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					                                                                                               54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                 Provider                                                            CCQAS
                      DoD Occ   HIPAA Code                                                        Classification   CHCS    CHCS Provider Specialty        Provider   SPEC CODE specialty_description_txt /     aqd_code_
CLP List Name         Code      Version 4.0   HPTC Description Version 4.0                        (KG-ADS)         Code    Type Code Description           Class     / NAVY Code Navy Code Description         txt       aqd_description_txt
                                              Pharmacy Service
Pharmacy              260805    1835P1200X    Providers/Pharmacist/Pharmacotherapy                PHARM                                                                      1887 Pharmacy, General            000       No AQD


                                              Physicians/Allopathic/Osteopathic/Preventive &
Flight Surgeon        260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            000       No AQD


                                              Physicians/Allopathic/Osteopathic/Preventive &
Aerospace Medicine    260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            6AA       Aviation Medical Examiner


                                              Physicians/Allopathic/Osteopathic/Preventive &
Flight Surgeon        260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            6AB       General Flight Surgeon


                                              Physicians/Allopathic/Osteopathic/Preventive &                                                                                                                             Flight Surgeon / Naval Flight
Aerospace Medicine    260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            6AC       Officer


                                              Physicians/Allopathic/Osteopathic/Preventive &
Aerospace Medicine    260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            6AE       Flight Surgeon / Pilot


                                              Physicians/Allopathic/Osteopathic/Preventive &                                                                                                                             Aerospace Medicine
Aerospace Medicine    260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            6AG       (Preventive Medicine)


                                              Physicians/Allopathic/Osteopathic/Preventive &                                                                                                                             Aerospace Medicine
Aerospace Medicine    260101    2083A0100X    Occupational Medicine/Aerospace Medicine            PHYS             300     Aerospace Medicine Physician      1       15A0         Aviation Medicine            6AG       (Preventive Medicine)


Anesthesiology        260104    207L00000X    Physicians/Allopathic/Osteopathic / Anesthesiology PHYS              092     Anesthesiologist                  1       15B0         Anesthesia, General          000       No AQD
                                              Physicians/Allopathic/Osteopathic /
General Surgery       60130     208600000X    Surgery                                             PHYS             100     General Surgeon                   1       15C0         Surgery, General             000       No AQD
                                              Physicians/Allopathic/Osteopathic / Colon & Rectal
General Surgery       260124    208C00000X    Surgery                                            PHYS              102     Colon & Rectal Surgeon            1       15C1         Surgery, Subspecialty        6CE       Colon & Rectal Surgery


Plastic Surgery       260133    208200000X    Physicians/Allopathic/Osteopathic/Plastic Surgery   PHYS             107     Plastic Surgeon                   1       15C1         Surgery, Subspecialty        6CJ       Plastic Surgery
                                              Physicians/Allopathic/Osteopathic/Surgery/Pediatric
Pediatric Surgery     260137    2086S0120X    Surgery                                             PHYS             104     Pediatric Surgeon                 1       15C1         Surgery, Subspecialty        6CH       Pediatric Surgery
Vascular/Peripheral                           Physicians/Allopathic/Osteopathic/Surgery/Vascular
Vascular Surgery      260138    2086S0129X    Surgery                                            PHYS              105     Peripheral Vascular Surgeon       1       15C1         Surgery, Subspecialty        6CI       Peripheral Vascular Surgery


Thoracic Surgery      260134    208G00000X    Physicians/Allopathic/Osteopathic/Thoracic Surgery PHYS              101     Thoracic Surgeon                  1       15C1         Surgery, Subspecialty        6CD       Cardiothoracic Surgery
                                              Physicians/Allopathic/Osteopathic/Neurological
Neurosurgery          260131    207T00000X    Surgery                                             PHYS             106     Neurological Surgeon              1       15D0         Neurological Surgery, General 000      No AQD
                                              Physicians/Allopathic/Osteopathic/Neurological                                                                                      Neurological Surgery,                  Complex Spinal Neurological
Neurosurgery          260131    207T00000X    Surgery                                             PHYS             106     Neurological Surgeon              1       15D1         Subspecialty                 6DD       Surgery
                                              Physicians/Allopathic/Osteopathic/Neurological                                                                                      Neurological Surgery,                  Skull Base Neurological
Neurosurgery          260131    207T00000X    Surgery                                             PHYS             106     Neurological Surgeon              1       15D1         Subspecialty                 6DE       Surgery
                                                                                                                         1 of 24
                                                                                                   54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                     Provider                                                          CCQAS
                          DoD Occ   HIPAA Code                                                       Classification   CHCS    CHCS Provider Specialty       Provider   SPEC CODE specialty_description_txt /      aqd_code_
CLP List Name             Code      Version 4.0   HPTC Description Version 4.0                       (KG-ADS)         Code    Type Code Description          Class     / NAVY Code Navy Code Description          txt       aqd_description_txt
                                                  Physicians/Allopathic/Osteopathic/Neurological                                                                                    Neurological Surgery,                   Neurovascular Neurological
Neurosurgery              260131    207T00000X    Surgery                                            PHYS             106     Neurological Surgeon             1       15D1         Subspecialty                  6DG       Surgery
                                                  Physicians/Allopathic/Osteopathic/Obstetrics &                                                                                    Obstetrics / Gynecology,
Obstetrics & Gynecology   260115    207V00000X    Gynecology                                         PHYS             150     Obstetrician & Gynecologist      1       15E0         General                       000       No AQD
                                                  Physicians/Allopathic/Osteopathic/Obstetrics &                                                                                    Obstetrics/Gynecology,                  Obstetrics Critical Care
Obstetrics & Gynecology   260115    207VC0200X    Gynecology/Critical Care Medicine                  PHYS             150     Obstetrician & Gynecologist      1       15E1         Subspecialty                  6EF       Medicine
                                                  Physicians/Allopathic/Osteopathic/Obstetrics &                                                                                    Obstetrics/Gynecology,
Obstetrics & Gynecology   260115    207VE0102X    Gynecology/Reproductive Endocrinology              PHYS             151     Endocrinologist, OB/GYN          1       15E1         Subspecialty                  6EI       Reproductive Endocrinology
                                                  Physicians/Allopathic/Osteopathic/Obstetrics &                                                                                    Obstetrics/Gynecology,                  Urogynecology & Pelvic
Obstetrics & Gynecology   260115    207VG0400X    Gynecology/Gynecology                              PHYS             150     Obstetrician & Gynecologist      1       15E1         Subspecialty                  6EJ       Surgery
                                                  Physicians/Allopathic/Osteopathic/Obstetrics &                                                                                    Obstetrics/Gynecology,
Obstetrics & Gynecology   260115    207VM0101X    Gynecology/Maternal & Fetal Medicine               PHYS             150     Obstetrician & Gynecologist      1       15E1         Subspecialty                  6EH       Maternal Fetal Medicine
                                                  Physicians/Allopathic/Osteopathic/Obstetrics &                                                                                    Obstetrics/Gynecology,
Obstetrics & Gynecology   260115    207VX0201X    Gynecology/Gynecologic Oncology                    PHYS             152     Oncologist OB/GYN                1       15E1         Subspecialty                  6EG       Gynecologic Oncology
                                                                                                                                                                                    Operational Medicine and
Physician (generic)       260109    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Primary Care                  000       No AQD
                                                                                                                                                                                    Contingency / Operational
Physician (Generic)       260105    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Medicine                      6OB       Shipboard Assignment
                                                                                                                                                                                    Contingency / Operational
Physician (Generic)       260105    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Medicine                      6OC       Hospital Ship Assignment
                                                                                                                                                                                    Contingency / Operational
Physician (Generic)       260105    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Medicine                      6ON       Medical Regulator
                                                                                                                                                                                    Contingency / Operational
Physician (Generic)       260105    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Medicine                      6OR       CATF Surgeon


                                                                                                                                                                                    Contingency / Operational               C4 Trained plus Orthopedics
Physician (Generic)       260105    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Medicine                      6OT       enhancement module
                                                                                                                                                                                    Contingency / Operational
Physician (Generic)       260105    208D00000X    Physicians/Allopathic/Osteopathic/General Practice PHYS             000     General Practice Physician       1       15F0         Medicine                      6OU       Fleet Hospital Assignment


Ophthalmology             260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS             120     Ophthalmologist                  1       15G0         Ophthalmology, General        000       No AQD


Ophthalmology             260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS             120     Ophthalmologist                  1       15G1         Ophthalmology, Subspecialty   6GD       Comprehensive Ophthalmology


                                                                                                                                                                                                                            Neuro-ophthalmology / Surgical
Ophthalmology             260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS             120     Ophthalmologist                  1       15G1         Ophthalmology, Subspecialty   6GG       Neuro-ophthalmology
                                                                                                                                                                                                                            Cornea and External Eye
Ophthalmology             260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS             120     Ophthalmologist                  1       15G1         Ophthalmology, Subspecialty   6GE       Disease


Ophthalmology             260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS             120     Ophthalmologist                  1       15G1         Ophthalmology, Subspecialty   6GF       Glaucoma


Ophthalmology             260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS             120     Ophthalmologist                  1       15G1         Ophthalmology, Subspecialty   6GJ       Retina / Vitreous Surgery


                                                                                                                            2 of 24
                                                                                             54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                               Provider                                                        CCQAS
                     DoD Occ   HIPAA Code                                                        Classification   CHCS    CHCS Provider Specialty   Provider   SPEC CODE specialty_description_txt /       aqd_code_
CLP List Name        Code      Version 4.0   HPTC Description Version 4.0                        (KG-ADS)         Code    Type Code Description      Class     / NAVY Code Navy Code Description           txt       aqd_description_txt


Ophthalmology        260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology     PHYS             120     Ophthalmologist              1       15G1         Ophthalmology, Subspecialty    6GI       Ophthalmic Pathology
                                                                                                                                                                                                                     Strabismus / Pediatric
Ophthalmology        260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology     PHYS             120     Ophthalmologist              1       15G1         Ophthalmology, Subspecialty    6GK       Ophthalmology


Ophthalmology        260117    207W00000X    Physicians/Allopathic/Osteopathic/Ophthalmology     PHYS             120     Ophthalmologist              1       15G1         Ophthalmology, Subspecialty    6GH       Oculoplastics
                                             Physicians/Allopathic/Osteopathic/Orthopaedic
Orthopedic Surgery   260132    207X00000X    Surgery                                             PHYS             140     Orthopedic Surgeon           1       15H0         Orthopedic Surgery, General    000       No AQD
                                             Physicians/Allopathic/Osteopathic/Orthopaedic                                                                                  Orthopedic Surgery,
Orthopedic Surgery             207XX0004X    Surgery/Foot and Ankle Orthopaedics                 PHYS             140     Orthopedic Surgeon           1       15H1         Subspecialty                   6HD       Foot and Ankle Surgery
                                             Physicians/Allopathic/Osteopathic/Orthopaedic                                                                                  Orthopedic Surgery,
Orthopedic Surgery   260132    207XS0106X    Surgery/Hand Surgery                                PHYS             140     Orthopedic Surgeon           1       15H1         Subspecialty                   62F       Hand Surgery

                                             Physicians/Allopathic/Osteopathic / Orthopaedic
                                             Surgery / Orthopaedic                     Surgery                                                                              Orthopedic Surgery,
Orthopedic Surgery   260132    207XS0117X    of the Spine                                        PHYS             140     Orthopedic Surgeon           1       15H1         Subspecialty                   6HH       Spine Surgery
                                             Physicians/Allopathic/Osteopathic/Orthopaedic                                                                                  Orthopedic Surgery,
Orthopedic Surgery   260132    207XX0801X    Surgery/Orthopaedic Trauma                          PHYS             140     Orthopedic Surgeon           1       15H1         Subspecialty                   6HK       Trauma Surgery
                                             Physicians/Allopathic/Osteopathic/Orthopaedic                                                                                  Orthopedic Surgery,
Orthopedic Surgery   260132    207XX0005X    Surgery/Sports Medicine                             PHYS             140     Orthopedic Surgeon           1       15H1         Subspecialty                   6HI       Sports Surgery


