New Specialty Code for Genetics and Genomics

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  • May 1, 2018
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New Specialty Code for Genetics and Genomics

Doctors practicing genetics and genomics now have their own specialty code, D3, thanks to the Centers for Medicare & Medicaid Services (CMS).
Physicians identify their Medicare physician specialty on the Medicare enrollment application or the Provider Enrollment, Chain, and Ownership System (PECOS). CMS uses the information for programmatic and claims processing.

How this Code Helps

Medical Administrative Contractors (MACs) will recognize this code when claims are reported. Payment depends on local and national coverage decisions.
There is also a change to the Medicare Financial Management Manual, Chapter 6, and the Medicare Claims Processing Manual, Chapter 26.
D3 Medical Genetics and Genomics joins the following specialty codes and descriptions:
Code   Physician Specialty
01       General Practice
02       General Surgery
03       Allergy/Immunology
04       Otolaryngology
05       Anesthesiology
06       Cardiology
07       Dermatology
08       Family Practice
09       Interventional Pain Management
10       Gastroenterology
11       Internal Medicine
12       Osteopathic Manipulative Medicine
13       Neurology
14       Neurosurgery
16       Obstetrics/Gynecology
17       Hospice and Palliative Care
18       Ophthalmology
19       Oral Surgery (dentists only)
20       Orthopedic Surgery
21       Cardiac Electrophysiology
22       Pathology
23       Sports Medicine
24       Plastic and Reconstructive Surgery
25       Physical Medicine and Rehabilitation
26       Psychiatry
27       Geriatric Psychiatry
28       Colorectal Surgery (formerly proctology)
29       Pulmonary Disease
30       Diagnostic Radiology
33       Thoracic Surgery
34       Urology
35       Chiropractic
36       Nuclear Medicine
37       Pediatric Medicine
38       Geriatric Medicine
39       Nephrology
40       Hand Surgery
41       Optometry
44       Infectious Disease
46       Endocrinology
48       Podiatry
66       Rheumatology
70       Single or Multispecialty Clinic or Group Practice
72       Pain Management
76       Peripheral Vascular Disease
77       Vascular Surgery
78       Cardiac Surgery
79       Addiction Medicine
81       Critical Care (Intensivists)
82       Hematology
83       Hematology/Oncology
84       Preventive Medicine
85       Maxillofacial Surgery
86       Neuropsychiatry
90       Medical Oncology
91       Surgical Oncology
92       Radiation Oncology
93       Emergency Medicine
94       Interventional Radiology
98       Gynecological/Oncology
99       Unknown Physician Specialty
C0       Sleep Medicine
C3       Interventional Cardiology
C5 Dentist
C6 Hospitalist
C7 Advanced Heart Failure and Transplant Cardiology
C8 Medical Toxicology
C9 Hematopoietic Cell Transplantation and Cellular Therapy
D1 Medicare Diabetes Preventive Program
D2 Restricted Use
D3 Medical Genetics and Genomics

Brad Ericson
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Brad Ericson, MPC, CPC, COSC, is a seasoned healthcare writer and editor. He directed publishing at AAPC for nearly 12 years and worked at Ingenix for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

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