New Specialties for Medicare Enrollment - Effective October 2, 2017

Effective October 2, 2017, CMS has issued new specialty codes that will be used to describe and define specific/unique types of medicine in a physician's practice on a Medicare enrollment form. The new specialties are as follows:

  • Advanced Heart Failure and Transplant Cardiology (C7)
  • Medical Toxicology (C8)
  • Hematopoietic Cell Transplantation and Cellular Therapy (C9)

The 855I and 855O application will be updated in the future to reflect these new specialty codes.

If you are completing the application via the 855I paper application, watch Enrollment on Demand (EoD) for paper Initial Enrollment for Physicians who Reassign Benefits. In section 2D; select Undefined physician type and write in the new specialty. If the provider is enrolled with Medicare and needs to update their specialty, make sure to watch the EoD Reporting a Change, Group members.

If you are completing the initial application via Provider Enrollment, Chain, and Ownership System (PECOS) watch EoD for PECOS Initial Enrollment for Physicians who Reassign Benefits. If the provider is enrolled with Medicare and needs to update their specialty, make sure to watch the EoD How to Start a Change of Information PECOS Application.

If initially enrolling or wanting to update the current specialty to order, certify and prescribe, make sure to select the topic on the EoD webpage and view either the paper EOD or PECOS EoD that applies to the providers current specialty. In the specialty section, select undefined and enter the new specialty.

Last Updated Feb 01, 2018