Otolaryngology       260119    207Y00000X    Physicians/Allopathic/Osteopathic/Otolaryngology    PHYS             130     Otolaryngologist             1       15I0         Otolaryngology, General        000       No AQD
                                             Physicians/Allopathic/Osteopathic/Otolaryngology/F                                                                                                                      Facial Plastics and
Otolaryngology       260119    207YX0905X    acial Plastic Surgery                              PHYS              130     Otolaryngologist             1       15I1         Otolaryngology, Subspecialty   6ID       Reconstructive Surgery
                                             Physicians/Allopathic/Osteopathic/Otolaryngology/O
Otolaryngology       260119    207YX0901X    tology & Neurotology                               PHYS              130     Otolaryngologist             1       15I1         Otolaryngology, Subspecialty   6IF       Neuro-otology
                                             Physicians/Allopathic/Osteopathic/Otolaryngology/P
Otolaryngology       260119    207YP0228X    ediatric Otolaryngology                            PHYS              130     Otolaryngologist             1       15I1         Otolaryngology, Subspecialty   6IG       Pediatric Otolaryngology


                                             Physicians/Allopathic/Osteopathic/Otolaryngology/Pl
Otolaryngology       260119    207YX0007X    astic Surgery within the Head & Neck                PHYS             130     Otolaryngologist             1       15I1         Otolaryngology, Subspecialty   6IE       Head And Neck Surgery
                                             Physicians/Allopathic/Osteopathic /
Urology              260136    208800000X    Urology                                             PHYS             110     Urologist                    1       15J0         Urology, General               000       No AQD
                                             Physicians/Allopathic/Osteopathic /
Urology              260136    208800000X    Urology                                             PHYS             110     Urologist                    1       15J1         Urology, Subspecialty          6JI       Urologic Oncology
                                             Physicians/Allopathic/Osteopathic /
Urology              260136    208800000X    Urology                                             PHYS             110     Urologist                    1       15J1         Urology, Subspecialty          6JD       Endocrinologic Urology
                                             Physicians/Allopathic/Osteopathic /
Urology              260136    208800000X    Urology                                             PHYS             110     Urologist                    1       15J1         Urology, Subspecialty          6JE       Female Urology
                                             Physicians/Allopathic/Osteopathic /
Urology              260136    208800000X    Urology                                             PHYS             110     Urologist                    1       15J1         Urology, Subspecialty          6JF       Infertility Urology
                                             Physicians/Allopathic/Osteopathic /
Urology              260136    208800000X    Urology                                             PHYS             110     Urologist                    1       15J1         Urology, Subspecialty          6JH       Urinary Stone Disease


                                                                                                                        3 of 24
                                                                                                  54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                    Provider                                                            CCQAS
                        DoD Occ   HIPAA Code                                                        Classification   CHCS    CHCS Provider Specialty         Provider   SPEC CODE specialty_description_txt /       aqd_code_
CLP List Name           Code      Version 4.0   HPTC Description Version 4.0                        (KG-ADS)         Code    Type Code Description            Class     / NAVY Code Navy Code Description           txt       aqd_description_txt
                                                Physicians/Allopathic/Osteopathic /
Urology                 260136    208800000X    Urology                                             PHYS             110     Urologist                          1       15J1         Urology, Subspecialty          6JG       Pediatric Urology


                                                Physicians/Allopathic/Osteopathic/Preventive &
Preventive Medicine     260123    2083S0010X    Occupational Med/Preventive Med/Sports Medicine PHYS                 320     Preventive Medicine Physician      1       15K0         Preventive Medicine, General   000       No AQD

                                                Physicians/Allopathic/Osteopathic /Preventive &
                                                Occupational Medicine /Preventive Med/Medical                                                                                        Preventive Medicine,
Preventive Medicine     260123    2083T0002X    Toxicology                                          PHYS             320     Preventive Medicine Physician      1       15K1         Subspecialty                   6KE       Medical Toxicology


                                                Physicians/Allopathic/Osteopathic/Preventive &                                                                                       Preventive Medicine,
Preventive Medicine     260123    2083S0010X    Occupational Med/Preventive Med/Sports Medicine PHYS                 320     Preventive Medicine Physician      1       15K1         Subspecialty                   6KL       Radiation Safety Officer


                                                Physicians/Allopathic/Osteopathic/Preventive &                               Occupational Medicine                                   Occupational Medicine-
Occupational Medicine   260123    2083X0100X    Occupational Medicine/Occupational Medicine         PHYS             321     Physician                          1       15K2         General                        000       No AQD
Physical Medicine &                             Physicians/Allopathic/Osteopathic/Physical
Rehabilitation          260122    208100000X    Medicine & Rehabilitation                           PHYS             090     Physical Medicine Physician        1       15L0         Phys Med & Rehab               000       No AQD

                                                Physicians/Allopathic/Osteopathic/Physical
Physical Medicine &                             Medicine & Rehabilitation/Spinal Cord Injury                                                                                         Physical Medicine & Rehab                Spinal Cord Rehabilitation
Rehabilitation          260122    2081P0004X    Medicine                                            PHYS             090     Physical Medicine Physician        1       15L1         Subspecialty                   6LN       Specialist


                                                Physicians/Allopathic/Osteopathic / Pathology /
Pathology               260120    207ZP0105X    Clinical Pathology /           Laboratory Medicine PHYS              200     Pathologist                        1       15M0         Pathology, General             000       No AQD


                                                Physicians/Allopathic/Osteopathic / Pathology /
Pathology               260120    207ZP0105X    Clinical Pathology /           Laboratory Medicine PHYS              200     Pathologist                        1       15M0         Pathology, General             6MC       Clinical Pathologist
                                                Physicians/Allopathic/Osteopathic / Pathology /
Pathology               260120    207ZP0101X    Anatomic Pathology                                  PHYS             200     Pathologist                        1       15M0         Pathology, General             6MB       Anatomic Pathologist


                                                Physicians/Allopathic/Osteopathic / Pathology /                                                                                                                               Anatomical and Clinical
Pathology               260120    207ZP0102X    Anatomic Pathology &           Clinical Pathology   PHYS             200     Pathologist                        1       15M0         Pathology, General             6MA       Pathology


                                                Physicians/Allopathic/Osteopathic / Pathology /
Pathology               260120    207ZP0105X    Clinical Pathology /           Laboratory Medicine PHYS              200     Pathologist                        1       15M1         Pathology, Subspecialty        6ML       Surgical Pathologist
                                                Physicians/Allopathic/Osteopathic/Pathology/Blood
Pathology               260120    207ZB0001X    Banking & Transfusion Medicine                    PHYS               200     Pathologist                        1       15M1         Pathology, Subspecialty        6MD       Blood Bank Pathologist
                                                Physicians/Allopathic/Osteopathic/Pathology/Chemi
Pathology               260120    207ZP0104X    cal Pathology                                     PHYS               200     Pathologist                        1       15M1         Pathology, Subspecialty        6ME       Chemical Pathologist
                                                Physicians/Allopathic/Osteopathic/Pathology/Dermat
Pathology               260120    207ZD0900X    opathology                                         PHYS              200     Pathologist                        1       15M1         Pathology, Subspecialty        6MG       Dermatopathologist
                                                Physicians/Allopathic/Osteopathic/Pathology/Forens
Pathology               260120    207ZF0201X    ic Pathology                                       PHYS              204     Pathologist, Forensic              1       15M1         Pathology, Subspecialty        6MH       Forensic Pathologist
                                                Physicians/Allopathic/Osteopathic/Pathology/Hemat
Pathology               260120    207ZH0000X    ology                                             PHYS               200     Pathologist                        1       15M1         Pathology, Subspecialty        6MI       Hematopathologist
                                                                                                                           4 of 24
                                                                                                 54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                   Provider                                                        CCQAS
                       DoD Occ   HIPAA Code                                                        Classification   CHCS    CHCS Provider Specialty     Provider   SPEC CODE specialty_description_txt /        aqd_code_
CLP List Name          Code      Version 4.0   HPTC Description Version 4.0                        (KG-ADS)         Code    Type Code Description        Class     / NAVY Code Navy Code Description            txt       aqd_description_txt
                                               Physicians/Allopathic/Osteopathic/Pathology/Immun
Pathology              260120    207ZI0100X    opathology                                        PHYS               200     Pathologist                    1       15M1         Pathology, Subspecialty         6MJ       Immunopathologist
                                               Physicians/Allopathic/Osteopathic/Pathology/Neurop
Pathology              260120    207ZN0500X    athology                                           PHYS              205     Neuropathologist               1       15M1         Pathology, Subspecialty         6MK       Neuropathologist
                                               Physicians/Allopathic/Osteopathic/Pathology/Pathol
Pathology              260120    207ZC0500X    ogy & Cytopathology                                PHYS              200     Pathologist                    1       15M1         Pathology, Subspecialty         6MF       Cytopathologist


Dermatology            260107    207N00000X    Physicians/Allopathic/Osteopathic / Dermatology     PHYS             080     Dermatologist                  1       16N0         Dermatology, General            000       No AQD


Dermatology            260107    207N00000X    Physicians/Allopathic/Osteopathic / Dermatology     PHYS             080     Dermatologist                  1       16N1         Dermatology, Subspecialty       6NH       Photobiology


                                               Physicians/Allopathic/Osteopathic/Dermatology/Clini                                                                                                                        Dermatological Immunology /
Dermatology            260107    207NI0002X    cal & Laboratory Dermatological Immunology          PHYS             080     Dermatologist                  1       16N1         Dermatology, Subspecialty       6ND       DLI
                                               Physicians/Allopathic/Osteopathic/Dermatology/Der
Dermatology            260107    207NS0135X    matological Surgery                               PHYS               080     Dermatologist                  1       16N1         Dermatology, Subspecialty       6NE       Dermatologic Surgery
                                               Physicians/Allopathic/Osteopathic/Dermatology/Der
Dermatology            260107    207ND0900X    matopathology                                     PHYS               080     Dermatologist                  1       16N1         Dermatology, Subspecialty       6NF       Dermatopathology
                                               Physicians/Allopathic/Osteopathic/Dermatology/Pedi
Dermatology            260107    207NP0225X    atric Dermatology                                  PHYS              044     Dermatologist, Pediatric       1       16N1         Dermatology, Subspecialty       6NG       Pediatric Dermatology
                                               Physicians/Allopathic/Osteopathic/Emergency
Emergency Medicine     260103    207P00000X    Medicine                                            PHYS             004     Emergency Physician            1       16P0         Emergency Med, General          000       No AQD
                                               Physicians/Allopathic/Osteopathic/Emergency
Emergency Medicine     260103    207P00000X    Medicine                                            PHYS             004     Emergency Physician            1       16P1         Emergency Med, Subspecialty 6PD           Emergency Medicine Services
                                               Physicians/Allopathic/Osteopathic/Emergency
                       260103    207P00000X    Medicine                                            PHYS             004     Emergency Physician            1       16P1         Emergency Med, Subspecialty 6PF           Pediatric Emergency Medicine
                                               Physicians/Allopathic/Osteopathic/Emergency
Emergency Medicine     260103    207PT0002X    Medicine/Medical Toxicology                         PHYS             004     Emergency Physician            1       16P1         Emergency Med, Subspecialty 6PE           Medical Toxicology
                                               Physicians/Allopathic/Osteopathic/Emergency
Emergency Medicine     260103    207PS0010X    Medicine/Sports Medicine                            PHYS             004     Emergency Physician            1       16P1         Emergency Med, Subspecialty 62G           Sports Medicine


Family Practice        260111    207Q00000X    Physicians/Allopathic/Osteopathic/Family Practice   PHYS             001     Family Practice Physician      1       16Q0         Family Practice, General        000       No AQD


Family Practice        260111    207Q00000X    Physicians/Allopathic/Osteopathic/Family Practice   PHYS             001     Family Practice Physician      1       16Q1         Family Practice, Subspecialty   6QF       Obstetrics
                                               Physicians/Allopathic/Osteopathic/Family
Family Practice        260111    207QA0000X    Practice/Adolescent Medicine                        PHYS             001     Family Practice Physician      1       16Q1         Family Practice, Subspecialty   62A       Adolescent
                                               Physicians/Allopathic/Osteopathic/Family
Family Practice        260111    207QG0300X    Practice/Geriatric Medicine                         PHYS             001     Family Practice Physician      1       16Q1         Family Practice, Subspecialty   62E       Geriatric Medicine


Internal Medicine      260148    207R00000X    Physicians/Allopathic/Osteopathic/Internal Medicine PHYS             011     Internist                      1       16R0         Internal Med - General          000       No AQD

