SA2200X) C20467 364SA2200X Adult Health
3     L:  (364SC2300X) C20468 364SC2300X Chronic Care
3     L:  (364SC1501X) C20469 364SC1501X Community Health/Public Health
3     L:  (364SC0200X) C20470 364SC0200X Critical Care Medicine
3     L:  (364SE0003X) C20471 364SE0003X Emergency
3     L:  (364SE1400X) C20472 364SE1400X Ethics
3     L:  (364SF0001X) C20473 364SF0001X Family Health
3     L:  (364SG0600X) C20474 364SG0600X Gerontology
3     L:  (364SH1100X) C20475 364SH1100X Holistic
3     L:  (364SH0200X) C20476 364SH0200X Home Health
3     L:  (364SI0800X) C20477 364SI0800X Informatics
3     L:  (364SL0600X) C20478 364SL0600X Long-Term Care
3     L:  (364SM0705X) C20479 364SM0705X Medical-Surgical
3     L:  (364SN0000X) C20480 364SN0000X Neonatal
3     L:  (364SN0800X) C20481 364SN0800X Neuroscience
3     L:  (364SX0106X) C20482 364SX0106X Occupational Health
3     L:  (364SX0200X) C20483 364SX0200X Oncology
3     L:  (364SX0204X) C20484 364SX0204X Oncology, Pediatrics
3     L:  (364SP0200X) C20485 364SP0200X Pediatrics
3     L:  (364SP1700X) C20486 364SP1700X Perinatal
3     L:  (364SP2800X) C20487 364SP2800X Perioperative
3     L:  (364SP0808X) C20488 364SP0808X Psychiatric/Mental Health
3     L:  (364SP0809X) C20489 364SP0809X Psychiatric/Mental Health, Adult
3     L:  (364SP0807X) C20490 364SP0807X Psychiatric/Mental Health, Child & Adolescent
3     L:  (364SP0810X) C20491 364SP0810X Psychiatric/Mental Health, Child & Family
3     L:  (364SP0811X) C20492 364SP0811X Psychiatric/Mental Health, Chronically Ill
3     L:  (364SP0812X) C20493 364SP0812X Psychiatric/Mental Health, Community
3     L:  (364SP0813X) C20494 364SP0813X Psychiatric/Mental Health, Geropsychiatric
3     L:  (364SR0400X) C20495 364SR0400X Rehabilitation
3     L:  (364SS0200X) C20496 364SS0200X School
3     L:  (364ST0500X) C20497 364ST0500X Transplantation
3     L:  (364SW0102X) C20498 364SW0102X Women's Health
2   L:  (367A00000X) C20499 367A00000X Midwife, Certified Nurse

A provider educated in the independent management of women's health and focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, family planning and gynecological needs of women and primary care of women. Certification requires education at the post secondary level in nursing and midwifery. Source: The American College of Nurse-Midwives, Position Statements, www.midwife.org/prof/defcnm.htm

2   L:  (367500000X) C20500 367500000X Nurse Anesthetist, Certified Registered

(1)A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

2   S: NursePractitionerProviderCodes (363L00000X) S20501 363L00000X Nurse Practitioner

(1)A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Source: (1)American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

3     L:  (363LA2100X) C20502 363LA2100X Acute Care
3     L:  (363LA2200X) C20503 363LA2200X Adult Health
3     L:  (363LC1500X) C20504 363LC1500X Community Health
3     L:  (363LC0200X) C20505 363LC0200X Critical Care Medicine
3     L:  (363LF0000X) C20506 363LF0000X Family
3     L:  (363LG0600X) C20507 363LG0600X Gerontology
3     L:  (363LN0000X) C20508 363LN0000X Neonatal
3     L:  (363LN0005X) C20509 363LN0005X Neonatal, Critical Care
3     L:  (363LX0001X) C20510 363LX0001X Obstetrics & Gynecology
3     L:  (363LX0106X) C20511 363LX0106X Occupational Health
3     L:  (363LP0200X) C20512 363LP0200X Pediatrics
3     L:  (363LP0222X) C20513 363LP0222X Pediatrics, Critical Care
3     L:  (363LP1700X) C20514 363LP1700X Perinatal
3     S: PhysicianAssistantProviderCodes (363A00000X) S20519 363A00000X Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4       L:  (363AM0700X) C20520 363AM0700X Medical
4       L:  (363AS0400X) C20521 363AS0400X Surgical
3     L:  (363LP2300X) C20515 363LP2300X Primary Care
3     L:  (363LP0808X) C20516 363LP0808X Psychiatric/Mental Health
3     L:  (363LS0200X) C20517 363LS0200X School
3     L:  (363LW0102X) C20518 363LW0102X Women's Health
1 S: PodiatricMedicineandSurgeryProvidersProviderCodes (210000000X) S20522 210000000X Podiatric Medicine and Surgery Providers

