Field 19 Edits 19... · 2019-11-05 · 10. Service Authorization Exception Code EXAMPLE: “EXC...

PROPRIETARY AND CONFIDENTIAL | 1

F i e l d 1 9 E d i t s

Field 19 on the CMS-1500 form is reserved for local use. MDOL has created formats for its Print Image and Link1500

customers to use in Field 19 to report information that does not have a field available on the CMS 1500 form. Enter the information into Field 19 exactly as it is shown inside the quotation marks. Format requirements are also

noted.

Indicators are case and space sensitive. It is important that the information be placed in the order it appears below (i.e.,

X-ray, Initial TX date, Date last seen by referring MD, Nature of Condition, etc.). If you do not need any piece of information

on any given claim, simply skip it. Please contact the MDOL Customer Service Department at (888) 499-5465, ext.3503

with any additional questions.

Data requirements for personal injury /auto accident and worker’s compensation claims may differ. Please review the

“Personal Injury /Auto Accident and Worker’s Compensation Companion Guide” available in the Support Documents

section.

PLEASE NOTE: First time additions of any format to field 19 should be reviewed by MDOL to determine if scanner

adjustments are necessary. Make any additions, submit your claims, and then immediately contact MDOL Customer

Support at (888) 499-5465, ext. 3503 for assistance. 1. X-Ray Date

EXAMPLE: “XRAY 01-30-2006” or “XRAY 01-30-06” FORMAT: (XRAY MM-DD-CCYY or XRAY MM-DD-YY)

2. Initial Treatment Date

EXAMPLE: “INIT 01-30-2006” or “INIT 01-30-06” FORMAT: (INIT MM-DD-CCYY or INIT MM-DD-YY)

3. Date last seen by Referring Doctor

EXAMPLE: “DATE LAST 01-30-2006” or “DATE LAST 01-30-06”

FORMAT: (DATE LAST MM-DD-CCYY or DATE LAST MM-DD-YY)

4. Nature of Condition Codes

A – Acute Condition

C – Chronic Condition

D – Non-Acute

E – Non-Life Threatening

EXAMPLE: “COND C”

F – Routine

G – Symptomatic

M – Acute Manifestation of a Chronic Condition

2 | PROPRIETARY AND CONFIDENTIAL

*When using Code A or M, you must include the date the symptom(s) were first presented. EXAMPLE: “COND A 01-30-2006” or,”COND A 01-30-06” FORMAT: (COND A MM-DD-CCYY or COND A MM-DD-YY)

5. Supervising Provider EXAMPLE: “SUPER: NPI, FIRST NAME, LAST NAME” or

EXAMPLE: “SUPER: SAME” (Note: This will copy the data in CMS-1500 fields 17/17b to the Supervising Provider fields)

6. Ordering Provider

EXAMPLE: “ORDP: NPI, LAST NAME, FIRST NAME”

7. Purchased Service Provider

EXAMPLE: “ORDP: NPI, LAST NAME, FIRST NAME PHONE NUMBER”

8. Remarks (Maximum 80 Characters) – Used to report short notes required on the claim. Note: If the note is

specific to only 1 line item, it should be reported in the line item notes, not in field 19.

EXAMPLE: “REMARKS” OR “RMKS” then the text.

9. RX Date – Hearing and Vision Prescription Date

EXAMPLE: “RX 01-30-2006” or “RX 01-30-06”

FORMAT: (RX MM-DD-CCYY or RX MM-DD-YY) 10. Service Authorization Exception Code

EXAMPLE: “EXC 7” 1 – Immediate/Urgent Care 2 – Services Rendered in a Retroactive Period 3 – Emergency Care 4 – Client has Temporary Medicaid

5 – Request from County for Second Opinion 6 – Request for Override Pending 7 – Special Handling

11. Delay Reason Code – Used to report why a claim is submitted beyond the payer’s filing limit. Example: “DRC 8”

Delay Codes: 1 – Proof of Eligibility Unknown or Unavailable 2 – Litigation 3 – Authorization Delays 4 – Delay in Certifying Provider 5 – Delay in Supplying Billing Forms 6 – Delay in Delivery of Custom Made Appliances 7 – Third Party Processing Delay

8 – Delay in Eligibility Determination 9 – Original Claim Rejected or Denied Due to a Reason Unrelated to the Billing Limitation Rules 10 – Administration Delay in the Prior Approval Process 11 – Other 15 – Natural Disaster


12. Demo 45 Example: “RMKS DEMO 45” or “RMKS DEMO45”

13. EPSDT Referral

Example: “EPSDT Y AV” or “EPSDT N NU” Yes/No Condition or Response Code (Condition Indicator – enter Y if a referral was given, N if not.) Y = Yes N = No AV - Available – Patient Refused Referral. NU - Not Used *NU must be used if EPSDT N is used. S2 - Under Treatment ST - New Services Requested

14. NDC: NDC Codes must be 11 digits: A 10-digit NDC code is padded with a 'place-holder' (zero or *) by the drug supplier to make it a HIPAA compliant 11-digit NDC code. If your code is 10 digits, please contact your supplier for the valid 11-digit code. If your code contains an asterisk (*), please replace that with a zero (0). Visit the FDA website for more information and a link to search the National Drug Code Directory: http://www.fda.gov/cder/ndc/database/docs/queryndclbl.htm NOTE: If an NDC number is used, then the Drug Dosage must also be present

Units of Measurement may be: F2 International Unit GR Gram ME Milligram ML Milliliter UN Unit

Example (Field 19): “NDC 12345678910 NDP 20 ME” (Links to any line item charge whose code begins with a J) Example (Field 24): “NDC 12345678910 NDP 20 ME” (Links only to the line item the comment is on)

15. DATE LAST WORKED

Example: “DLW 01-30-2006” or “DLW 01-30-06” FORMAT: (DLW MM-DD-CCYY or DLW MM-DD-YY)