                                                                                                                                                                                                                          Allergy / Immunologist /
                                               Physicians/Allopathic / Osteopathic / Allergy &                                                                                                                            Diagnostic & Laboratory
Allergy & Immunology   260102    207KA0200X    Immunology                                          PHYS             012     Allergist/Immunologist         1       16R1         Internal Med - Subspecialty     62B       Immunology (DLI)


                                                                                                                          5 of 24
                                                                                                  54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                    Provider                                                             CCQAS
                         DoD Occ   HIPAA Code                                                         Classification   CHCS    CHCS Provider Specialty        Provider   SPEC CODE specialty_description_txt /      aqd_code_
CLP List Name            Code      Version 4.0   HPTC Description Version 4.0                         (KG-ADS)         Code    Type Code Description           Class     / NAVY Code Navy Code Description          txt       aqd_description_txt


Internal Medicine        260177    207R00000X    Physicians/Allopathic/Osteopathic/Internal Medicine PHYS              011     Internist                         1       16R1         Internal Med - Subspecialty   6RV       Tropical Medicine


Internal Medicine                  207R00000X    Physicians/Allopathic/Osteopathic/Internal Medicine PHYS              011     Internist                         1       16R1         Internal Med - Subspecialty   62D       Faculty Development
                                                 Physicians/Allopathic/Osteopathic/Internal
Internal Medicine        260148    207RA0000X    Medicine/Adolescent Medicine                         PHYS             011     Internist                         1       16R1         Internal Med - Subspecialty   62A       Adolescent Medicine
                                                 Physicians/Allopathic/Osteopathic/Internal
Cardiology               260142    207RC0000X    Medicine/Cardiovascular Disease                      PHYS             014     Cardiologist                      1       16R1         Internal Med - Subspecialty   6RG       Cardiology General
                                                 Physicians /Allopathic /Osteopathic /Internal
Cardiology               260142    207RC0001X    Medicine /Clinical Cardiac Electrophysiology                                                                            16R1         Internal Med - Subspecialty   6RH       Cardiac Electrophysiologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Critical Care Medicine   260142    207RC0200X    Medicine/Critical Care Medicine                      PHYS             917     Critical Care Medicine            1       16R1         Internal Med - Subspecialty   62C       Critical Care Medicine


                                                 Physicians/Allopathic/Osteopathic/Internal
Endocrinology            260145    207RE0101X    Medicine/Endocrinology/Diabetes & Metabolism         PHYS             016     Endocrinologist                   1       16R1         Internal Med - Subspecialty   6RK       Endocrinologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Gastroenterology         260141    207RG0100X    Medicine/Gastroenterology                            PHYS             018     Gastroenterologist                1       16R1         Internal Med - Subspecialty   6RL       Gastroenterologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Internal Medicine        260148    207RG0300X    Medicine/Geriatric Medicine                          PHYS             017     Geriatrician                      1       16R1         Internal Med - Subspecialty   62E       Geriatric Medicine
                                                 Physicians/Allopathic/Osteopathic/Internal
Hematology               260144    207RH0000X    Medicine/Hematology                                  PHYS             019     Hematologist                      1       16R1         Internal Med - Subspecialty   6RN       Hematologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Infectious Disease       260149    207RI0200X    Medicine/Infectious Disease                          PHYS             022     Infectious Disease Physician      1       16R1         Internal Med - Subspecialty   6RP       Infectious Disease Specialist
                                                 Physicians/Allopathic/Osteopathic/Internal
Cardiology               260142    207RI0011X    Medicine/Interventional Cardiology                                                                                      16R1         Internal Med - Subspecialty   6RI       Interventional Cardiologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Oncology                 260144    207RX0202X    Medicine/Medical Oncology                            PHYS             013     Oncologist                        1       16R1         Internal Med - Subspecialty   6RO       Oncologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Nephrology               260143    207RN0300X    Medicine/Nephrology                                  PHYS             024     Nephrologist                      1       16R1         Internal Med - Subspecialty   6RQ       Nephrology
                                                 Physicians/Allopathic/Osteopathic/Internal
Pulmonary Medicine       260140    207RP1001X    Medicine/Pulmonary Disease                           PHYS             021     Pulmonary Disease Physician       1       16R1         Internal Med - Subspecialty   6RR       Pulmonologist
                                                 Physicians/Allopathic/Osteopathic/Internal
Preventive Medicine      260148    207RS0010X    Medicine/Sports Medicine                             PHYS                                                               16R1         Internal Med - Subspecialty   62G       Sports Medicine
                                                 Physicians/Allopathic/Osteopathic/Internal
Rheumatology             260146    207RR0500X    Medicinel/Rheumatology                               PHYS             020     Rheumatologist                    1       16R1         Internal Med - Subspecialty   6RS       Rheumatologist


Neurology                260113    2084N0400X    Physicians/Allopathic/Osteopathic / Neurology        PHYS             060     Neurologist                       1       16T0         Neurology, General            001       No AQD

                                                 Physicians/Allopathic/Osteopathic/Psychiatry &
                                                 Neurology/Neurology with Special Qualifications in
Neurology                260113    2084N0402X    Child Neurology                                      PHYS             049     Neurologist, Pediatric            1       16T1         Neurology, Subspecialty       6TD       Child Neurology


Neurology                260113    2084N0400X    Physicians/Allopathic/Osteopathic / Neurology        PHYS             060     Neurologist                       1       16T1         Neurology, Subspecialty       6TF       Medical Neuro-ophthalmologist


                                                                                                                             6 of 24
                                                                                              54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                Provider                                                            CCQAS
                    DoD Occ   HIPAA Code                                                        Classification   CHCS    CHCS Provider Specialty         Provider   SPEC CODE specialty_description_txt /      aqd_code_
CLP List Name       Code      Version 4.0   HPTC Description Version 4.0                        (KG-ADS)         Code    Type Code Description            Class     / NAVY Code Navy Code Description          txt       aqd_description_txt


Neurology           260113    2084N0400X    Physicians/Allopathic/Osteopathic / Neurology       PHYS             060     Neurologist                        1       16T1         Neurology, Subspecialty       6TG       Neurophysiologist


                                            Physicians/Allopathic/Osteopathic/Preventive &
                                            Occupational Medicine/Preventive Medicine /
Undersea Medicine   260129    2083P0011X    Undersea and Hyperbaric Medicine                    PHYS             322     Hyperbaric/Undersea Physician      1       16U0         Undersea Medicine - General   000       No AQD

                                            Physicians/Allopathic/Osteopathic/Preventive &
                                            Occupational Med/Preventive Med/Undersea and
Undersea Medicine   260129    2083P0011X    Hyperbaric Medicine                                 PHYS             322     Hyperbaric/Undersea Physician      1       16U0         Undersea Medicine - General   6UD       Undersea Medical Diver


                                            Physicians/Allopathic/Osteopathic/Preventive &
                                            Occupational Medicine /Preventive Medicine /
Undersea Medicine   260129    2083P0011X    Undersea and Hyperbaric Medicine                    PHYS             322     Hyperbaric/Undersea Physician      1       16U0         Undersea Medicine - General   6UM       Submarine

                                            Physicians/Allopathic/Osteopathic/Preventive &
                                            Occupational Med/Preventive Med/Undersea &                                                                                           Undersea Medicine -
Undersea Medicine   260129    2083P0011X    Hyperbaric Medicine                                 PHYS             322     Hyperbaric/Undersea Physician      1       16U1         Subspecialty                  6UE       Undersea Occupation Medicine


                                            Physicians/Allopathic/Osteopathic /Preventive &
                                            Occupational Medicine /Preventive Medicine /                                                                                         Undersea Medicine -                     Hyperbaric Medicine
Undersea Medicine   260129    2083P0011X    Undersea and Hyperbaric Medicine                    PHYS             322     Hyperbaric/Undersea Physician      1       16U1         Subspecialty                  6UF       Researcher


                                            Physicians/Allopathic/Osteopathic/Preventive &
                                            Occupational Medicine /Preventive Medicine /                                                                                         Undersea Medicine -
Undersea Medicine   260129    2083P0011X    Undersea and Hyperbaric Medicine                    PHYS             322     Hyperbaric/Undersea Physician      1       16U1         Subspecialty                  6UG       Hyperbaric Medicine Clinician
                                            Physicians/Allopathic/Osteopathic/
Pediatrics          260120    208000000X    Pediatrics                                          PHYS             040     Pediatrician                       1       16V0         Pediatrics, General           000       No AQD
                                            Physicians/Allopathic/Osteopathic/
                    260120    208000000X    Pediatrics                                          PHYS             040     Pediatrician                       1       16V1         Pediatrics, Subspecialty      6VH       Child / Sexual Abuse Specialist
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Neonat
Neonatology         260121    2080N0001X    al-Perinatal Medicine                               PHYS             046     Perinatologist                     1       16V1         Pediatrics, Subspecialty      6VV       Neonatologist
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Develo
Pediatrics          260121    2080P0006X    pmental-Behavioral Pediatrics                       PHYS             040     Pediatrician                       1       16V1         Pediatrics, Subspecialty      6VJ       Developmental Pediatrician
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics          260121    2080P0201X    ic Allergy & Immunology                              PHYS            041     Allergist, Pediatric               1       16V1         Pediatrics, Subspecialty      6VF       Allergist / Immunologist / DLI
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics          260121    2080P0202X    ic Cardiology                                        PHYS            043     Cardiologist, Pediatric            1       16V1         Pediatrics, Subspecialty      6VG       Pediatric Cardiologist
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                                                                                                                         Pediatric Intensivist / Critical
Pediatrics          260121    2080P0203X    ic Critical Care Medicine                            PHYS            040     Pediatrician                       1       16V1         Pediatrics, Subspecialty      6VI       Care
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics          260121    2080P0204X    ic Emergency Medicine                                PHYS            040     Pediatrician                       1       16V1         Pediatrics, Subspecialty      6PF       Pediatric Emergency Medicine
                                            Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics          260121    2080P0205X    ic Endocrinology                                     PHYS            045     Endocrinologist, Pediatric         1       16V1         Pediatrics, Subspecialty      6VK       Pediatric Endocrinologist


                                                                                                                       7 of 24
                                                                                                    54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                      Provider                                                              CCQAS
                         DoD Occ   HIPAA Code                                                          Classification   CHCS    CHCS Provider Specialty          Provider   SPEC CODE specialty_description_txt /   aqd_code_
CLP List Name            Code      Version 4.0   HPTC Description Version 4.0                          (KG-ADS)         Code    Type Code Description             Class     / NAVY Code Navy Code Description       txt       aqd_description_txt
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics               260121    2080P0206X    ic Gastroenterology                                  PHYS              053     Gastroenterologist, Pediatric       1       16V1         Pediatrics, Subspecialty   6VL       Pediatric Gastroenterology
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                                                                                                                         Pediatric Hematologist /
Pediatrics               260121    2080P0207X    ic Hematology-Oncology                               PHYS              048     Hematologist, Pediatric             1       16V1         Pediatrics, Subspecialty   6VN       Oncologist
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                           Infectious Diseases Physician,                                                                Pediatrics Infectious Disease
Pediatrics               260121    2080P0208X    ic Infectious Diseases                               PHYS              051     Pediatric                           1       16V1         Pediatrics, Subspecialty   6VP       Specialist
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics               260121    2080P0210X    ic Nephrology                                        PHYS              054     Nephrologist, Pediatric             1       16V1         Pediatrics, Subspecialty   6VQ       Pediatric Nephrologist
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                           Pulmonary Disease Physician,
Pediatrics               260121    2080P0214X    ic Pulmonology                                       PHYS              050     Pediatric                           1       16V1         Pediatrics, Subspecialty   6VR       Pediatric Pulmonologist
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
Pediatrics               260121    2080P0216X    ic Rheumatology                                      PHYS              040     Pediatrician                        1       16V1         Pediatrics, Subspecialty   6VS       Pediatric Rheumatologist
                                                 Physicians/Allopathic/Osteopathic/Pediatrics/Medica
                                   2080T0002X    l Toxicology                                                                                                       1       16V1         Pediatrics, Subspecialty   6VW       Toxicologist


Nuclear Medicine         260128    207U00000X    Physicians/Allopathic/Osteopathic/Nuclear Medicine PHYS                027     Nuclear Medicine Physician          1       16W0         Nuclear Medicine           000       No AQD
                                                 Physicians/Allopathic/Osteopathic/Psychiatry &
Psychiatry               260125    2084P0800X    Neurology/Psychiatry                                  PHYS             070     Psychiatrist                        1       16X0         Psychiatry, General                  No AQD