Broad category grouping licensed providers who renders services related to the human foot.

2   L:  (211D00000X) C20523 211D00000X Assistant, Podiatric

An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures. Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 622.

2   S: PodiatristProviderCodes (213E00000X) S20524 213E00000X Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3     L:  (213EG0000X) C20527 213EG0000X General Practice
3     L:  (213EP1101X) C20528 213EP1101X Primary Podiatric Medicine
3     L:  (213EP0504X) C20529 213EP0504X Public Health
3     L:  (213ER0200X) C20530 213ER0200X Radiology
3     L:  (213ES0000X) C20531 213ES0000X Sports Medicine
3     L:  (213ES0131X) C20526 213ES0131X Surgery, Foot
3     L:  (213ES0103X) C20525 213ES0103X Surgery, Foot & Ankle
1 S: ResidentialTreatmentFacilitiesProviderCodes (320000000X) S20766 320000000X Residential Treatment Facilities

Live in facilities where patients or clients, who because of their physical, mental, or emotional condition, are not able to live independently, and who receive treatment appropriate to their particular needs in a less restrictive environment than an inpatient facility. For example, an RTC may provide educational training and therapy for children with emotional disturbances or continuing care and therapy for people with severe mental handicaps.

2   L:  (320800000X) C20826 320800000X Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2   L:  (320900000X) C20827 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2   L:  (323P00000X) C20767 323P00000X Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary.

2   L:  (322D00000X) C20768 322D00000X Residential Treatment Facility, Emotionally Disturbed Children

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

2   L:  (320600000X) C20828 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.

2   L:  (320700000X) C20829 320700000X Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.

2   S: SubstanceAbuseDisorderRehabilitationFacilityProviderCodes (324500000X) S20769 324500000X Substance Use Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3     L:  (3245S0500X) C20830 3245S0500X Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

1 S: RespiratoryRehabilitativeandRestorativeServiceProvidersProviderCodes (220000000X) S20532 220000000X Respiratory, Rehabilitative and Restorative Service Providers

A provider who is trained and educated to perform services related to respiratory care, physical therapy, occupational therapy, rehabilitation and restorative services and may be licensed, certified or practice within the scope the scope of training.

2   L:  (221700000X) C20533 221700000X Art Therapist

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts

2   L:  (225600000X) C20534 225600000X Dance Therapist

The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR). Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 11

2   L:  (226300000X) C20535 226300000X Kinesiotherapist

A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. Source: The Kinesiotherapy Association.

2   L:  (225700000X) C20536 225700000X Massage Therapist

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

2   L:  (225A00000X) C20537 225A00000X Music Therapist

The music therapist works with patients with a broad variety of diagnoses and therapeutic goals. The interventions may involve musical performance with instruments, voice or body movements; listening to music; or attending musical events. Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 9-11

2   L:  (224Z00000X) C20545 224Z00000X Occupational Therapy Assistant

An Occupational Therapy assistant: provides medically prescribed occupational therapy services under the supervision of a registered occupational therapist to promote rehabilitation of patients in the hospital, home, schools and other settings; has completed a 2-year associate degree or one of the limited number of certificate programs; has met the qualifications as determined by the representative assembly and thus is entitled to use the term Certified occupational therapy assistant. Source: Valerie Walker, COTA Program Specialist, Practice Dept., Chronicle Guidance publications, American Occupational Therapy Association