16. NPI: BILLING, RENDERING, REFERRING & FACILITY

Example: “NRF 1234567890 NFC 0987654321” NBL ########## (Billing NPI) NRD ########## (Rendering NPI) NRF ########## (Referring NPI) NFC ########## (Facility NPI)

http://www.fda.gov/cder/ndc/database/docs/queryndclbl.htm

http://www.fda.gov/cder/ndc/database/docs/queryndclbl.htm


17. CLAIM SUPPLEMENTAL INFORMATION (Paperwork) – Used to report when additional information is available in support of a specific claim Example: “PWK P5 EM 12345678911” or “PWK DG EL 78945612378”

Paperwork Codes:

03 – Report Justifying Treatment Utilization Guidelines 04 – Drugs Administered 05 – Treatment Diagnosis 06 – Initial Assessment 07 – Functional Goals 08 – Plan of Treatment 09 – Progress Reports 10 – Continued Treatment 11 – Chemical Analysis 13 – Certified Test Report 15 – Justification for Admission 21 – Recovery Plan A3 – Allergies/Sensitivities Document A4 – Autopsy Report AM – Ambulance Certification AS – Admission Summary B2 – Prescription B3 – Physician Order B4 – Referral Form BR – Benchmark Testing Results BS – Baseline BT – Blanket Test Results CB – Chiropractic Justification

CK – Consent Form(s) CT – Certification D2 – Drug Profile Document DA – Dental Models DB – Durable Medical Equipment Prescription DG – Diagnostic Report DJ – Discharge Monitoring Report DS – Discharge Summary EB – Explanation of Benefits HC – Health Certificate HR – Health Clinic Records I5 – Immunization Record IR – State School Immunization Records LA – Laboratory Results M1 – Medical Record Attachment MT – Models NN – Nursing Notes OB – Operative Note OC – Oxygen Content Averaging Report OD – Orders and Treatments Document

OE – Objective Physical Examination (including Vital Signs) Document OX – Oxygen Therapy Certification OZ – Support Data for Claim P4 – Pathology Report P5 – Patient Medical History Document PE – Parenteral or Enteral Certification PN – Physical Therapy Notes PO – Prosthetics or Orthotic Certification PY – Physician’s Report PZ – Physical Therapy Certification RB – Radiology Films RR – Radiology Reports RT – Report of Tests and Analysis Report RX – Renewable Oxygen Content Averaging Report SG – Symptoms Document V5 – Death Notification XP – Photographs

Report Transmission Code:

AA = Available on Request at Provider site BM = By Mail EL = electronically only

EM = Email FX = by fax

Identification Code:

Use attachment control number


18. AMBULANCE CERTIFICATION Example: “AMB R C 12345 Y 05 RTR Brief reason for round trip (if needed) STR Brief reason for stretcher (if needed)" Example: “AMB <Transport Code> <Transport Reason Code> <Transport Distance> <Condition or Response Code> <Condition Indicator(s)> <Round Trip Purpose Description> <Stretcher Purpose Description>” Ambulance Transport Code (Indicates type of transport)

I - Initial Trip R - Return Trip T - Transfer Trip X - Round Trip * Must include Round Trip Purpose Description if X *

Ambulance Transport Reason Code A - Patient was transported to nearest facility for care of symptoms, complaints or both. Can be used to indicate that patient was transported to a residential facility. B - Patient was transported for the benefit of a preferred physician C - Patient was transported for the nearness of family members D - Patient was transported for the care of a specialist or for availability of specialized equipment. E - Patient transferred to Rehabilitation Facility

Quantity (Transport Distance in Miles) Yes/No Condition or Response Code (Condition Indicator – enter Y if the Condition Indicator applies, N if it does not apply) Y - Yes N - No

Condition Indicator(s) REQUIRED - if more than one; enter all with no spaces (ex: 010509) 01 - Patient was admitted to hospital 04 - Patient was moved by stretcher 05 - Patient was unconscious or in shock 06 - Patient was transported in an emergency situation 07 - Patient had to be physically restrained 08 - Patient has visible hemorrhaging 09 - Ambulance service was medically necessary 12 - Patient was confined to a bed or a chair

Round Trip Purpose Description (Free-form text – Required if Ambulance Transport Code = X)

Stretcher Purpose Description (Free-form text – Required if Condition Indicator = 04)

Pick Up and Drop Off Locations. Require the use of the “Extra Screens” (see item 29) 19. CORRECTED/VOID CLAIM SUBMITTAL *** do not use for Medicare – claims will be rejected ***

Example Corrected: “CRTD 123456789” Example Void: “VOID 123456789” In examples above, 123456789 is the original claim number as assigned by the carrier (not the MD On-Line claim ID number).


20. CARE PLAN OVERSIGHT SERVICES Example: “HHA 19-7260”

In field 23 on the CMS-1500 form, input “HHA” followed by the Care Plan Oversight Authorization Number. If also entering a CLIA number in field 23, place the CLIA information first, followed by the Care Plan Oversight information.

21. MEASUREMENT/TEST RESULT

Example: “TR R2 33.8” Example (multiple measurements): “TR R1 9.1 TR R2 27.4” Format: <MeasurementIdentifier> <MeasurementQualifier> <MeasurementValue> NOTE: This data will attach to all ‘J’ codes on the claim. See below for valid Identifiers & Qualifiers.

Measurement Identifier OG Original; Starting dosage TR Test Results Measurement Qualifier HT Height R1 Hemoglobin R2 Hematocrit R3 Epoetin Starting Dosage R4 Creatin

Measurement Value (the value of the measurement)

22. P A R T – for Chiropractors billing Medicare - Incomplete Physical Exam Information

Example: “RMKS RT” * At least 2 letters required – one must be A or R * Use P, A, R, and T (P) Pain/tenderness evaluated in terms of location, quality, and intensity; (A) Asymmetry/misalignment identified on a sectional or segmental level; (R) Range of motion abnormality (changes in active, passive, and accessory joint movements resulting in an increase or decrease of sectional or segmental mobility); and (T) Tissue, tone changes in the characteristics of continuous or associated soft tissues, including skin, fascia, muscle, and ligament; At least TWO are required, one must be A or R

23. REFERRAL/AUTHORIZATION NUMBER

Referral Number Example: “REFERRAL: 123456” Prior Authorization Number Example: “XPA:123456789012345678” Note: Referral Number in field 19 requires that you also enter the name and NPI of the Referring Provider in fields 17 and 17b. Prior Authorization numbers can be reported in Field 23 unless they exceed 14 characters in length.