                                                 Physicians/Allopathic/Osteopathic / Psychiatry &
                                   2084P0802X    Neurology / Addiction                Psychiatry       PHYS             070     Addiction Psychiatrist              1       16X1         Psychiatry, Subspecialty   6XD       Addiction Psychiatry

                                                 Physicians/Allopathic/Osteopathic / Psychiatry &
                                                 Neurology / Child &                  Adolescent                                                                                                                              Adolescent Psychiatry (Board
Psychiatry               260125    2084P0804X    Psychiatry                                            PHYS             071     Child Psychiatrist                  1       16X1         Psychiatry, Subspecialty   6XF       Certified)


                                                 Physicians/Allopathic/Osteopathic/Psychiatry &                                                                                                                               Child/adolescent Psychiatry
Psychiatry               260125    2084P0804X    Neurology/Child & Adolescent Psychiatry               PHYS             071     Child Psychiatrist                  1       16X1         Psychiatry, Subspecialty   6XH       (Board Eligible)


                                                 Physicians/Allopathic/Osteopathic / Psychiatry &
Psychiatry               260125    2084F0202X    Neurology / Forensic                   Psychiatry     PHYS             070     Forensic Psychiatrist               1       16X1         Psychiatry, Subspecialty   6XL       Forensic Psychiatry


                                                 Physicians/Allopathic/Osteopathic / Psychiatry &
Psychiatry               260125    2084P0805X    Neurology / Geriatric             Psychiatry          PHYS             070     Psychiatrist                        1       16X1         Psychiatry, Subspecialty   6XM       Geriatric Psychiatry
                                                 Physicians/Allopathic/Osteopathic/Psychiatry &                                                                                                                               Community / Preventive
Psychiatry               260125    2084P0800X    Neurology/Psychiatry                                  PHYS             070     Psychiatrist                        1       16X1         Psychiatry, Subspecialty   6XJ       Psychiatry
                                                 Physicians/Allopathic/Osteopathic/Psychiatry &                                                                                                                               Consultation / Liaison
Psychiatry               260125    2084P0800X    Neurology/Psychiatry                                  PHYS             070     Psychiatrist                        1       16X1         Psychiatry, Subspecialty   6XK       Psychiatry
                                                 Physicians/Allopathic/Osteopathic/Psychiatry &
Psychiatry               260125    2084P0800X    Neurology/Psychiatry                                  PHYS             070     Psychiatrist                        1       16X1         Psychiatry, Subspecialty   6XN       Research Psychiatry
Radiology -                                      Physicians/Allopathic/Osteopathic/Radiology/Diagno
Diagnostic/Therapeutic   260127    2085R0202X    stic Radiology                                     PHYS                404     Diagnostic                          1       16Y0         Diagnostic Radiology       000       No AQD
Radiology -                                      Physicians/Allopathic/Osteopathic/Radiology/Body
Diagnostic/Therapeutic   260127    2085B0100X    Imaging                                               PHYS             400     Radiologist                         1       16Y1         Radiology, Subspecialty    6YD       Rad-imaging
                                                                                                                              8 of 24
                                                                                                      54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                        Provider                                                                 CCQAS
                           DoD Occ    HIPAA Code                                                          Classification   CHCS      CHCS Provider Specialty          Provider   SPEC CODE specialty_description_txt /    aqd_code_
CLP List Name              Code       Version 4.0   HPTC Description Version 4.0                          (KG-ADS)         Code      Type Code Description             Class     / NAVY Code Navy Code Description        txt       aqd_description_txt
Radiology -                                         Physicians/Allopathic/Osteopathic/Radiology/Neuror
Diagnostic/Therapeutic     260127     2085N0700X    adiology                                           PHYS                402       Neuro-Radiologist                   1       16Y1         Radiology, Subspecialty     6YF       Neuro-radiology
                                                    Physicians/Allopathic/Osteopathic/Radiology/Nuclea
Nuclear Medicine           260127     2085N0904X    r Radiology                                        PHYS                403       Nuclear Medicine Radiologist        1       16Y1         Radiology, Subspecialty     6YG       Nuclear Radiology
Radiology -                                         Physicians/Allopathic/Osteopathic/Radiology/Pediatr
Diagnostic/Therapeutic     260127     2085P0229X    ics/Pediatric Radiology                             PHYS                                                                     16Y1         Radiology, Subspecialty     6YI       Pediatric Radiologist
Radiology -                                         Physicians/Allopathic/Osteopathic/Radiology/Vascul
Diagnostic/Therapeutic     260127     2085R0204X    ar & Interventional Radiology                      PHYS                405       Special Procedures Radiologist      1       16Y1         Radiology, Subspecialty     6YE       Interventional/vascular
                                                    Physicians/Allopathic/Osteopathic/Radiology/Radiati
Radiation Oncology         260127     2085R0001X    on Oncology                                                                                                          1       16Y2         Radiation Oncology          000       No AQD
Radiology -                                         Physicians/Allopathic/Osteopathic/Radiology/Therap
Diagnostic/Therapeutic     260127     2085R0203X    eutic Radiology                                    PHYS                401       Radiation Therapist                 1       16Y2         Radiation Oncology          6YK       Radiation Teletherapy Physicist
General Dentistry          260311     122300000X    Dental Service Providers/Dentist                      DENT             812       Dental Officer General              1       1700         Dentistry (General)         000       No AQD


Endodontics                260302     1223E0200X    Dental Service Providers/Dentist/Endodontics          DENT             810       Endodontist                         1       1710         Endodontics                 000       No AQD
General Dentistry          260311     122300000X    Dental Service Providers/Dentist                      DENT             812       Dental Officer General              1       1720         Dental Education Programs   000       No AQD
                                                                                                                                                                                              Comprehensive
Comprehensive Dentistry    260311     122300000X    Dental Service Providers/Dentist                      DENT             812       Dental Officer General              1       1725         Dentistry                   000       No AQD


Prosthodontics             260308     1223P0700X    Dental Service Providers/Dentist/Prosthodontics       DENT                   804 Prosthodontist                      1       1730         Maxillofacial Prosthetics   000       No AQD


                                                    Dental Service Providers/Dentist/Orthodontics &
Orthodontics               260305     1223X0400X    Dentofacial Orthopedics                               DENT                   806 Orthodontist                        1       1735         Orthodontics                000       No AQD
                                                    Dental Service Providers/Dentist/Oral & Maxillofacial
Oral & Maxillofacial Surgery 260304   1223S0112X    Surgery                                               DENT             800       Oral Surgeon                        1       1740         Operative Dentistry         000       No AQD
                                                                                                                                                                                              Oral Diagnostician /
Oral Medicine              260303     122300000X    Dental Service Providers/Dentist                      DENT             812       Dental Officer General              1       1745         Oral Medicine               000       No AQD
                                                    Dental Service Providers/Dentist/Oral & Maxillofacial
Oral / Maxillofacial Surgery 260304   1223S0112X    Surgery                                               DENT             800       Oral Surgeon                        1       1750         Oral Surgery                000       No AQD


Periodontics               260307     1223P0300X    Dental Service Providers/Dentist/Periodontics         DENT                   802 Periodontist                        1       1760         Periodontics                000       No AQD


Prosthodontics             260308     1223P0700X    Dental Service Providers/Dentist/Prosthodontics       DENT             809       Prosthodontist                      1       1769         Prosthodontics              000       No AQD
                                                    Dental Service Providers/Dentist/Dental Public
Dental Public Health       260309     1223D0001X    Health                                                DENT                                                                   1775         Public Health Dentistry     000       No AQD
Oral & Maxillofacial                                Dental Service Providers/Dentist/Oral &
Pathology                  260303     1223P0106X    Maxillofacial Pathology                               DENT                   808 Oral Pathologist                    1       1780         Oral Pathology              000       No AQD
Temporomandibula
Disorders                  260311     122300000X    Dental Service Providers/Dentist                      DENT             812       Dental Officer General              1       1785         Temporo-mandibular Disorders 000      No AQD


General Dentistry          260311     122300000X    Dental Service Providers/Dentist                      DENT             812       Dental Officer General              1       1790         Dental Science & Research   000       No AQD


Pediatric Dentistry        260306     1223P0221X    Dental Service Providers/Dentist/Pediatric Dentistry DENT                    815 Pedodontist                         1       1795         Pedodontics                 000       No AQD
                                                                                                                                 9 of 24
                                                                                                      54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                        Provider                                                         CCQAS
                          DoD Occ   HIPAA Code                                                           Classification   CHCS     CHCS Provider Specialty    Provider   SPEC CODE specialty_description_txt /   aqd_code_
CLP List Name             Code      Version 4.0   HPTC Description Version 4.0                           (KG-ADS)         Code     Type Code Description       Class     / NAVY Code Navy Code Description       txt       aqd_description_txt
                                                  Behavioral Health & Social Service
Clinical Psychology       260807    103TC0700X    Providers/Psychologist/Clinical                        DCP              702      Clinical Psychologist         2       1840         Clinical Psychology        000       No AQD
                                                  Behavioral Health & Social Service
Clinical Psychology       260807    103TC0700X    Providers/Psychologist/Clinical                        DCP              702      Clinical Psychologist         2       1841         Child Psychology           000       No AQD
                                                  Behavioral Health & Social Service
Clinical Psychology       260807    103TC0700X    Providers/Psychologist/Clinical                        DCP              702      Clinical Psychologist         2       1843         Medical Psychology         000       No AQD
                                                  Behavioral Health & Social Service
Clinical Psychology       260807    103TC0700X    Providers/Psychologist/Clinical                        DCP              702      Clinical Psychologist         2       1845         Research Psychology        000       No AQD
                                                  Speech, Language and Hearing Service
Audiology                 260801    231H00000X    Providers/Audiologist                                  DCP              709      Audiologist                   4       1862         Audiology                  000       No AQD
                                                  Behavioral Health & Social Service Providers/Social
Clinical Social Worker    260807    104100000X    Worker                                              DCP                 703      Psychology Social Worker      3       1870         Social Work                000       No AQD


                                                  Respiratory, Rehabilitative & Restorative Service
Physical Therapy          260806    225100000X    Providers / Physical                 Therapist         DCP              706      Physical Therapist            4       1873         Physical Therapy           000       No AQD


                                                  Respiratory, Rehabilitative & Restorative Service
                          260806    225100000X    Providers / Physical                 Therapist         DCP              706      Physical Therapist            4       1873         Physical Therapy           6LD       Musculoskeletal Screener

                                                  Respiratory, Rehabilitative & Restorative Service
                                                  Providers/Physical Therapist/Electrophysiology,                                                                                                                          Electroneuromyographic
                          260806    2251E1300X    Clinical                                               DCP              706      Physical Therapist            4       1873         Physical Therapy           6LC       Specialist


                                                  Respiratory, Rehabilitative & Restorative Service
Occupational Therapy      260806    225X00000X    Providers /                 Occupational Therapist     DCP              705      Occupational Therapist        4       1874         Occupational Therapy       000       No AQD

                                                                                                                                                                                                                           Upper Extremity
                                                  Respiratory, Rehabilitative & Restorative Service                                                                                                                        Neuromusculoskeletal
                          260806    225X00000X    Providers/Occupational Therapist                       DCP              705      Occupational Therapist        4       1874         Occupational Therapy       6LJ       Evaluator (UENMSE)


Dietetics                 260810    133N00000X    Dietary & Nutritional Service Providers/Nutritionist   DCP              704      Dietician-Nutritionist        4       1876         Clinical Dietetics         000       No AQD


Optometry                 260804    152W00000X    Eye and Vision Services Providers/Optometrist          DCP              708      Optometrist                   4       1880         Optometry                  6GA       Aviation Optometrist


Optometry                 260804    152W00000X    Eye and Vision Services Providers/Optometrist          DCP              708      Optometrist                   4       1880         Optometry                  000       No AQD


Optometry                 260804    152W00000X    Eye and Vision Services Providers/Optometrist          DCP              708      Optometrist                   4       1880         Optometry                  6AN       Aerospace Optometrist
                                                  Podiatric Medicine & Surgery Service
Podiatry                  260809    213E00000X    Providers/Podiatrist                                   DCP              707      Podiatrist                    1       1892         Podiatry                   000       No AQD