2   S: OccupationalTherapistProviderCodes (225X00000X) S20538 225X00000X Occupational Therapist

An occupational therapist is a person qualified by completion of an approved program in occupational therapy, licensed by the state and practicing within the scope of that license, or where licensure does not exist, certified by the American Occupational Therapy Certification Board. An occupational therapist evaluates the self-care, work and leisure performance skills of well and disabled clients and plans and implements programs to restore, develop or maintain the task performance skills necessary for daily living and for the client's particular occupational role.

3     L:  (225XE1200X) C20539 225XE1200X Ergonomics
3     L:  (225XH1200X) C20540 225XH1200X Hand
3     L:  (225XH1300X) C20541 225XH1300X Human Factors
3     L:  (225XN1300X) C20542 225XN1300X Neurorehabilitation
3     L:  (225XP0200X) C20543 225XP0200X Pediatrics
3     L:  (225XR0403X) C20544 225XR0403X Rehabilitation, Driver
2   L:  (225000000X) C20546 225000000X Orthotics/Prosthetics Fitter

(1) An individual who, under the guidance of and in consultation with the orthotist/prosthetist, fabricates orthotics/prosthetics in such a manner as to provide maximum fit, function, cosmesis and workmanship. (2) An individual who, under the direction of a orthotist/prothetist, follows prescriptions and specifications to determine a device, such as a brace, to be made and the materials and tools needed to make the device. A technician then develops the devices. Source: (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 576.

2   L:  (222Z00000X) C20547 222Z00000X Orthotist

An individual skilled in the practice, making, use and application to individual cases of an orthopedic appliance or apparatus used to support, align, prevent or correct deformities or to improve the function of movable parts of the body. Source: Dorland's Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.. Saunders Company, 1981.

2   L:  (225200000X) C20559 225200000X Physical Therapy Assistant

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

2   S: PhysicalTherapistProviderCodes (225100000X) S20548 225100000X Physical Therapist

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT's assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient's strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

3     L:  (2251C2600X) C20549 2251C2600X Cardiopulmonary
3     L:  (2251E1300X) C20550 2251E1300X Electrophysiology, Clinical
3     L:  (2251E1200X) C20551 2251E1200X Ergonomics
3     L:  (2251G0304X) C20552 2251G0304X Geriatrics
3     L:  (2251H1200X) C20553 2251H1200X Hand
3     L:  (2251H1300X) C20554 2251H1300X Human Factors
3     L:  (2251N0400X) C20555 2251N0400X Neurology
3     L:  (2251X0800X) C20556 2251X0800X Orthopedic
3     L:  (2251P0200X) C20557 2251P0200X Pediatrics
3     L:  (2251S0007X) C20558 2251S0007X Sports
2   L:  (224P00000X) C20560 224P00000X Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both Source: Dorland's Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981.

2   L:  (225B00000X) C20561 225B00000X Pulmonary Function Technologist

An individual who is trained and qualified in the techniques and procedures for assessment and treatment of diseases of the lungs and airways such as pneumonia, cancer, pleurisy, asthma, bronchitis, emphysema, and other disorders. Therapy involves assessment of lung functions, assisting the patient in therapeutic exercise and monitoring mechanical assistance to ventilation.

2   L:  (225800000X) C20562 225800000X Recreation Therapist

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

2   L:  (225400000X) C20566 225400000X Rehabilitation Practitioner

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

2   S: RehabilitationCounselorProviderCodes (225C00000X) S20563 225C00000X Rehabilitation Counselor

An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology. Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

3     L:  (225CA2400X) C20564 225CA2400X Assistive Technology Practitioner
3     L:  (225CA2500X) C20565 225CA2500X Assistive Technology Supplier
2   S: RespiratoryTherapistCertifiedProviderCodes (227800000X) S20567 227800000X Respiratory Therapist, Certified

A respiratory therapist is a person who has graduated from a respiratory therapy program accredited by the Committee on Allied Health Education and Accreditation, and where applicable, is licensed by the state and is practicing within the scope of that license. A respiratory therapist administers oxygen and other gases and provides assistance with equipment to patients with either acute or chronic breathing difficulties, often within the home.