24. Mammography FDA Certification Number Example: “FDA 123456” Required when mammography services are rendered by a certified mammography provider.

25. Anesthesia Time

Example: “TIME 40 BEG 1100 END 1140” Data in Field 19: Links to first charge line Data in Field 24: Links to charge line the comment is on.


26. Billing Provider Taxonomy (Specialty) Code Example: “BTX 261QM0801X” NOTE: Rendering Provider Taxonomy Code (Loop 2310B PRV01 = PE) is based on specialty code on file: WebLink - My Account>Manage Providers

Link1500 - Maintenance>Physician/Organization

27. Assumed and Relinquished Care Dates (Medicare global surgery/shared post-op care)

Example/Format: “D090 MMDDYY D091 MMDDYY” D090 = Start/Assumed Care Date D091 = End/Relinquished Care Date

28. UNSPECIFIED CPT and HCPCS codes Procedure and Drug codes that are classified as “Unspecified”, “Miscellaneous”, etc. require an additional description identifying more specifics related to the charge.

Field 19, Claim Specific: “SV description of unclassified code”

Enter “SV” then the description of the unclassified code. The data will be linked to every line item on the claim that contains a HCPCS code beginning with J.

Example: “SV Injection triamcinolone acetonide, not otherwise specified, 10 mg”

Field 19, Line Specific: “SV# Description”

The # should be replaced with the line item number that the description should be linked to.

Enter “SV”, the line # to which this description applies, then the description of the unclassified code. The data will be linked to specified line item on the claim.

Example: “SV4 Injection triamcinolone acetonide, not otherwise specified, 10 mg”

Field 24, Line Specific:

Example: “SV Description”

The data will be linked to the line item the comment is attached to.

Note: Descriptions cannot exceed 80 positions (including spaces) in length.

29. EXTRA Data If your data does not fit in field 19, simply type the word ‘EXTRA’ in field 19. When you transmit your claim, an extra page will open on the site with options to enter data for that claim. Example: “EXTRA”

30. Hospice Employee Indicator

Required on Medicare claims involving physician services to Hospice patients (POS 34) Y –

Indicates the provider is an employee of the Hospice

N – Indicates the provider is not an employee of the Hospice

Example: “HEI Y”

31. Last Menstrual Period and Pregnancy Indicator Example: “LMP 04-18-2013 Y” Format: LMP MM-DD-CCYY Y


32. Universal Product Numbers Field 19 Example:”UPN2 UP 185211000015 CTP 10.00 1 ML”, attaches the information to the 2nd line item. Field 24 Example: “UPN UP 185211000015 CTP 10.00 1 ML” in the comments section for the line item. Format: UPN UP 185211000015 CTP 10.00 1 ML

33. EKG Tracings or Lab Specimen Collections by an Independent Lab To report when an Independent Lab is collecting lab specimens or performing EKG tracings on a home bound patient. Note: 75 Is the only reportable option at this time. Example: “HB 75” Format: HB 75

34. C linical Trial Number To Report the National Clinical Trial Number on a claim.

Field 19 Example : “NCT 999999999” or "NCT CT99999999" Clinical trial numbers must be 8 digits

Format: NCT 12345678 or NCT CT12345678


Field 19 - Personal Injury /Auto Accident and Worker’s Compensation Companion Guide Billing Provider Phone Number EXAMPLE: “BPPH 8881234567” FORMAT: (BPPH Billing provider phone – no dash or space) Attending Provider Reference ID EXAMPLE: “APRID CA12345” FORMAT: (APRID State License Number) Service Facility Secondary Identification EXAMPLE: “SFSI 8765432” FORMAT: (SFSI DOL’s assigned OWCP Number) Billing Provider Suffix – (credential / degree) EXAMPLE: “BPSUF AOM) FORMAT: (BPSF REQUIRED PROVIDER CREDENTIAL VALUE) – see table below

Billing Provider Reference ID (Provider’s State License Number) EXAMPLE: “BPRID NJ12345” FORMAT: (BPRID State License Number) Rendering Provider Suffix EXAMPLE: “RPSUF AOM) FORMAT: (RPSUF REQUIRED PROVIDER CREDENTIAL VALUE) – see table below


Rendering Provider Reference ID EXAMPLE: “RPRID NJ12345” FORMAT: (RPRID State License Number) Service Facility Secondary Identification DOL’s assigned OWCP Number EXAMPLE: “SFSID USA12345” FORMAT: (SFSID DOL’s assigned OWCP Number) ADDITIONAL DATA REQUIREMENTS FOR NY WC BILLS Note enrollment on the NY WCB site is required prior to claim submission. See Appendix A for registration info. REQUIRED: If used, required fields must all be submitted Required for providers who are NY WCB-Authorized if submitter does not utilize Carisk user interface, and/or does not wish to complete Carerisk’s furnished template of required provider details prior to submission. File Information Category EXAMPLE: “K3101 D1” Format: (K3101 D1) WCB Authorization Number EXAMPLE: “K3102 7777777” FORMATL (K3012 WCB Auth Number) WCB Rating Code EXAMPLE: “K3013 AL” FORMATL (K3013 WCB RATING CODE). See Appendix B for codes. Must be UPPER CASE only OPTIONAL: If used, all optional fields must be submitted File Information Category. Optional for NY WC submitters who wish to send NY WCB Case Number EXAMPLE: “OP3101 P1” FORMAT: (OP3101 P1) WCB Case Number EXAMPLE: “OP3103 44444” FORMAT: (OP3101 WCB Case number)


Appendix A

NEW YORK WORKER’S COMPENSATION BOARD (NY WCB) PROVIDER REGISTRATION

INSTRUCTIONS

This registration and legal agreement execution are required to be completed by all providers who

submit professional NY WC claims electronically to the NY WCB.