Physician Assistant/Sports                        Physician Assistants & Advanced Practice Nursing
Medicine                   260811   363A00000X    Providers/Physician Assistant                          PA               901      Physician Assistant           4       1893         Physician Assistant        62G       Sports Medicine


Orthopedic Physician                              Physician Assistants & Advanced Practice Nursing
Assistant                 260811    363A00000X    Providers / Physician              Assistant           PA               901      Physician Assistant           4       1893         Physician Assistant        6HL       Orthopedic Physician Assistant
                                                                                                                                10 of 24
                                                                                                   54e6cf3d-e4ed-4de7-a8f1-eec795cfcdc8.xls CMAC
                                                                                                     Provider                                                                 CCQAS
                            DoD Occ   HIPAA Code                                                       Classification   CHCS     CHCS Provider Specialty           Provider   SPEC CODE specialty_description_txt /       aqd_code_
CLP List Name               Code      Version 4.0   HPTC Description Version 4.0                       (KG-ADS)         Code     Type Code Description              Class     / NAVY Code Navy Code Description           txt       aqd_description_txt


                                                    Physician Assistants & Advanced Practice Nursing
Physician Assistant         260811    363AM0700X    Providers/Physician Assistant/Medical              PA                                                                     1893         Physician Assistant            000       No AQD

                                                    Behavioral Health & Social Service
                                                    Providers/Counselor/Addiction (Substance Use
                            130200    101YA0400X    Disorder)                                          DCP              074      Alcohol Abuse Counselor              3       1895         Mental Health Counselor        000       No AQD

                                                    Behavioral Health & Social Service
                                                    Providers/Counselor/Addiction (Substance Use
                            130200    101YA0400X    Disorder)                                          DCP              075      Drug Abuse Counselor                 3       1895         Mental Health Counselor        000       No AQD
Chiropractor                260802    111NI0900X    Chiropractors/Chiropractor/Internist               DCP              713      Contract Chiropractor                1       1898         Chiropractor                   000       No AQD


                                                    Speech, Language and Hearing Service Providers /
Speech Pathology            260801    235Z00000X    Speech-Language                 Pathologist      DCP                710      Speech Therapist                     4       1899         Speech Pathology               000       No AQD


                                                    Physician Assistants & Advanced Practice Nursing
Nurse Anesthetist           260502    367500000X    Providers / Nurse Anesthetist / Certified Registered APRN           612      Nurse Anesthetist                    4       1972         Nurse Anesthetist              000       No AQD


                                                    Physician Assistants & Advanced Practice Nursing
Pediatric Nurse Practitioner 260504   363LP0200X    Providers/Nurse Practitioner/Pediatrics            APRN             603      Pediatric Nurse Practitioner         4       1974         Pediatric Nurse Practitioner   000       No AQD


                                                    Physician Assistants & Advanced Practice Nursing
Adult Nurse Practitioner    260504    363LA2200X    Providers/Nurse Practitioner/Adult Health          APRN             604      Adult Health Nurse Practitioner      4       1975         Adult Health Nurse Practitioner 000      No AQD


                                                    Physician Assistants & Advanced Practice Nursing
Family Nurse Practitioner   260504    363LF0000X    Providers / Nurse      Practitioner/Family         APRN             604      Family Nurse Practitioner            4       1976         Family Nurse Practitioner      000       No AQD


Women's Health (OB/GYN)                             Physician Assistants & Advanced Practice Nursing                             Women's Health Nurse                                      Womens Health (OB/GYN)
Nurse Practitioner      260504        363LW0102X    Providers/Nurse Practitioner/Women's Health        APRN             602      Practitioner                         4       1980         Nurse Practitioner             000       No AQD


                                                    Physician Assistants & Advanced Practice Nursing
Certified Nurse Midwife     260505    367A00000X    Providers / Midwife /            Certified Nurse   APRN             608      Certified Nurse Midwife              4       1981         (Certified Nurse) Midwife      000       No AQD




                                                                                                                              11 of 24
                                                                                Dental Corps HIPPA Taxonomy Crosswalk


                                                                                                                                    CCQAS
                                                                                                                                    SPEC
DoD                                                                    Provider                                             CMAC CODE /
Occ    HIPAA Code                                                      Classification   CHCS CHCS Provider Specialty       Provider NAVY    specialty_description_txt /   aqd_code
Code   Version 4.0   HPTC Description Version 4.0                      (KG-ADS)         Code Type Code Description          Class Code      Navy Code Description         _txt     aqd_description_txt
260311 122300000X    Dental Service Providers/Dentist                  DENT             812       Dental Officer General     1     1700     Dentistry (General)           000       No AQD


260302 1223E0200X    Dental Service Providers/Dentist/Endodontics      DENT             810       Endodontist                1     1710     Endodontics                   000       No AQD
                                                                                                                                            Comprehensive
260311 122300000X    Dental Service Providers/Dentist                  DENT             812       Dental Officer General     1     1725     Dentistry                     000       No AQD


260308 1223P0700X    Dental Service Providers/Dentist/Prosthodontics   DENT                   804 Prosthodontist             1     1730     Maxillofacial Prosthetics     000       No AQD


                     Dental Service Providers/Dentist/Orthodontics &
260305 1223X0400X    Dentofacial Orthopedics                           DENT                   806 Orthodontist               1     1735     Orthodontics                  000       No AQD
                     Dental Service Providers/Dentist/Oral &
260304 1223S0112X    Maxillofacial Surgery                             DENT             800       Oral Surgeon               1     1740     Operative Dentistry           000       No AQD
                                                                                                                                            Oral Diagnostician /
260303 122300000X    Dental Service Providers/Dentist                  DENT             812       Dental Officer General     1     1745     Oral Medicine                 000       No AQD
                     Dental Service Providers/Dentist/Oral &
260304 1223S0112X    Maxillofacial Surgery                             DENT             800       Oral Surgeon               1     1750     Oral Surgery                  000       No AQD


260307 1223P0300X    Dental Service Providers/Dentist/Periodontics     DENT                   802 Periodontist               1     1760     Periodontics                  000       No AQD


260308 1223P0700X    Dental Service Providers/Dentist/Prosthodontics   DENT             809       Prosthodontist             1     1769     Prosthodontics                000       No AQD
                     Dental Service Providers/Dentist/Dental Public
260309 1223D0001X    Health                                            DENT                                                        1775     Public Health Dentistry       000       No AQD
                     Dental Service Providers/Dentist/Oral &
260303 1223P0106X    Maxillofacial Pathology                           DENT                   808 Oral Pathologist           1     1780     Oral Pathology                000       No AQD


260311 122300000X    Dental Service Providers/Dentist                  DENT             812       Dental Officer General     1     1785     Temporo-mandibular Disorders 000        No AQD
260311 122300000X    Dental Service Providers/Dentist                  DENT             812       Dental Officer General     1     1790     Dental Science & Research     000       No AQD
                     Dental Service Providers/Dentist/Pediatric
260306 1223P0221X    Dentistry                                         DENT                   815 Pedodontist                1     1795     Pedodontics                   000       No AQD




                                                                                                          12 of 24
                                                                                    Medical Corps HIPAA Taxonomy Crosswalk

                                                                                                                                      CCQAS
                                                                                                                                      SPEC
DoD                                                                       Provider                                            CMAC CODE /
Occ     HIPAA Code                                                        Classification   CHCS CHCS Provider Specialty Type Provider NAVY    specialty_description_txt /   aqd_code
Code    Version 4.0   HPTC Description Version 4.0                        (KG-ADS)         Code Code Description              Class Code      Navy Code Description         _txt     aqd_description_txt


                      Physicians/Allopathic/Osteopathic/Preventive &
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             000       No AQD


                      Physicians/Allopathic/Osteopathic/Preventive &
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             6AA       Aviation Medical Examiner


                      Physicians/Allopathic/Osteopathic/Preventive &
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             6AB       General Flight Surgeon


                      Physicians/Allopathic/Osteopathic/Preventive &                                                                                                                  Flight Surgeon / Naval Flight
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             6AC       Officer


                      Physicians/Allopathic/Osteopathic/Preventive &
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             6AE       Flight Surgeon / Pilot


                      Physicians/Allopathic/Osteopathic/Preventive &                                                                                                                  Aerospace Medicine (Preventive
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             6AG       Medicine)


                      Physicians/Allopathic/Osteopathic/Preventive &                                                                                                                  Aerospace Medicine (Preventive
260101 2083A0100X     Occupational Medicine/Aerospace Medicine            PHYS             300   Aerospace Medicine Physician   1   15A0      Aviation Medicine             6AG       Medicine)


260104 207L00000X     Physicians/Allopathic/Osteopathic / Anesthesiology PHYS              092   Anesthesiologist               1   15B0      Anesthesia, General           000       No AQD
                      Physicians/Allopathic/Osteopathic /
60130   208600000X    Surgery                                             PHYS             100   General Surgeon                1   15C0      Surgery, General              000       No AQD
                      Physicians/Allopathic/Osteopathic / Colon & Rectal
260124 208C00000X     Surgery                                            PHYS              102   Colon & Rectal Surgeon         1   15C1      Surgery, Subspecialty         6CE       Colon & Rectal Surgery


260133 208200000X     Physicians/Allopathic/Osteopathic/Plastic Surgery   PHYS             107   Plastic Surgeon                1   15C1      Surgery, Subspecialty         6CJ       Plastic Surgery
                      Physicians/Allopathic/Osteopathic/Surgery/Pediatric
260137 2086S0120X     Surgery                                             PHYS             104   Pediatric Surgeon              1   15C1      Surgery, Subspecialty         6CH       Pediatric Surgery
                      Physicians/Allopathic/Osteopathic/Surgery/Vascular
260138 2086S0129X     Surgery                                            PHYS              105   Peripheral Vascular Surgeon    1   15C1      Surgery, Subspecialty         6CI       Peripheral Vascular Surgery


260134 208G00000X     Physicians/Allopathic/Osteopathic/Thoracic Surgery PHYS              101   Thoracic Surgeon               1   15C1      Surgery, Subspecialty         6CD       Cardiothoracic Surgery



                                                                                                           13 of 24
                                                                              Medical Corps HIPAA Taxonomy Crosswalk

                    Physicians/Allopathic/Osteopathic/Neurological
260131 207T00000X   Surgery                                           PHYS        106   Neurological Surgeon          1   15D0   Neurological Surgery, General 000   No AQD
                    Physicians/Allopathic/Osteopathic/Neurological                                                               Neurological Surgery,               Complex Spinal Neurological
260131 207T00000X   Surgery                                           PHYS        106   Neurological Surgeon          1   15D1   Subspecialty                  6DD   Surgery
                    Physicians/Allopathic/Osteopathic/Neurological                                                               Neurological Surgery,
260131 207T00000X   Surgery                                           PHYS        106   Neurological Surgeon          1   15D1   Subspecialty                  6DE   Skull Base Neurological Surgery
                    Physicians/Allopathic/Osteopathic/Neurological                                                               Neurological Surgery,               Neurovascular Neurological
260131 207T00000X   Surgery                                           PHYS        106   Neurological Surgeon          1   15D1   Subspecialty                  6DG   Surgery
                    Physicians/Allopathic/Osteopathic/Obstetrics &                                                               Obstetrics / Gynecology,
260115 207V00000X   Gynecology                                        PHYS        150   Obstetrician & Gynecologist   1   15E0   General                       000   No AQD
                    Physicians/Allopathic/Osteopathic/Obstetrics &                                                               Obstetrics/Gynecology,
260115 207VC0200X   Gynecology/Critical Care Medicine                 PHYS        150   Obstetrician & Gynecologist   1   15E1   Subspecialty                  6EF   Obstetrics Critical Care Medicine
                    Physicians/Allopathic/Osteopathic/Obstetrics &                                                               Obstetrics/Gynecology,
260115 207VE0102X   Gynecology/Reproductive Endocrinology             PHYS        151   Endocrinologist, OB/GYN       1   15E1   Subspecialty                  6EI   Reproductive Endocrinology
                    Physicians/Allopathic/Osteopathic/Obstetrics &                                                               Obstetrics/Gynecology,
260115 207VG0400X   Gynecology/Gynecology                             PHYS        150   Obstetrician & Gynecologist   1   15E1   Subspecialty                  6EJ   Urogynecology & Pelvic Surgery
                    Physicians/Allopathic/Osteopathic/Obstetrics &                                                               Obstetrics/Gynecology,
260115 207VM0101X   Gynecology/Maternal & Fetal Medicine              PHYS        150   Obstetrician & Gynecologist   1   15E1   Subspecialty                  6EH   Maternal Fetal Medicine
                    Physicians/Allopathic/Osteopathic/Obstetrics &                                                               Obstetrics/Gynecology,
260115 207VX0201X   Gynecology/Gynecologic Oncology                   PHYS        152   Oncologist OB/GYN             1   15E1   Subspecialty                  6EG   Gynecologic Oncology
                                                                                                                                 Operational Medicine and
260109 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Primary Care                  000   No AQD
                                                                                                                                 Contingency / Operational
260105 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Medicine                      6OB   Shipboard Assignment
                                                                                                                                 Contingency / Operational
260105 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Medicine                      6OC   Hospital Ship Assignment
                                                                                                                                 Contingency / Operational
260105 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Medicine                      6ON   Medical Regulator
                                                                                                                                 Contingency / Operational
260105 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Medicine                      6OR   CATF Surgeon
                                                                                                                                 Contingency / Operational           C4 Trained plus Orthopedics
260105 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Medicine                      6OT   enhancement module
                                                                                                                                 Contingency / Operational
260105 208D00000X   Physicians/Allopathic/Osteopathic/General Practice PHYS       000   General Practice Physician    1   15F0   Medicine                      6OU   Fleet Hospital Assignment