3     L:  (2278C0205X) C20568 2278C0205X Critical Care

Respiratory emergencies are commonplace in the treatment of critical care patients. Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial monitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements. This is coupled with the initiation and management of mechanical ventilation patients.

3     L:  (2278E0002X) C20570 2278E0002X Emergency Care

The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.

3     L:  (2278G1100X) C20571 2278G1100X General Care

This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.

3     L:  (2278G0305X) C20572 2278G0305X Geriatric Care

Care of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them. Furthermore, as this segment of the population increases, life expectancy is being extended.

3     L:  (2278H0200X) C20573 2278H0200X Home Care

Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home.

3     L:  (2278P3900X) C20574 2278P3900X Neonatal/Pediatrics

The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.

3     L:  (2278P3800X) C20575 2278P3800X Palliative/Hospice

A coordinated plan of care to help dying patients and their families handle the burden of terminal care. Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.

3     L:  (2278E1000X) C20569 2278E1000X Patient Education

The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help. Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.

3     L:  (2278P4000X) C20576 2278P4000X Patient Transport

Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management. The transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.

3     L:  (2278P1004X) C20577 2278P1004X Pulmonary Diagnostics

Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.

3     L:  (2278P1006X) C20578 2278P1006X Pulmonary Function Technologist

An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment. In any laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance. Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability. The technologist collects clinical history data and evaluates the clinical implications of the test results.

3     L:  (2278P1005X) C20579 2278P1005X Pulmonary Rehabilitation

The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.

3     L:  (2278S1500X) C20580 2278S1500X SNF/Subacute Care

Care of residents in a long-term care environment. Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.

2   S: RespiratoryTherapistRegisteredProviderCodes (227900000X) S20581 227900000X Respiratory Therapist, Registered

A respiratory therapist is a person who has graduated from a respiratory therapy program accredited by the Committee on Allied Health Education and Accreditation, and where applicable, is licensed by the state and is practicing within the scope of that license. A respiratory therapist administers oxygen and other gases and provides assistance with equipment to patients with either acute or chronic breathing difficulties, often within the home.

3     L:  (2279C0205X) C20582 2279C0205X Critical Care

Respiratory emergencies are commonplace in the treatment of critical care patients. Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial monitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements. This is coupled with the initiation and management of mechanical ventilation patients.

3     L:  (2279E0002X) C20584 2279E0002X Emergency Care

The immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.

3     L:  (2279G1100X) C20585 2279G1100X General Care

This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.

3     L:  (2279G0305X) C20586 2279G0305X Geriatric Care

Care of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them. Furthermore, as this segment of the population increases, life expectancy is being extended.

3     L:  (2279H0200X) C20587 2279H0200X Home Care

Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home.

3     L:  (2279P3900X) C20588 2279P3900X Neonatal/Pediatrics

The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.

3     L:  (2279P3800X) C20589 2279P3800X Palliative/Hospice

A coordinated plan of care to help dying patients and their families handle the burden of terminal care. Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.

3     L:  (2279E1000X) C20583 2279E1000X Patient Education

The focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help. Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.

3     L:  (2279P4000X) C20590 2279P4000X Patient Transport

Transport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management. The transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.

3     L:  (2279P1004X) C20591 2279P1004X Pulmonary Diagnostics

Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies.

3     L:  (2279P1006X) C20592 2279P1006X Pulmonary Function Technologist

An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary function testing equipment. In any laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance. Tests results are calculated, compared with predicted normal ranges, and evaluated for reliability. The technologist collects clinical history data and evaluates the clinical implications of the test results.

3     L:  (2279P1005X) C20593 2279P1005X Pulmonary Rehabilitation

The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.

3     L:  (2279S1500X) C20594 2279S1500X SNF/Subacute Care

Care of residents in a long-term care environment. Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.