This is the direct link to the NY WCB registration form:

https://www.wcb.ny.gov/OnlineRegistration/onreg_xmlparticipant_confirmation.jsp

Fill out the registration form and submit. It is strongly suggested that you use an administrator email

address instead of the Doctors’. All communication will be through this email address.

Once the registration has been submitted, the Worker’s Compensation Board will process the

registration verifying the information. If there are any problems with the registration it will be

communicated to you through the email in the registration.

When the registration has been verified and processed, an email will be sent to the email address in

the registration with instruction on how to proceed, and an attached Legal Agreement that will need

to be filled out, signed, notarized and returned hard copy to the mailing address in the instructions.

When the Legal Agreement hard copy has been received by the WCB, it will be processed, and an

email will be sent to the email address in the registration confirming the registration has been

completed, and instruction to submit forms.

You MUST submit claims with the assigned WCB authorization# provided in the email -or- enter

it into the provider’s profile in the CIC account.

The WCB tries to process all registrations and returned Legal Agreements within 48 hours on average.

(There will be times when personnel are on vacation that registration and legal agreements may take

longer to process)




APPENDIX B – NY WCB RATING CODES

WCB Rating Code Description

AL ALLERGY/IMMUNOLOGY

AL-DLI DIAGNOSTIC LABORATORY IMMUNOLOGY

AN ANESTHESIOLOGY

AN-CCM ANESTHESIOLOGY - CRITICAL CARE

MEDICINE

AN-PM ANESTHESIOLOGY - PAIN MANAGEMENT

CAL ALLERGY/IMMUNOLOGY

CAL-DLI DIAGNOSTIC LABORATORY IMMUNOLOGY

CAN ANESTHESIOLOGY

CAN-CCM ANESTHESIOLOGY - CRITICAL CARE

MEDICINE

CAN-PM ANESTHESIOLOGY - PAIN MANAGEMENT

CCRS COLON/RECTAL SURGERY

CD DERMATOLOGY

CD-DI DERMATOLOGICAL IMMUNITY/DIAGNOSTIC

CD-DP DERMATOLOGICAL PATHOLOGY

CEM EMERGENCY MEDICINE



CFP FAMILY PRACTICE

CFP-GM FAMILY PRACTICE - GERIATRIC MEDICINE

CIM INTERNAL MEDICINE

CIM-CCM INTERNAL MEDICINE - CRITICAL CARE

CIM-CD INTERNAL MEDICINE - CARDIOLOGY

CIM-CE INTERNAL MEDICINE - CARDIAC

ELECTROPHYS.