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology   PHYS        120   Ophthalmologist               1   15G0   Ophthalmology, General        000   No AQD


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology   PHYS        120   Ophthalmologist               1   15G1   Ophthalmology, Subspecialty   6GD   Comprehensive Ophthalmology


                                                                                                                                                                     Neuro-ophthalmology / Surgical
260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology   PHYS        120   Ophthalmologist               1   15G1   Ophthalmology, Subspecialty   6GG   Neuro-ophthalmology


                                                                                                  14 of 24
                                                                               Medical Corps HIPAA Taxonomy Crosswalk


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS        120   Ophthalmologist        1   15G1   Ophthalmology, Subspecialty    6GE   Cornea and External Eye Disease


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS        120   Ophthalmologist        1   15G1   Ophthalmology, Subspecialty    6GF   Glaucoma


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS        120   Ophthalmologist        1   15G1   Ophthalmology, Subspecialty    6GJ   Retina / Vitreous Surgery


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS        120   Ophthalmologist        1   15G1   Ophthalmology, Subspecialty    6GI   Ophthalmic Pathology
                                                                                                                                                                Strabismus / Pediatric
260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS        120   Ophthalmologist        1   15G1   Ophthalmology, Subspecialty    6GK   Ophthalmology


260117 207W00000X   Physicians/Allopathic/Osteopathic/Ophthalmology    PHYS        120   Ophthalmologist        1   15G1   Ophthalmology, Subspecialty    6GH   Oculoplastics
                    Physicians/Allopathic/Osteopathic/Orthopaedic
260132 207X00000X   Surgery                                            PHYS        140   Orthopedic Surgeon     1   15H0   Orthopedic Surgery, General    000   No AQD
                    Physicians/Allopathic/Osteopathic/Orthopaedic                                                          Orthopedic Surgery,
       207XX0004X   Surgery/Foot and Ankle Orthopaedics                PHYS        140   Orthopedic Surgeon     1   15H1   Subspecialty                   6HD   Foot and Ankle Surgery
                    Physicians/Allopathic/Osteopathic/Orthopaedic                                                          Orthopedic Surgery,
260132 207XS0106X   Surgery/Hand Surgery                               PHYS        140   Orthopedic Surgeon     1   15H1   Subspecialty                   62F   Hand Surgery

                    Physicians/Allopathic/Osteopathic / Orthopaedic
                    Surgery / Orthopaedic                    Surgery of                                                    Orthopedic Surgery,
260132 207XS0117X   the Spine                                           PHYS       140   Orthopedic Surgeon     1   15H1   Subspecialty                   6HH   Spine Surgery
                    Physicians/Allopathic/Osteopathic/Orthopaedic                                                          Orthopedic Surgery,
260132 207XX0801X   Surgery/Orthopaedic Trauma                         PHYS        140   Orthopedic Surgeon     1   15H1   Subspecialty                   6HK   Trauma Surgery
                    Physicians/Allopathic/Osteopathic/Orthopaedic                                                          Orthopedic Surgery,
260132 207XX0005X   Surgery/Sports Medicine                            PHYS        140   Orthopedic Surgeon     1   15H1   Subspecialty                   6HI   Sports Surgery


260119 207Y00000X   Physicians/Allopathic/Osteopathic/Otolaryngology   PHYS        130   Otolaryngologist       1   15I0   Otolaryngology, General        000   No AQD
                    Physicians/Allopathic/Osteopathic/Otolaryngology/F                                                                                          Facial Plastics and Reconstructive
260119 207YX0905X   acial Plastic Surgery                              PHYS        130   Otolaryngologist       1   15I1   Otolaryngology, Subspecialty   6ID   Surgery
                    Physicians/Allopathic/Osteopathic/Otolaryngology/O
260119 207YX0901X   tology & Neurotology                               PHYS        130   Otolaryngologist       1   15I1   Otolaryngology, Subspecialty   6IF   Neuro-otology
                    Physicians/Allopathic/Osteopathic/Otolaryngology/P
260119 207YP0228X   ediatric Otolaryngology                            PHYS        130   Otolaryngologist       1   15I1   Otolaryngology, Subspecialty   6IG   Pediatric Otolaryngology


                    Physicians/Allopathic/Osteopathic/Otolaryngology/P
260119 207YX0007X   lastic Surgery within the Head & Neck              PHYS        130   Otolaryngologist       1   15I1   Otolaryngology, Subspecialty   6IE   Head And Neck Surgery
                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS        110   Urologist              1   15J0   Urology, General               000   No AQD
                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS        110   Urologist              1   15J1   Urology, Subspecialty          6JI   Urologic Oncology



                                                                                                     15 of 24
                                                                              Medical Corps HIPAA Taxonomy Crosswalk

                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS       110   Urologist                         1   15J1   Urology, Subspecialty          6JD   Endocrinologic Urology
                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS       110   Urologist                         1   15J1   Urology, Subspecialty          6JE   Female Urology
                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS       110   Urologist                         1   15J1   Urology, Subspecialty          6JF   Infertility Urology
                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS       110   Urologist                         1   15J1   Urology, Subspecialty          6JH   Urinary Stone Disease
                    Physicians/Allopathic/Osteopathic /
260136 208800000X   Urology                                            PHYS       110   Urologist                         1   15J1   Urology, Subspecialty          6JG   Pediatric Urology


                    Physicians/Allopathic/Osteopathic/Preventive &
260123 2083S0010X   Occupational Med/Preventive Med/Sports Medicine PHYS          320   Preventive Medicine Physician     1   15K0   Preventive Medicine, General   000   No AQD

                    Physicians/Allopathic/Osteopathic /Preventive &
                    Occupational Medicine /Preventive Med/Medical                                                                    Preventive Medicine,
260123 2083T0002X   Toxicology                                         PHYS       320   Preventive Medicine Physician     1   15K1   Subspecialty                   6KE   Medical Toxicology


                    Physicians/Allopathic/Osteopathic/Preventive &                                                                   Preventive Medicine,
260123 2083S0010X   Occupational Med/Preventive Med/Sports Medicine PHYS          320   Preventive Medicine Physician     1   15K1   Subspecialty                   6KL   Radiation Safety Officer


                    Physicians/Allopathic/Osteopathic/Preventive &
260123 2083X0100X   Occupational Medicine/Occupational Medicine        PHYS       321   Occupational Medicine Physician   1   15K2   Occupational Medicine-General 000    No AQD
                    Physicians/Allopathic/Osteopathic/Physical
260122 208100000X   Medicine & Rehabilitation                          PHYS       090   Physical Medicine Physician       1   15L0   Phys Med & Rehab               000   No AQD

                    Physicians/Allopathic/Osteopathic/Physical
                    Medicine & Rehabilitation/Spinal Cord Injury                                                                     Physical Medicine & Rehab            Spinal Cord Rehabilitation
260122 2081P0004X   Medicine                                           PHYS       090   Physical Medicine Physician       1   15L1   Subspecialty                   6LN   Specialist


                    Physicians/Allopathic/Osteopathic / Pathology /
260120 207ZP0105X   Clinical Pathology /          Laboratory Medicine PHYS        200   Pathologist                       1   15M0   Pathology, General             000   No AQD


                    Physicians/Allopathic/Osteopathic / Pathology /
260120 207ZP0105X   Clinical Pathology /          Laboratory Medicine PHYS        200   Pathologist                       1   15M0   Pathology, General             6MC   Clinical Pathologist
                    Physicians/Allopathic/Osteopathic / Pathology /
260120 207ZP0101X   Anatomic Pathology                                 PHYS       200   Pathologist                       1   15M0   Pathology, General             6MB   Anatomic Pathologist


                    Physicians/Allopathic/Osteopathic / Pathology /
260120 207ZP0102X   Anatomic Pathology &          Clinical Pathology   PHYS       200   Pathologist                       1   15M0   Pathology, General             6MA   Anatomical and Clinical Pathology


                    Physicians/Allopathic/Osteopathic / Pathology /
260120 207ZP0105X   Clinical Pathology /          Laboratory Medicine PHYS        200   Pathologist                       1   15M1   Pathology, Subspecialty        6ML   Surgical Pathologist


                                                                                                    16 of 24
                                                                               Medical Corps HIPAA Taxonomy Crosswalk

                    Physicians/Allopathic/Osteopathic/Pathology/Blood
260120 207ZB0001X   Banking & Transfusion Medicine                    PHYS         200   Pathologist                 1   15M1   Pathology, Subspecialty     6MD   Blood Bank Pathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Chemi
260120 207ZP0104X   cal Pathology                                     PHYS         200   Pathologist                 1   15M1   Pathology, Subspecialty     6ME   Chemical Pathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Derma
260120 207ZD0900X   topathology                                       PHYS         200   Pathologist                 1   15M1   Pathology, Subspecialty     6MG   Dermatopathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Forens
260120 207ZF0201X   ic Pathology                                       PHYS        204   Pathologist, Forensic       1   15M1   Pathology, Subspecialty     6MH   Forensic Pathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Hemat
260120 207ZH0000X   ology                                             PHYS         200   Pathologist                 1   15M1   Pathology, Subspecialty     6MI   Hematopathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Immun
260120 207ZI0100X   opathology                                        PHYS         200   Pathologist                 1   15M1   Pathology, Subspecialty     6MJ   Immunopathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Neuro
260120 207ZN0500X   pathology                                         PHYS         205   Neuropathologist            1   15M1   Pathology, Subspecialty     6MK   Neuropathologist
                    Physicians/Allopathic/Osteopathic/Pathology/Pathol
260120 207ZC0500X   ogy & Cytopathology                                PHYS        200   Pathologist                 1   15M1   Pathology, Subspecialty     6MF   Cytopathologist


260107 207N00000X   Physicians/Allopathic/Osteopathic / Dermatology     PHYS       080   Dermatologist               1   16N0   Dermatology, General        000   No AQD


260107 207N00000X   Physicians/Allopathic/Osteopathic / Dermatology     PHYS       080   Dermatologist               1   16N1   Dermatology, Subspecialty   6NH   Photobiology