2   S: SpecialistTechnologistProviderCodes (225500000X) S20595 225500000X Specialist/Technologist

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

3     L:  (2255A2300X) C20596 2255A2300X Athletic Trainer
3     L:  (2255R0406X) C20597 2255R0406X Rehabilitation, Blind
1 S: RespiteCareFacilityProviderCodes (380000000X) S20770 380000000X Respite Care Facility

A facility with dorm rooms where individuals who are unable to care for themselves may stay on a short term basis overnight to allow relief to persons normally providing care to them.

2   S: RespiteCareProviderCodes (385H00000X) S20771 385H00000X Respite Care
3     L:  (385HR2050X) C20831 385HR2050X Respite Care Camp

A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, mental retardation, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

3     L:  (385HR2055X) C20832 385HR2055X Respite Care, Mental Illness, Child

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

3     L:  (385HR2060X) C20833 385HR2060X Respite Care, Mental Retardation and/or Developmental Disabilities, Child

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers.

3     L:  (385HR2065X) C20834 385HR2065X Respite Care, Physical Disabilities, Child

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

1 S: SpeechLanguageandHearingProvidersProviderCodes (230000000X) S20598 230000000X Speech, Language and Hearing Providers

A provider who renders services to improve communicative skills of people with language, speech and hearing impairments.

2   L:  (237600000X) C20602 237600000X Audiologist-Hearing Aid Fitter

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336)

2   S: AudiologistProviderCodes (231H00000X) S20599 231H00000X Audiologist

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

3     L:  (231HA2400X) C20600 231HA2400X Assistive Technology Practitioner
3     L:  (231HA2500X) C20601 231HA2500X Assistive Technology Supplier
2   L:  (237700000X) C20603 237700000X Hearing Instrument Specialist

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

2   L:  (235Z00000X) C20607 235Z00000X Speech-Language Pathologist

A speech pathologist is a person qualified by a master's degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.

2   S: SpeechLanguageTechnologistProviderCodes (235500000X) S20604 235500000X Specialist/Technologist

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

3     L:  (2355A2700X) C20605 2355A2700X Audiology Assistant
3     L:  (2355S0801X) C20606 2355S0801X Speech-Language Assistant
1 S: SuppliersProviderCodes (330000000X) S20772 330000000X Suppliers

A provider, other than a pharmacy, who supplies healthcare related products. The term supplier also includes pharmacies.

2   L:  (331L00000X) C20773 331L00000X Blood Bank

An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. Source: American Association of Blood Banks, Standards for Blood Banks and Tranfusion, 17th ed.

2   S: DurableMedicalEquipmentandMedicalSuppliesProviderCodes (332B00000X) S20774 332B00000X Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3     L:  (332BC3200X) C20775 332BC3200X Customized Equipment
3     L:  (332BD1200X) C20776 332BD1200X Dialysis Equipment & Supplies
3     L:  (332BN1400X) C20777 332BN1400X Nursing Facility Supplies
3     L:  (332BX2000X) C20778 332BX2000X Oxygen Equipment & Supplies
3     L:  (332BP3500X) C20779 332BP3500X Parenteral & Enteral Nutrition
2   L:  (332G00000X) C20780 332G00000X Eye Bank

An eye bank procures and distributes eyes for transplant, education and research. To promote patient safety, donated eyes and donor medial histories are evaluated based on strict Eye Bank Association of America Medical Standards

2   L:  (332H00000X) C20781 332H00000X Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

2   L:  (332S00000X) C20782 332S00000X Hearing Aid Equipment

The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.

2   L:  (332U00000X) C20783 332U00000X Home Delivered Meals

Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services.

2   L:  (335U00000X) C20784 335U00000X Organ Procurement Organization

A federally designated organization that works with hospital personnel in retrieval of organs for transplantation. The federal government designates an OPO's service area and the hospitals with which an OPO is to establish working relationships.

