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

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Brad Ericson

Director of Publishing at AAPC

Brad Ericson, MPC, CPC, COSC, has been director of publishing for more than 11 years. Before AAPC he was at Optum 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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