                    Physicians/Allopathic/Osteopathic/Dermatology/Clin
260107 207NI0002X   ical & Laboratory Dermatological Immunology        PHYS        080   Dermatologist               1   16N1   Dermatology, Subspecialty   6ND   Dermatological Immunology / DLI
                    Physicians/Allopathic/Osteopathic/Dermatology/Der
260107 207NS0135X   matological Surgery                               PHYS         080   Dermatologist               1   16N1   Dermatology, Subspecialty   6NE   Dermatologic Surgery
                    Physicians/Allopathic/Osteopathic/Dermatology/Der
260107 207ND0900X   matopathology                                     PHYS         080   Dermatologist               1   16N1   Dermatology, Subspecialty   6NF   Dermatopathology
                    Physicians/Allopathic/Osteopathic/Dermatology/Ped
260107 207NP0225X   iatric Dermatology                                PHYS         044   Dermatologist, Pediatric    1   16N1   Dermatology, Subspecialty   6NG   Pediatric Dermatology
                    Physicians/Allopathic/Osteopathic/Emergency
260103 207P00000X   Medicine                                            PHYS       004   Emergency Physician         1   16P0   Emergency Med, General      000   No AQD
                    Physicians/Allopathic/Osteopathic/Emergency
260103 207P00000X   Medicine                                            PHYS       004   Emergency Physician         1   16P1   Emergency Med, Subspecialty 6PD   Emergency Medicine Services
                    Physicians/Allopathic/Osteopathic/Emergency
260103 207P00000X   Medicine                                            PHYS       004   Emergency Physician         1   16P1   Emergency Med, Subspecialty 6PF   Pediatric Emergency Medicine
                    Physicians/Allopathic/Osteopathic/Emergency
260103 207PT0002X   Medicine/Medical Toxicology                         PHYS       004   Emergency Physician         1   16P1   Emergency Med, Subspecialty 6PE   Medical Toxicology
                    Physicians/Allopathic/Osteopathic/Emergency
260103 207PS0010X   Medicine/Sports Medicine                            PHYS       004   Emergency Physician         1   16P1   Emergency Med, Subspecialty 62G   Sports Medicine


260111 207Q00000X   Physicians/Allopathic/Osteopathic/Family Practice   PHYS       001   Family Practice Physician   1   16Q0   Family Practice, General    000   No AQD


                                                                                                   17 of 24
                                                                               Medical Corps HIPAA Taxonomy Crosswalk


260111 207Q00000X   Physicians/Allopathic/Osteopathic/Family Practice   PHYS       001   Family Practice Physician      1   16Q1   Family Practice, Subspecialty   6QF   Obstetrics
                    Physicians/Allopathic/Osteopathic/Family
260111 207QA0000X   Practice/Adolescent Medicine                        PHYS       001   Family Practice Physician      1   16Q1   Family Practice, Subspecialty   62A   Adolescent
                    Physicians/Allopathic/Osteopathic/Family
260111 207QG0300X   Practice/Geriatric Medicine                         PHYS       001   Family Practice Physician      1   16Q1   Family Practice, Subspecialty   62E   Geriatric Medicine


260148 207R00000X   Physicians/Allopathic/Osteopathic/Internal Medicine PHYS       011   Internist                      1   16R0   Internal Med - General          000   No AQD

                                                                                                                                                                         Allergy / Immunologist /
                    Physicians/Allopathic / Osteopathic / Allergy &                                                                                                      Diagnostic & Laboratory
260102 207KA0200X   Immunology                                          PHYS       012   Allergist/Immunologist         1   16R1   Internal Med - Subspecialty     62B   Immunology (DLI)


260177 207R00000X   Physicians/Allopathic/Osteopathic/Internal Medicine PHYS       011   Internist                      1   16R1   Internal Med - Subspecialty     6RV   Tropical Medicine


       207R00000X   Physicians/Allopathic/Osteopathic/Internal Medicine PHYS       011   Internist                      1   16R1   Internal Med - Subspecialty     62D   Faculty Development
                    Physicians/Allopathic/Osteopathic/Internal
260148 207RA0000X   Medicine/Adolescent Medicine                        PHYS       011   Internist                      1   16R1   Internal Med - Subspecialty     62A   Adolescent Medicine
                    Physicians/Allopathic/Osteopathic/Internal
260142 207RC0000X   Medicine/Cardiovascular Disease                     PHYS       014   Cardiologist                   1   16R1   Internal Med - Subspecialty     6RG   Cardiology General
                    Physicians /Allopathic /Osteopathic /Internal
260142 207RC0001X   Medicine /Clinical Cardiac Electrophysiology                                                            16R1   Internal Med - Subspecialty     6RH   Cardiac Electrophysiologist
                    Physicians/Allopathic/Osteopathic/Internal
260142 207RC0200X   Medicine/Critical Care Medicine                     PHYS       917   Critical Care Medicine         1   16R1   Internal Med - Subspecialty     62C   Critical Care Medicine


                    Physicians/Allopathic/Osteopathic/Internal
260145 207RE0101X   Medicine/Endocrinology/Diabetes & Metabolism        PHYS       016   Endocrinologist                1   16R1   Internal Med - Subspecialty     6RK   Endocrinologist
                    Physicians/Allopathic/Osteopathic/Internal
260141 207RG0100X   Medicine/Gastroenterology                           PHYS       018   Gastroenterologist             1   16R1   Internal Med - Subspecialty     6RL   Gastroenterologist
                    Physicians/Allopathic/Osteopathic/Internal
260148 207RG0300X   Medicine/Geriatric Medicine                         PHYS       017   Geriatrician                   1   16R1   Internal Med - Subspecialty     62E   Geriatric Medicine
                    Physicians/Allopathic/Osteopathic/Internal
260144 207RH0000X   Medicine/Hematology                                 PHYS       019   Hematologist                   1   16R1   Internal Med - Subspecialty     6RN   Hematologist
                    Physicians/Allopathic/Osteopathic/Internal
260149 207RI0200X   Medicine/Infectious Disease                         PHYS       022   Infectious Disease Physician   1   16R1   Internal Med - Subspecialty     6RP   Infectious Disease Specialist
                    Physicians/Allopathic/Osteopathic/Internal
260142 207RI0011X   Medicine/Interventional Cardiology                                                                      16R1   Internal Med - Subspecialty     6RI   Interventional Cardiologist
                    Physicians/Allopathic/Osteopathic/Internal
260144 207RX0202X   Medicine/Medical Oncology                           PHYS       013   Oncologist                     1   16R1   Internal Med - Subspecialty     6RO   Oncologist
                    Physicians/Allopathic/Osteopathic/Internal
260143 207RN0300X   Medicine/Nephrology                                 PHYS       024   Nephrologist                   1   16R1   Internal Med - Subspecialty     6RQ   Nephrology



                                                                                                     18 of 24
                                                                              Medical Corps HIPAA Taxonomy Crosswalk

                    Physicians/Allopathic/Osteopathic/Internal
260140 207RP1001X   Medicine/Pulmonary Disease                        PHYS        021   Pulmonary Disease Physician     1   16R1   Internal Med - Subspecialty   6RR   Pulmonologist
                    Physicians/Allopathic/Osteopathic/Internal
260148 207RS0010X   Medicine/Sports Medicine                          PHYS                                                  16R1   Internal Med - Subspecialty   62G   Sports Medicine
                    Physicians/Allopathic/Osteopathic/Internal
260146 207RR0500X   Medicinel/Rheumatology                            PHYS        020   Rheumatologist                  1   16R1   Internal Med - Subspecialty   6RS   Rheumatologist


260113 2084N0400X   Physicians/Allopathic/Osteopathic / Neurology     PHYS        060   Neurologist                     1   16T0   Neurology, General            001   No AQD

                    Physicians/Allopathic/Osteopathic/Psychiatry &
                    Neurology/Neurology with Special Qualifications in
260113 2084N0402X   Child Neurology                                    PHYS       049   Neurologist, Pediatric          1   16T1   Neurology, Subspecialty       6TD   Child Neurology


260113 2084N0400X   Physicians/Allopathic/Osteopathic / Neurology     PHYS        060   Neurologist                     1   16T1   Neurology, Subspecialty       6TF   Medical Neuro-ophthalmologist


260113 2084N0400X   Physicians/Allopathic/Osteopathic / Neurology     PHYS        060   Neurologist                     1   16T1   Neurology, Subspecialty       6TG   Neurophysiologist


                    Physicians/Allopathic/Osteopathic/Preventive &
                    Occupational Medicine/Preventive Medicine /
260129 2083P0011X   Undersea and Hyperbaric Medicine                  PHYS        322   Hyperbaric/Undersea Physician   1   16U0   Undersea Medicine - General   000   No AQD

                    Physicians/Allopathic/Osteopathic/Preventive &
                    Occupational Med/Preventive Med/Undersea and
260129 2083P0011X   Hyperbaric Medicine                               PHYS        322   Hyperbaric/Undersea Physician   1   16U0   Undersea Medicine - General   6UD   Undersea Medical Diver


                    Physicians/Allopathic/Osteopathic/Preventive &
                    Occupational Medicine /Preventive Medicine /
260129 2083P0011X   Undersea and Hyperbaric Medicine                  PHYS        322   Hyperbaric/Undersea Physician   1   16U0   Undersea Medicine - General   6UM   Submarine

                    Physicians/Allopathic/Osteopathic/Preventive &
                    Occupational Med/Preventive Med/Undersea &                                                                     Undersea Medicine -
260129 2083P0011X   Hyperbaric Medicine                               PHYS        322   Hyperbaric/Undersea Physician   1   16U1   Subspecialty                  6UE   Undersea Occupation Medicine


                    Physicians/Allopathic/Osteopathic /Preventive &
                    Occupational Medicine /Preventive Medicine /                                                                   Undersea Medicine -
260129 2083P0011X   Undersea and Hyperbaric Medicine                  PHYS        322   Hyperbaric/Undersea Physician   1   16U1   Subspecialty                  6UF   Hyperbaric Medicine Researcher


                    Physicians/Allopathic/Osteopathic/Preventive &
                    Occupational Medicine /Preventive Medicine /                                                                   Undersea Medicine -
260129 2083P0011X   Undersea and Hyperbaric Medicine                  PHYS        322   Hyperbaric/Undersea Physician   1   16U1   Subspecialty                  6UG   Hyperbaric Medicine Clinician
                    Physicians/Allopathic/Osteopathic/
260120 208000000X   Pediatrics                                        PHYS        040   Pediatrician                    1   16V0   Pediatrics, General           000   No AQD
                    Physicians/Allopathic/Osteopathic/
260120 208000000X   Pediatrics                                        PHYS        040   Pediatrician                    1   16V1   Pediatrics, Subspecialty      6VH   Child / Sexual Abuse Specialist


                                                                                                  19 of 24
                                                                                Medical Corps HIPAA Taxonomy Crosswalk

                    Physicians/Allopathic/Osteopathic/Pediatrics/Neona
260121 2080N0001X   tal-Perinatal Medicine                             PHYS         046   Perinatologist                   1   16V1   Pediatrics, Subspecialty   6VV   Neonatologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Develo
260121 2080P0006X   pmental-Behavioral Pediatrics                       PHYS        040   Pediatrician                     1   16V1   Pediatrics, Subspecialty   6VJ   Developmental Pediatrician
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0201X   ic Allergy & Immunology                              PHYS       041   Allergist, Pediatric             1   16V1   Pediatrics, Subspecialty   6VF   Allergist / Immunologist / DLI
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0202X   ic Cardiology                                        PHYS       043   Cardiologist, Pediatric          1   16V1   Pediatrics, Subspecialty   6VG   Pediatric Cardiologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0203X   ic Critical Care Medicine                            PHYS       040   Pediatrician                     1   16V1   Pediatrics, Subspecialty   6VI   Pediatric Intensivist / Critical Care
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0204X   ic Emergency Medicine                                PHYS       040   Pediatrician                     1   16V1   Pediatrics, Subspecialty   6PF   Pediatric Emergency Medicine
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0205X   ic Endocrinology                                     PHYS       045   Endocrinologist, Pediatric       1   16V1   Pediatrics, Subspecialty   6VK   Pediatric Endocrinologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0206X   ic Gastroenterology                                  PHYS       053   Gastroenterologist, Pediatric    1   16V1   Pediatrics, Subspecialty   6VL   Pediatric Gastroenterology
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                                                                                               Pediatric Hematologist /
260121 2080P0207X   ic Hematology-Oncology                               PHYS       048   Hematologist, Pediatric          1   16V1   Pediatrics, Subspecialty   6VN   Oncologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                  Infectious Diseases Physician,                                               Pediatrics Infectious Disease
260121 2080P0208X   ic Infectious Diseases                               PHYS       051   Pediatric                        1   16V1   Pediatrics, Subspecialty   6VP   Specialist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0210X   ic Nephrology                                        PHYS       054   Nephrologist, Pediatric          1   16V1   Pediatrics, Subspecialty   6VQ   Pediatric Nephrologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr                  Pulmonary Disease Physician,
260121 2080P0214X   ic Pulmonology                                       PHYS       050   Pediatric                        1   16V1   Pediatrics, Subspecialty   6VR   Pediatric Pulmonologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Pediatr
260121 2080P0216X   ic Rheumatology                                      PHYS       040   Pediatrician                     1   16V1   Pediatrics, Subspecialty   6VS   Pediatric Rheumatologist
                    Physicians/Allopathic/Osteopathic/Pediatrics/Medic
       2080T0002X   al Toxicology                                                                                          1   16V1   Pediatrics, Subspecialty   6VW   Toxicologist