2   L:  (333600000X) C20785 333600000X Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations (drug store). A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs through a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

2   L:  (335V00000X) C20786 335V00000X Portable Xray Supplier

A supplier of diagnostic x-ray services furnished in a place or residence used as the patient's home or, in certain circumstances, in an institution, where the institution cannot bill for the services. Portable x-ray services include: skeletal films involving arms and legs, pelvis, vertebral column, and skull; chest films which do not involve the use of contrast media (except routine screening procedures and tests in connection with routine physical examinations); and abdominal films which do not involve the use of contrast media. Procedures and examinations which are excluded from portable x-ray services include the following: procedures involving fluoroscopy; procedures involving the use of contrast media; procedures requiring the administration of a substance to the patient or injection of a substance into the patient and/or special manipulation of the patient; procedures which require special medical skill or knowledge possessed by a doctor of medicine or doctor of osteopathy or which require that medical judgment be exercised; procedures requiring special technical competency and/or special equipment or materials; routine screening procedures; and procedures which are not of a diagnostic nature. Source: Paraphrased from the Medicare Carriers Manual, Section 2070.4.

2   L:  (335E00000X) C20787 335E00000X Prosthetic/Orthotic Supplier

An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.

1 S: TechnologistTechnicianandOtherTechnicalServiceProvidersProviderCodes (240000000X) S20608 240000000X Technologist, Technician, and Other Technical Service Providers

A broad category grouping providers who apply scientific knowledge in solving practical or theoretical problems or applies technical procedures in accordance with their training and experience.

2   S: RadiologicTechnologistProviderCodes (247100000X) S20609 247100000X Radiologic Technologist

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

3     L:  (2471B0102X) C20610 2471B0102X Bone Densitometry
3     L:  (2471C1106X) C20611 2471C1106X Cardiac-Interventional Technology
3     L:  (2471C1101X) C20612 2471C1101X Cardiovascular-Interventional Technology
3     L:  (2471C3401X) C20613 2471C3401X Computed Tomography
3     L:  (2471M1202X) C20614 2471M1202X Magnetic Resonance Imaging
3     L:  (2471M2300X) C20615 2471M2300X Mammography
3     L:  (2471N0900X) C20616 2471N0900X Nuclear Medicine Technology
3     L:  (2471Q0001X) C20617 2471Q0001X Quality Management
3     L:  (2471R0002X) C20618 2471R0002X Radiation Therapy
3     L:  (2471C3402X) C20619 2471C3402X Radiography
3     L:  (2471S1302X) C20620 2471S1302X Radiologic Technologist, Sonography
3     L:  (2471V0105X) C20621 2471V0105X Vascular Sonography
3     L:  (2471V0106X) C20622 2471V0106X Vascular-Interventional Technology
2   S: SpecialistTechnologistCardiovascularProviderCodes (246X00000X) S20623 246X00000X Specialist/Technologist Cardiovascular

An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159.

3     L:  (246XC2901X) C20624 246XC2901X Cardiovascular Invasive Specialist
3     L:  (246XS1301X) C20625 246XS1301X Specialist/Technologist Cardiovascular, Sonography
3     L:  (246XC2903X) C20626 246XC2903X Vascular Specialist
2   S: SpecialistTechnologistHealthInformationProviderCodes (246Y00000X) S20627 246Y00000X Specialist/Technologist, Health Information

An individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services coding. Source: American Health Information Management Association, Chicago, IL, 1996.

3     L:  (246YC3301X) C20628 246YC3301X Coding Specialist, Hospital Based
3     L:  (246YC3302X) C20629 246YC3302X Coding Specialist, Physician Office Based
3     L:  (246YR1600X) C20630 246YR1600X Registered Record Administrator
2   S: SpecialistTechnologistOtherProviderCodes (246Z00000X) S20631 246Z00000X Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