CIM-CVD INTERNAL MEDICINE - CARDIOVASCULAR

CIM-DL INTERNAL MEDICINE - DIAGNOSTIC

IMMUNOLOGY

CIM-END INTERNAL MEDICINE - ENDOCRINOLOGY

CIM-GE INTERNAL MEDICINE - GASTROENTEROLOGY

CIM-GM INTERNAL MEDICINE - GERIATIC MEDICINE

CIM-HEM INTERNAL MEDICINE - HEMATOLOGY

CIM-ID INTERNAL MEDICINE - INFECTIOUS DISEASES

CIM-NEPH INTERNAL MEDICINE - NEPHROLOGY

CIM-ONCL INTERNAL MEDICINE - MEDICAL ONCOLOGY

CIM-PD INTERNAL MEDICINE - PULMONARY

DISEASES



CIM-RHE INTERNAL MEDICINE - RHEUMATOLOGY

CNS NEUROLOGICAL SURGERY

CNS-CCM NEUROLOGICAL SURGERY - CRITICAL CARE

CNUM NUCLEAR MEDICINE

CNUM-NR NUCLEAR MEDICINE - NUCLEAR RADIOLOGY

CNUM-RP NUCLEAR MEDICINE - RADIOISOTOPIC

CO OPTHALMOLOGY

COG OBSTETRICS/GYNECOLOGY

COG-CCM OBSTETRICS/GYNECOLOGY - CRITICAL CARE

COG-MFM MATERNAL/FETAL MEDICINE

COG-ONC GYNECOLOGIC ONCOLOGY

COG-RE REPRODUCTIVE ENDOCRINOLOGY

COL OTOLARYNGOLOGY

COS ORTHOPEDIC SURGERY

COS-HS ORTHOPEDIC SURGERY - HAND SURGERY

CP PEDIATRICS

CP-CCM PEDIATRICS - CRITICAL CARE MEDICINE



CP-CD PEDIATRICS - CARDIOLOGY

CP-DL PEDIATRICS - DIAGNOSTIC IMMUNOLOGY

CP-END PEDIATRICS - ENDOCRINOLOGY

CP-GE PEDIATRICS - GASTROENTEROLOGY

CP-NEPH PEDIATRICS - NEPHROLOGY

CP-NPER PEDIATRICS - NEONATAL-PERINATAL

MEDICINE

CP-PHO PEDIATRICS - HEMATOLOGY/ONCOLOGY

CP-PUL PEDIATRICS - PULMONOLOGY

CPA PATHOLOGY

CPA-AP PATHOLOGY - ANATOMIC PATHOLOGY

CPA-BB PATHOLOGY - BLOOD BANKING

CPA-CB PATHOLOGY - CLINICAL BACTERIOLOGY

CPA-CC PATHOLOGY - CLINICAL CHEMISTRY

CPA-CLP PATHOLOGY - CLINICAL PATHOLOGY

CPA-CM PATHOLOGY - CLINICAL MICROBIOLOGY

CPA-CP PATHOLOGY - CHEMICAL PATHOLOGY

CPA-CY PATHOLOGY - CYTOPATHOLOGY



CPA-DP PATHOLOGY - DERMATOPATHOLOGY

CPA-FOP PATHOLOGY - FORENSIC PATHOLOGY

CPA-HEM PATHOLOGY - HEMATOLOGY

CPA-IP PATHOLOGY - IMMUNOLOGY

CPA-MC PATHOLOGY - MEDICAL CHEMISTRY

CPA-MMB PATHOLOGY - MEDICAL MICROBIOLOGY

CPA-NP PATHOLOGY - NEUROPATHOLOGY

CPA-PA PATHOLOGY - PATHOLGIC ANATOMY

CPA-RP PATHOLOGY - RADIOISOTOPIC

CPM PREVENTIVE MEDICINE

CPM-AM PREVENTIVE MEDICINE - AEROSPACE

MEDICINE

CPM-GPM GENERAL PREVENTIVE MEDICINE

CPM-OM OCCUPATIONAL MEDICINE

CPM-PH PREVENTIVE MEDICINE - PUBLIC HEALTH

CPMR PHYSICAL MEDICINE/REHABILITATION

CPN PSYCHIATRY/NEUROLOGY

CPN-CHN CHILD NEUROLOGY



CPN-CHP CHILD PSYCHIATRY

CPN-N NEUROLOGY

CPN-P PSYCHIATRY

CPS PLASTIC SURGERY

CPS-HS PLASTIC SURGERY - HAND SURGERY

CR RADIOLOGY

CR-DRA RADIOLOGY - DIAGNOSTIC RADIOLOGY

CR-DRNR DIAGNOSTIC RADIOLOGY/NUCLEAR

MEDICINE

CR-DRO RADIOLOGY - DIAGNOSTIC

ROENTGENOLOGY

CR-DRP DIAGNOSTIC RADIOLOGICAL PHYSICS

CR-MNP RADIOLOGY - MEDICAL NUCLEAR PHYSICS

CR-R RADIOLOGY - RADIOLOGY

CR-RAO RADIOLOGY - RADIOLOGICAL ONCOLOGY

CR-RO RADIOLOGY - ROENTGENOLOGY

CR-RP RADIOLOGY - RADIOLOGICAL PHYSICS

CR-RT RADIOLOGY - RADIUM THERAPY



CR-TRA RADIOLOGY - THERAPEUTIC RADIOLOGY

CR-TRP THERAPEUTIC RADIOLOGICAL PHYSICS

CRS COLON/RECTAL SURGERY

CS SURGERY

CS-GVS SURGERY - GENERAL VASCULAR SURGERY

CS-HS SURGERY - HAND SURGERY

CS-PDS SURGERY - PEDIATRIC SURGERY

CS-SCC SURGERY - SURGICAL CRITICAL CARE

CTS THORACIC SURGERY

CU UROLOGY

D DERMATOLOGY

D-DI DERMATOLOGICAL IMMUNITY/DIAGNOSTIC

D-DP DERMATOLOGICAL PATHOLOGY

DC CHIROPRACTIC

DPM PODIATRY

EM EMERGENCY MEDICINE

FP FAMILY PRACTICE



FP-GM FAMILY PRACTICE - GERIATRIC MEDICINE

GP GENERAL PRACTICE

IM INTERNAL MEDICINE

IM-CCM INTERNAL MEDICINE - CRITICAL CARE

IM-CD INTERNAL MEDICINE - CARDIOLOGY

IM-CE INTERNAL MEDICINE - CARDIAC

ELECTROPHYS.

IM-CVD INTERNAL MEDICINE - CARDIOVASCULAR

IM-DL INTERNAL MEDICINE - DIAGNOSTIC

IMMUNOLOGY

IM-END INTERNAL MEDICINE - ENDOCRINOLOGY

IM-GE INTERNAL MEDICINE - GASTROENTEROLOGY

IM-GM INTERNAL MEDICINE - GERIATIC MEDICINE

IM-HEM INTERNAL MEDICINE - HEMATOLOGY

IM-ID INTERNAL MEDICINE - INFECTIOUS DISEASES

IM-NEPH INTERNAL MEDICINE - NEPHROLOGY

IM-ONCL INTERNAL MEDICINE - MEDICAL ONCOLOGY

IM-PD INTERNAL MEDICINE - PULMONARY

DISEASES



IM-RHE INTERNAL MEDICINE - RHEUMATOLOGY

NS NEUROLOGICAL SURGERY

NS-CCM NEUROLOGICAL SURGERY - CRITICAL CARE

NUM NUCLEAR MEDICINE

NUM-NR NUCLEAR MEDICINE - NUCLEAR RADIOLOGY

NUM-RP NUCLEAR MEDICINE - RADIOISOTOPIC

O OPTHALMOLOGY

OG OBSTETRICS/GYNECOLOGY

OG-CCM OBSTETRICS/GYNECOLOGY - CRITICAL CARE

OG-MFM MATERNAL/FETAL MEDICINE

OG-ONC GYNECOLOGIC ONCOLOGY

OG-RE REPRODUCTIVE ENDOCRINOLOGY

OL OTOLARYNGOLOGY

OPAL ALLERGY/IMMUNOLOGY

OPAL-DLI DIAGNOSTIC LABORATORY IMMUNOLOGY

OPAN ANESTHESIOLOGY

OPAN-CCM ANESTHESIOLOGY - CRITICAL CARE

MEDICINE



OPAN-PM ANESTHESIOLOGY - PAIN MANAGEMENT

OPCAL ALLERGY/IMMUNOLOGY

OPCAL-DLI DIAGNOSTIC LABORATORY IMMUNOLOGY

OPCAN ANESTHESIOLOGY

OPCAN-CCM ANESTHESIOLOGY - CRITICAL CARE

MEDICINE

OPCAN-PM ANESTHESIOLOGY - PAIN MANAGEMENT

OPCCRS COLON/RECTAL SURGERY

OPCD DERMATOLOGY

OPCD-DI DERMATOLOGICAL IMMUNITY/DIAGNOSTIC

OPCD-DP DERMATOLOGICAL PATHOLOGY

OPCEM EMERGENCY MEDICINE

OPCFP FAMILY PRACTICE

OPCFP-GM FAMILY PRACTICE - GERIATRIC MEDICINE

OPCIM INTERNAL MEDICINE

OPCIM-CCM INTERNAL MEDICINE - CRITICAL CARE

OPCIM-CD INTERNAL MEDICINE - CARDIOLOGY

OPCIM-CE INTERNAL MEDICINE - CARDIAC ELECTROPHYS.