260128 207U00000X   Physicians/Allopathic/Osteopathic/Nuclear Medicine PHYS         027   Nuclear Medicine Physician       1   16W0   Nuclear Medicine           000   No AQD
                    Physicians/Allopathic/Osteopathic/Psychiatry &
260125 2084P0800X   Neurology/Psychiatry                                 PHYS       070   Psychiatrist                     1   16X0   Psychiatry, General        000   No AQD


                    Physicians/Allopathic/Osteopathic / Psychiatry &
       2084P0802X   Neurology / Addiction               Psychiatry       PHYS       070   Addiction Psychiatrist           1   16X1   Psychiatry, Subspecialty   6XD   Addiction Psychiatry

                    Physicians/Allopathic/Osteopathic / Psychiatry &
                    Neurology / Child &                 Adolescent                                                                                                     Adolescent Psychiatry (Board
260125 2084P0804X   Psychiatry                                           PHYS       071   Child Psychiatrist               1   16X1   Psychiatry, Subspecialty   6XF   Certified)


                    Physicians/Allopathic/Osteopathic/Psychiatry &                                                                                                     Child/adolescent Psychiatry
260125 2084P0804X   Neurology/Child & Adolescent Psychiatry              PHYS       071   Child Psychiatrist               1   16X1   Psychiatry, Subspecialty   6XH   (Board Eligible)


                                                                                                     20 of 24
                                                                                 Medical Corps HIPAA Taxonomy Crosswalk


                    Physicians/Allopathic/Osteopathic / Psychiatry &
260125 2084F0202X   Neurology / Forensic                   Psychiatry     PHYS       070   Forensic Psychiatrist            1   16X1   Psychiatry, Subspecialty   6XL   Forensic Psychiatry


                    Physicians/Allopathic/Osteopathic / Psychiatry &
260125 2084P0805X   Neurology / Geriatric             Psychiatry          PHYS       070   Psychiatrist                     1   16X1   Psychiatry, Subspecialty   6XM   Geriatric Psychiatry
                    Physicians/Allopathic/Osteopathic/Psychiatry &                                                                                                      Community / Preventive
260125 2084P0800X   Neurology/Psychiatry                                  PHYS       070   Psychiatrist                     1   16X1   Psychiatry, Subspecialty   6XJ   Psychiatry
                    Physicians/Allopathic/Osteopathic/Psychiatry &
260125 2084P0800X   Neurology/Psychiatry                                  PHYS       070   Psychiatrist                     1   16X1   Psychiatry, Subspecialty   6XK   Consultation / Liaison Psychiatry
                    Physicians/Allopathic/Osteopathic/Psychiatry &
260125 2084P0800X   Neurology/Psychiatry                                  PHYS       070   Psychiatrist                     1   16X1   Psychiatry, Subspecialty   6XN   Research Psychiatry
                    Physicians/Allopathic/Osteopathic/Radiology/Diagn
260127 2085R0202X   ostic Radiology                                   PHYS           404   Diagnostic                       1   16Y0   Diagnostic Radiology       000   No AQD
                    Physicians/Allopathic/Osteopathic/Radiology/Body
260127 2085B0100X   Imaging                                               PHYS       400   Radiologist                      1   16Y1   Radiology, Subspecialty    6YD   Rad-imaging
                    Physicians/Allopathic/Osteopathic/Radiology/Neuror
260127 2085N0700X   adiology                                           PHYS          402   Neuro-Radiologist                1   16Y1   Radiology, Subspecialty    6YF   Neuro-radiology
                    Physicians/Allopathic/Osteopathic/Radiology/Nuclea
260127 2085N0904X   r Radiology                                        PHYS          403   Nuclear Medicine Radiologist     1   16Y1   Radiology, Subspecialty    6YG   Nuclear Radiology
                    Physicians/Allopathic/Osteopathic/Radiology/Pediat
260127 2085P0229X   rics/Pediatric Radiology                           PHYS                                                     16Y1   Radiology, Subspecialty    6YI   Pediatric Radiologist
                    Physicians/Allopathic/Osteopathic/Radiology/Vascul
260127 2085R0204X   ar & Interventional Radiology                      PHYS          405   Special Procedures Radiologist   1   16Y1   Radiology, Subspecialty    6YE   Interventional/vascular
                    Physicians/Allopathic/Osteopathic/Radiology/Radiati
260127 2085R0001X   on Oncology                                                                                             1   16Y2   Radiation Oncology         000   No AQD
                    Physicians/Allopathic/Osteopathic/Radiology/Thera
260127 2085R0203X   peutic Radiology                                  PHYS           401   Radiation Therapist              1   16Y2   Radiation Oncology         6YK   Radiation Teletherapy Physicist




                                                                                                     21 of 24
                                                                             Medical Service Corps HIPAA Taxonomy Crosswalk


                                                                                                                                 CCQAS
                                                                                                                                 SPEC
DoD                                                                  Provider                                            CMAC CODE /
Occ    HIPAA Code                                                    Classification   CHCS CHCS Provider Specialty      Provider NAVY    specialty_description_txt /   aqd_code
Code   Version 4.0   HPTC Description Version 4.0                    (KG-ADS)         Code Type Code Description         Class Code      Navy Code Description         _txt     aqd_description_txt
                     Behavioral Health & Social Service
260807 103TC0700X    Providers/Psychologist/Clinical                 DCP              702    Clinical Psychologist        2     1840     Clinical Psychology           000       No AQD
                     Behavioral Health & Social Service
260807 103TC0700X    Providers/Psychologist/Clinical                 DCP              702    Clinical Psychologist        2     1841     Child Psychology              000       No AQD
                     Behavioral Health & Social Service
260807 103TC0700X    Providers/Psychologist/Clinical                 DCP              702    Clinical Psychologist        2     1843     Medical Psychology            000       No AQD
                     Behavioral Health & Social Service
260807 103TC0700X    Providers/Psychologist/Clinical                 DCP              702    Clinical Psychologist        2     1845     Research Psychology           000       No AQD
                     Speech, Language and Hearing Service
260801 231H00000X    Providers/Audiologist                           DCP              709    Audiologist                  4     1862     Audiology                     000       No AQD
                     Behavioral Health & Social Service
260807 104100000X    Providers/Social Worker                         DCP              703    Psychology Social Worker     3     1870     Social Work                   000       No AQD


                     Respiratory, Rehabilitative & Restorative Service
260806 225100000X    Providers / Physical                Therapist     DCP            706    Physical Therapist           4     1873     Physical Therapy              000       No AQD


                     Respiratory, Rehabilitative & Restorative Service
260806 225100000X    Providers / Physical                Therapist     DCP            706    Physical Therapist           4     1873     Physical Therapy              6LD       Musculoskeletal Screener

                     Respiratory, Rehabilitative & Restorative Service
                     Providers/Physical Therapist/Electrophysiology,                                                                                                             Electroneuromyographic
260806 2251E1300X    Clinical                                          DCP            706    Physical Therapist           4     1873     Physical Therapy              6LC       Specialist

                     Respiratory, Rehabilitative & Restorative Service
                     Providers /                Occupational
260806 225X00000X    Therapist                                         DCP            705    Occupational Therapist       4     1874     Occupational Therapy          000       No AQD

                                                                                                                                                                                 Upper Extremity
                     Respiratory, Rehabilitative & Restorative Service                                                                                                           Neuromusculoskeletal
260806 225X00000X    Providers/Occupational Therapist                  DCP            705    Occupational Therapist       4     1874     Occupational Therapy          6LJ       Evaluator (UENMSE)
                     Dietary & Nutritional Service
260810 133N00000X    Providers/Nutritionist                          DCP              704    Dietician-Nutritionist       4     1876     Clinical Dietetics            000       No AQD


260804 152W00000X    Eye and Vision Services Providers/Optometrist   DCP              708    Optometrist                  4     1880     Optometry                     6GA       Aviation Optometrist


260804 152W00000X    Eye and Vision Services Providers/Optometrist   DCP              708    Optometrist                  4     1880     Optometry                     000       No AQD




                                                                                                         22 of 24
                                                                          Medical Service Corps HIPAA Taxonomy Crosswalk


260804 152W00000X   Eye and Vision Services Providers/Optometrist   DCP          708   Optometrist               4   1880    Optometry                 6AN   Aerospace Optometrist
                    Pharmacy Service
260805 1835P1200X   Providers/Pharmacist/Pharmacotherapy            PHARM                                               1887 Pharmacy, General         000   No AQD
                    Podiatric Medicine & Surgery Service
260809 213E00000X   Providers/Podiatrist                            DCP          707   Podiatrist                1   1892    Podiatry                  000   No AQD
                    Physician Assistants & Advanced Practice
260811 363A00000X   Nursing Providers/Physician Assistant           PA           901   Physician Assistant       4   1893    Physician Assistant       62G   Sports Medicine

                    Physician Assistants & Advanced Practice
                    Nursing Providers / Physician                                                                                                            Orthopedic Physician
260811 363A00000X   Assistant                                       PA           901   Physician Assistant       4   1893    Physician Assistant       6HL   Assistant


                    Physician Assistants & Advanced Practice
260811 363AM0700X   Nursing Providers/Physician Assistant/Medical   PA                                               1893    Physician Assistant       000   No AQD

                    Behavioral Health & Social Service
                    Providers/Counselor/Addiction (Substance Use
130200 101YA0400X   Disorder)                                       DCP          074   Alcohol Abuse Counselor   3   1895    Mental Health Counselor   000   No AQD

                    Behavioral Health & Social Service
                    Providers/Counselor/Addiction (Substance Use
130200 101YA0400X   Disorder)                                       DCP          075   Drug Abuse Counselor      3   1895    Mental Health Counselor   000   No AQD
260802 111NI0900X   Chiropractors/Chiropractor/Internist            DCP          713   Contract Chiropractor     1   1898    Chiropractor              000   No AQD

                    Speech, Language and Hearing Service
                    Providers / Speech-Language
260801 235Z00000X   Pathologist                                     DCP          710   Speech Therapist          4   1899    Speech Pathology          000   No AQD




                                                                                                    23 of 24
                                                                                 Nurse Corps HIPAA Taxonomy Crosswalk



                                                                                                                                   CCQAS
                                                                                                                                   SPEC
DoD                                                                    Provider                                            CMAC CODE /
Occ    HIPAA Code                                                      Classification   CHCS CHCS Provider Specialty Type Provider NAVY    specialty_description_txt /                 aqd_descript
Code   Version 4.0   HPTC Description Version 4.0                      (KG-ADS)         Code Code Description              Class Code      Navy Code Description          aqd_code_txt ion_txt


                     Physician Assistants & Advanced Practice Nursing
260502 367500000X    Providers / Nurse Anesthetist / Certified Registered APRN          612   Nurse Anesthetist                 4   1972   Nurse Anesthetist              000          No AQD


                     Physician Assistants & Advanced Practice Nursing
260504 363LP0200X    Providers/Nurse Practitioner/Pediatrics          APRN              603   Pediatric Nurse Practitioner      4   1974   Pediatric Nurse Practitioner   000          No AQD


                     Physician Assistants & Advanced Practice Nursing
260504 363LA2200X    Providers/Nurse Practitioner/Adult Health        APRN              604   Adult Health Nurse Practitioner   4   1975   Adult Health Nurse Practitioner 000         No AQD


                     Physician Assistants & Advanced Practice Nursing
260504 363LF0000X    Providers / Nurse      Practitioner/Family       APRN              604   Family Nurse Practitioner         4   1976   Family Nurse Practitioner      000          No AQD


                     Physician Assistants & Advanced Practice Nursing                         Women's Health Nurse                         Womens Health (OB/GYN)
260504 363LW0102X    Providers/Nurse Practitioner/Women's Health      APRN              602   Practitioner                      4   1980   Nurse Practitioner             000          No AQD


                     Physician Assistants & Advanced Practice Nursing
260505 367A00000X    Providers / Midwife /            Certified Nurse APRN              608   Certified Nurse Midwife           4   1981   (Certified Nurse) Midwife      000          No AQD




                                                                                                     24 of 24

				
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