3     L:  (246ZA2600X) C20632 246ZA2600X Art, Medical
3     L:  (246ZB0500X) C20633 246ZB0500X Biochemist
3     L:  (246ZB0301X) C20634 246ZB0301X Biomedical Engineering
3     L:  (246ZB0302X) C20635 246ZB0302X Biomedical Photographer
3     L:  (246ZB0600X) C20636 246ZB0600X Biostatistician
3     L:  (246ZE0500X) C20637 246ZE0500X EEG
3     L:  (246ZE0600X) C20638 246ZE0600X Electroneurodiagnostic
3     L:  (246ZG1000X) C20639 246ZG1000X Geneticist, Medical (PhD)
3     L:  (246ZG0701X) C20640 246ZG0701X Graphics Methods
3     L:  (246ZI1000X) C20641 246ZI1000X Illustration, Medical
3     L:  (246ZN0300X) C20642 246ZN0300X Nephrology
3     L:  (246ZS0400X) C20643 246ZS0400X Surgical
2   S: SpecialistTechnologistPathologyProviderCodes (246Q00000X) S20644 246Q00000X Specialist/Technologist, Pathology

(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.

3     L:  (246QB0000X) C20645 246QB0000X Blood Banking
3     L:  (246QC1000X) C20646 246QC1000X Chemistry
3     L:  (246QC2700X) C20647 246QC2700X Cytotechnology
3     L:  (246QH0401X) C20648 246QH0401X Hemapheresis Practitioner
3     L:  (246QH0000X) C20649 246QH0000X Hematology
3     L:  (246QH0600X) C20650 246QH0600X Histology
3     L:  (246QI0000X) C20651 246QI0000X Immunology
3     L:  (246QL0900X) C20652 246QL0900X Laboratory Management
3     L:  (246QL0901X) C20653 246QL0901X Laboratory Management, Diplomate
3     L:  (246QM0706X) C20654 246QM0706X Medical Technologist
3     L:  (246QM0900X) C20655 246QM0900X Microbiology
2   L:  (246W00000X) C20656 246W00000X Technician, Cardiology

An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.

2   S: TechnicianHealthInformationProviderCodes (247000000X) S20657 247000000X Technician, Health Information

Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. Source: American Health Information Management Association, Chicago, IL, 1996.

3     L:  (2470A2800X) C20658 2470A2800X Assistant Record Technician
2   S: TechnicianOtherProviderCodes (247200000X) S20659 247200000X Technician, Other

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland's Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster's II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

3     L:  (2472B0301X) C20660 2472B0301X Biomedical Engineering
3     L:  (2472D0500X) C20661 2472D0500X Darkroom
3     L:  (2472E0500X) C20662 2472E0500X EEG
3     L:  (2472R0900X) C20663 2472R0900X Renal Dialysis
3     L:  (2472V0600X) C20664 2472V0600X Veterinary
2   S: TechnicianPathologyProviderCodes (246R00000X) S20665 246R00000X Technician, Pathology

An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.

3     L:  (246RH0600X) C20666 246RH0600X Histology
3     L:  (246RM2200X) C20667 246RM2200X Medical Laboratory
3     L:  (246RP1900X) C20668 246RP1900X Phlebotomy
1 S: TransportationServicesProviderCodes (340000000X) S20788 340000000X Transportation Services

A provider who moves a patient, tissue specimen or equipment from one location to another

2   S: AmbulanceProviderCodes (341600000X) S20789 341600000X Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37.

3     L:  (3416A0800X) C20790 3416A0800X Air
3     L:  (3416L0300X) C20791 3416L0300X Land
3     L:  (3416S0300X) C20792 3416S0300X Sea
2   L:  (347B00000X) C20793 347B00000X Bus

A public or private organization or business licensed to provide bus services.

2   L:  (343900000X) C20794 343900000X Non-emergency Medical Transport (VAN)

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

2   L:  (347C00000X) C20795 347C00000X Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

2   L:  (343800000X) C20796 343800000X Secured Medical Transport (VAN)

A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

2   L:  (344600000X) C20797 344600000X Taxi

A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located.

2   L:  (347D00000X) C20798 347D00000X Train

An organization or business licensed to provide passenger train service, including light rail, subway, and traditional services.

2   L:  (347E00000X) C20799 347E00000X Transportation Broker

A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging.


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