New Physician Specialty Codes

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CMS under their CR9957 has indicated the release of new physician specialty codes that are as follows:

  1. Advanced Heart Failure and Transplant Cardiology (C7)
  2. Medical Toxicology (C8), and
  3. Hematopoietic Cell Transplantation and Cellular Therapy (C9).

The new codes will be effective by October 1, 2017. The CMS-855I and CMS-855O paper applications will be updated to reflect the new specialties in the future. In the interim, providers shall select the ‘undefined physician type’ option on the enrollment application and specify the applicable specialty in the space provided.

Existing enrolled providers who would like to update their specialty to reflect one of the new specialties must submit a change of information application to their MAC. Providers may submit an enrollment application to initially enroll or update their specialty within 60 days of the implementation date of the new specialties.

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