OPCIM-CVD INTERNAL MEDICINE - CARDIOVASCULAR

OPCIM-DL INTERNAL MEDICINE - DIAGNOSTIC

IMMUNOLOGY

OPCIM-END INTERNAL MEDICINE - ENDOCRINOLOGY

OPCIM-GE INTERNAL MEDICINE - GASTROENTEROLOGY

OPCIM-GM INTERNAL MEDICINE - GERIATIC MEDICINE

OPCIM-HEM INTERNAL MEDICINE - HEMATOLOGY

OPCIM-ID INTERNAL MEDICINE - INFECTIOUS DISEASES

OPCIM-NEPH INTERNAL MEDICINE - NEPHROLOGY

OPCIM-ONCL INTERNAL MEDICINE - MEDICAL ONCOLOGY

OPCIM-PD INTERNAL MEDICINE - PULMONARY

DISEASES

OPCIM-RHE INTERNAL MEDICINE - RHEUMATOLOGY

OPCNS NEUROLOGICAL SURGERY

OPCNS-CCM NEUROLOGICAL SURGERY - CRITICAL CARE

OPCNUM NUCLEAR MEDICINE

OPCNUM-NR NUCLEAR MEDICINE - NUCLEAR RADIOLOGY

OPCNUM-RP NUCLEAR MEDICINE - RADIOISOTOPIC



OPCO OPTHALMOLOGY

OPCOG OBSTETRICS/GYNECOLOGY

OPCOG-CCM OBSTETRICS/GYNECOLOGY - CRITICAL CARE

OPCOG-MFM MATERNAL/FETAL MEDICINE

OPCOG-ONC GYNECOLOGIC ONCOLOGY

OPCOG-RE REPRODUCTIVE ENDOCRINOLOGY

OPCOL OTOLARYNGOLOGY

OPCOS ORTHOPEDIC SURGERY

OPCOS-HS ORTHOPEDIC SURGERY - HAND SURGERY

OPCP PEDIATRICS

OPCP-CCM PEDIATRICS - CRITICAL CARE MEDICINE

OPCP-CD PEDIATRICS - CARDIOLOGY

OPCP-DL PEDIATRICS - DIAGNOSTIC IMMUNOLOGY

OPCP-END PEDIATRICS - ENDOCRINOLOGY

OPCP-GE PEDIATRICS - GASTROENTEROLOGY

OPCP-NEPH PEDIATRICS - NEPHROLOGY

OPCP-NPER PEDIATRICS - NEONATAL-PERINATAL

MEDICINE



OPCP-PHO PEDIATRICS - HEMATOLOGY/ONCOLOGY

OPCP-PUL PEDIATRICS - PULMONOLOGY

OPCPA PATHOLOGY

OPCPA-AP PATHOLOGY - ANATOMIC PATHOLOGY

OPCPA-BB PATHOLOGY - BLOOD BANKING

OPCPA-CB PATHOLOGY - CLINICAL BACTERIOLOGY

OPCPA-CC PATHOLOGY - CLINICAL CHEMISTRY

OPCPA-CLP PATHOLOGY - CLINICAL PATHOLOGY

OPCPA-CM PATHOLOGY - CLINICAL MICROBIOLOGY

OPCPA-CP PATHOLOGY - CHEMICAL PATHOLOGY

OPCPA-DP PATHOLOGY - DERMATOPATHOLOGY

OPCPA-FOP PATHOLOGY - FORENSIC PATHOLOGY

OPCPA-HEM PATHOLOGY - HEMATOLOGY

OPCPA-IP PATHOLOGY - IMMUNOLOGY

OPCPA-MC PATHOLOGY - MEDICAL CHEMISTRY

OPCPA-MMB PATHOLOGY - MEDICAL MICROBIOLOGY

OPCPA-NP PATHOLOGY - NEUROPATHOLOGY



OPCPA-PA PATHOLOGY - PATHOLGIC ANATOMY

OPCPA-RP PATHOLOGY - RADIOISOTOPIC

OPCPM PREVENTIVE MEDICINE

OPCPM-AM PREVENTIVE MEDICINE - AEROSPACE

MEDICINE

OPCPM-GPM GENERAL PREVENTIVE MEDICINE

OPCPM-OM OCCUPATIONAL MEDICINE

OPCPM-PH PREVENTIVE MEDICINE - PUBLIC HEALTH

OPCPMR PHYSICAL MEDICINE/REHABILITATION

OPCPN PSYCHIATRY/NEUROLOGY

OPCPN-CHN CHILD NEUROLOGY

OPCPN-CHP CHILD PSYCHIATRY

OPCPN-N NEUROLOGY

OPCPN-P PSYCHIATRY

OPCPS PLASTIC SURGERY

OPCPS-HS PLASTIC SURGERY - HAND SURGERY

OPCR RADIOLOGY

OPCR-DRA RADIOLOGY - DIAGNOSTIC RADIOLOGY



OPCR-DRNR DIAGNOSTIC RADIOLOGY/NUCLEAR

MEDICINE

OPCR-DRO RADIOLOGY - DIAGNOSTIC

ROENTGENOLOGY

OPCR-DRP DIAGNOSTIC RADIOLOGICAL PHYSICS

OPCR-MNP RADIOLOGY - MEDICAL NUCLEAR PHYSICS

OPCR-R RADIOLOGY - RADIOLOGY

OPCR-RAO RADIOLOGY - RADIOLOGICAL ONCOLOGY

OPCR-RO RADIOLOGY - ROENTGENOLOGY

OPCR-RP RADIOLOGY - RADIOLOGICAL PHYSICS

OPCR-RT RADIOLOGY - RADIUM THERAPY

OPCR-TRA RADIOLOGY - THERAPEUTIC RADIOLOG

OPCR-TRP THERAPEUTIC RADIOLOGICAL PHYSICS

OPCRS COLON/RECTAL SURGERY

OPCS SURGERY

OPCS-GVS SURGERY - GENERAL VASCULAR SURGERY

OPCS-HS SURGERY - HAND SURGERY

OPCS-PDS SURGERY - PEDIATRIC SURGERY



OPCS-SCC SURGERY - SURGICAL CRITICAL CARE

OPCTS THORACIC SURGERY

OPCU UROLOGY

OPD DERMATOLOGY

OPD-DI DERMATOLOGICAL IMMUNITY/DIAGNOSTIC

OPD-DP DERMATOLOGICAL PATHOLOGY

OPEM EMERGENCY MEDICINE

OPFP FAMILY PRACTICE

OPFP-GM FAMILY PRACTICE - GERIATRIC MEDICINE

OPGP GENERAL PRACTICE

OPIM INTERNAL MEDICINE

OPIM-CCM INTERNAL MEDICINE - CRITICAL CARE

OPIM-CD INTERNAL MEDICINE - CARDIOLOGY

OPIM-CE INTERNAL MEDICINE - CARDIAC

ELECTROPHYS.

OPIM-CVD INTERNAL MEDICINE - CARDIOVASCULAR

OPIM-DL INTERNAL MEDICINE - DIAGNOSTIC IMMUNOLOGY

OPIM-END INTERNAL MEDICINE - ENDOCRINOLOGY



OPIM-GE INTERNAL MEDICINE - GASTROENTEROLOGY

OPIM-GM INTERNAL MEDICINE - GERIATIC MEDICINE

OPIM-HEM INTERNAL MEDICINE - HEMATOLOGY

OPIM-ID INTERNAL MEDICINE - INFECTIOUS DISEASES

OPIM-NEPH INTERNAL MEDICINE - NEPHROLOGY

OPIM-ONCL INTERNAL MEDICINE - MEDICAL ONCOLOGY

OPIM-PD INTERNAL MEDICINE - PULMONARY

DISEASES

OPIM-RHE INTERNAL MEDICINE - RHEUMATOLOGY

OPNS NEUROLOGICAL SURGERY

OPNS-CCM NEUROLOGICAL SURGERY - CRITICAL CARE

OPNUM NUCLEAR MEDICINE

OPNUM-NR NUCLEAR MEDICINE - NUCLEAR RADIOLOGY

OPNUM-RP NUCLEAR MEDICINE - RADIOISOTOPIC

OPO OPTHALMOLOGY

OPOG OBSTETRICS/GYNECOLOGY

OPOG-CCM OBSTETRICS/GYNECOLOGY - CRITICAL CARE

OPOG-MFM MATERNAL/FETAL MEDICINE



OPOG-ONC GYNECOLOGIC ONCOLOGY

OPOG-RE REPRODUCTIVE ENDOCRINOLOGY

OPOL OTOLARYNGOLOGY

OPOS ORTHOPEDIC SURGERY

OPOS-HS ORTHOPEDIC SURGERY - HAND SURGERY

OPP PEDIATRICS

OPP-CCM PEDIATRICS - CRITICAL CARE MEDICINE

OPP-CD PEDIATRICS - CARDIOLOGY

OPP-DL PEDIATRICS - DIAGNOSTIC IMMUNOLOGY

OPP-END PEDIATRICS - ENDOCRINOLOGY

OPP-GE PEDIATRICS - GASTROENTEROLOGY

OPP-NEPH PEDIATRICS - NEPHROLOGY

OPP-NPER PEDIATRICS - NEONATAL-PERINATAL

MEDICINE

OPP-PHO PEDIATRICS - HEMATOLOGY/ONCOLOGY

OPP-PUL PEDIATRICS - PULMONOLOGY

OPPA PATHOLOGY

OPPA-AP PATHOLOGY - ANATOMIC PATHOLOGY



OPPA-BB PATHOLOGY - BLOOD BANKING

OPPA-CB PATHOLOGY - CLINICAL BACTERIOLOGY

OPPA-CC PATHOLOGY - CLINICAL CHEMISTRY

OPPA-CLP PATHOLOGY - CLINICAL PATHOLOGY

OPPA-CM PATHOLOGY - CLINICAL MICROBIOLOGY

OPPA-CP PATHOLOGY - CHEMICAL PATHOLOGY

OPPA-DP PATHOLOGY - DERMATOPATHOLOGY

OPPA-FOP PATHOLOGY - FORENSIC PATHOLOGY

OPPA-HEM PATHOLOGY - HEMATOLOGY

OPPA-IP PATHOLOGY - IMMUNOLOGY

OPPA-MC PATHOLOGY - MEDICAL CHEMISTRY

OPPA-MMB PATHOLOGY - MEDICAL MICROBIOLOGY

OPPA-NP PATHOLOGY - NEUROPATHOLOGY

OPPA-PA PATHOLOGY - PATHOLGIC ANATOMY

OPPA-RP PATHOLOGY - RADIOISOTOPIC

OPPM PREVENTIVE MEDICINE

OPPM-AM PREVENTIVE MEDICINE - AEROSPACE

MEDICINE



OPPM-GPM GENERAL PREVENTIVE MEDICINE

OPPM-OM OCCUPATIONAL MEDICINE

OPPM-PH PREVENTIVE MEDICINE - PUBLIC HEALTH

OPPMR PHYSICAL MEDICINE/REHABILITATION

OPPN PSYCHIATRY/NEUROLOGY

OPPN-CHN CHILD NEUROLOGY

OPPN-CHP CHILD PSYCHIATRY

OPPN-N NEUROLOGY

OPPN-P PSYCHIATRY

OPPS PLASTIC SURGERY

OPPS-HS PLASTIC SURGERY - HAND SURGERY

OPR RADIOLOGY

OPR-DRA RADIOLOGY - DIAGNOSTIC RADIOLOGY

OPR-DRNR DIAGNOSTIC RADIOLOGY/NUCLEAR

MEDICINE

OPR-DRO RADIOLOGY - DIAGNOSTIC

ROENTGENOLOGY

OPR-DRP DIAGNOSTIC RADIOLOGICAL PHYSICS



OPR-MNP RADIOLOGY - MEDICAL NUCLEAR PHYSICS

OPR-R RADIOLOGY - RADIOLOGY

OPR-RAO RADIOLOGY - RADIOLOGICAL ONCOLOGY

OPR-RO RADIOLOGY - ROENTGENOLOGY

OPR-RP RADIOLOGY - RADIOLOGICAL PHYSICS

OPR-RT RADIOLOGY - RADIUM THERAPY

OPR-TRA RADIOLOGY - THERAPEUTIC RADIOLOGY

OPR-TRP THERAPEUTIC RADIOLOGICAL PHYSICS

OPS SURGERY

OPS-GVS SURGERY - GENERAL VASCULAR SURGERY

OPS-HS SURGERY - HAND SURGERY

OPS-PDS SURGERY - PEDIATRIC SURGERY

OPS-SCC SURGERY - SURGICAL CRITICAL CARE

OPTS THORACIC SURGERY

OPU UROLOGY

OS ORTHOPEDIC SURGERY

OS-HS ORTHOPEDIC SURGERY - HAND SURGERY



P PEDIATRICS

P-CCM PEDIATRICS - CRITICAL CARE MEDICINE

P-CD PEDIATRICS - CARDIOLOGY

P-DL PEDIATRICS - DIAGNOSTIC IMMUNOLOGY

P-END PEDIATRICS - ENDOCRINOLOGY

P-GE PEDIATRICS - GASTROENTEROLOGY

P-NEPH PEDIATRICS - NEPHROLOGY

P-NPER PEDIATRICS - NEONATAL-PERINATAL

MEDICINE

P-PHO PEDIATRICS - HEMATOLOGY/ONCOLOGY

P-PUL PEDIATRICS - PULMONOLOGY

PA PATHOLOGY

PA-AP PATHOLOGY - ANATOMIC PATHOLOGY

PA-BB PATHOLOGY - BLOOD BANKING

PA-CB PATHOLOGY - CLINICAL BACTERIOLOGY

PA-CC PATHOLOGY - CLINICAL CHEMISTRY

PA-CLP PATHOLOGY - CLINICAL PATHOLOGY

PA-CM PATHOLOGY - CLINICAL MICROBIOLOGY



PA-CP PATHOLOGY - CHEMICAL PATHOLOGY

PA-CY PATHOLOGY - CYTOPATHOLOGY

PA-DP PATHOLOGY - DERMATOPATHOLOGY

PA-FOP PATHOLOGY - FORENSIC PATHOLOGY

PA-HEM PATHOLOGY - HEMATOLOGY

PA-IP PATHOLOGY - IMMUNOLOGY

PA-MC PATHOLOGY - MEDICAL CHEMISTRY

PA-MMB PATHOLOGY - MEDICAL MICROBIOLOGY

PA-NP PATHOLOGY - NEUROPATHOLOGY

PA-PA PATHOLOGY - PATHOLGIC ANATOMY

PA-RP PATHOLOGY - RADIOISOTOPIC

PM PREVENTIVE MEDICINE

PM-AM PREVENTIVE MEDICINE - AEROSPACE

MEDICINE

PM-GPM GENERAL PREVENTIVE MEDICINE

PM-OM OCCUPATIONAL MEDICINE

PM-PH PREVENTIVE MEDICINE - PUBLIC HEALTH

PMR PHYSICAL MEDICINE/REHABILITATION



PN PSYCHIATRY/NEUROLOGY

PN-CHN CHILD NEUROLOGY

PN-CHP CHILD PSYCHIATRY

PN-N NEUROLOGY

PN-P PSYCHIATRY

PS PLASTIC SURGERY

PS-HS PLASTIC SURGERY - HAND SURGERY

PSY PSYCHOLOGY

R RADIOLOGY

R-DRA RADIOLOGY - DIAGNOSTIC RADIOLOGY

R-DRNR DIAGNOSTIC RADIOLOGY/NUCLEAR

MEDICINE

R-DRO RADIOLOGY - DIAGNOSTIC

ROENTGENOLOGY

R-DRP DIAGNOSTIC RADIOLOGICAL PHYSICS

R-MNP RADIOLOGY - MEDICAL NUCLEAR PHYSICS

R-R RADIOLOGY - RADIOLOGY

R-RAO RADIOLOGY - RADIOLOGICAL ONCOLOGY



R-RO RADIOLOGY - ROENTGENOLOGY

R-RP RADIOLOGY - RADIOLOGICAL PHYSICS

R-RT RADIOLOGY - RADIUM THERAPY

R-TRA RADIOLOGY - THERAPEUTIC RADIOLOGY

R-TRP THERAPEUTIC RADIOLOGICAL PHYSICS

S SURGERY

S-GVS SURGERY - GENERAL VASCULAR SURGERY

S-HS SURGERY - HAND SURGERY

S-PDS SURGERY - PEDIATRIC SURGERY

S-SCC SURGERY - SURGICAL CRITICAL CARE

TS THORACIC SURGERY

U UROLOGY

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