Category of Service
Category of ServiceThe Category of Service is a 4-digit code used to distinguish the type of claim to be entered. In ePACES, rather than enter the code, you will need to select the claim type from a list (Institutional, Dental, Professional). Therefore, this mapping is provided as a reference.
|
Category of Service |
Claim Type |
Provider Type |
|
0001 |
Professional |
Chain DME Dealer |
|
0002 |
Professional |
Chain Nursing Registry |
|
0010 |
Professional |
Shared Health Facility |
|
0020 |
Dental |
Dental Group |
|
0046 |
Professional |
Physician Group |
|
0050 |
Professional |
Podiatrist Group |
|
0052 |
Professional |
Nurse-Midwife Group |
|
0056 |
Professional |
Clinical Social Worker Group |
|
0058 |
Professional |
Clinical Psychologist |
|
0062 |
Professional |
Therapy Group Services |
|
0090 |
Professional |
Multi Type Group Services |
|
0121 |
Institutional |
Child Care Agencies - Medical Per Diem |
|
0122 |
Institutional |
Child Care Agencies - Not Medical Per Diem |
|
0123 |
Institutional |
Residential Treatment Facility |
|
0140 |
Professional |
Chiropractic Services |
|
0160 |
Institutional |
Diagnostic & Treatment Center Services |
|
0160 |
Institutional |
Day Treatment |
|
0162 |
Institutional |
Laboratory Ordered Ambulatory |
|
0163 |
Institutional |
Ordered Ambulatory (other than labs) |
|
0164 |
Institutional |
Supportive Health Services |
|
0165 |
Institutional |
Hospice |
|
0166 |
Institutional |
Pre-School Supportive Health Program |
|
0180 |
Dental |
Dental School Clinic Services |
|
0200 |
Dental |
Dental Services |
|
0220 |
Institutional |
Capitation Provider |
|
0260 |
Institutional |
Home Health Agency |
|
0261 |
Professional |
HHA Medical/Surgical Supply and DME Equipment |
|
0263 |
Institutional |
Traumatic Brain Injury |
|
0264 |
Institutional |
Vendor Personal Care Services |
|
0264 |
Institutional |
Limited Licensed Home Care Services |
|
0265 |
Institutional |
Case Management Services |
|
0266 |
Institutional |
Personal Emergency Response Services |
|
0267 |
Institutional |
Assisted Living Program |
|
0268 |
Institutional |
OMH Rehabilitative Services |
|
0269 |
Institutional |
OMRDD Waiver Services |
|
0281 |
Institutional |
Laboratory (Hospital-based) Ordered Ambulatory |
|
0282 |
Institutional |
Ordered Ambulatory Other Than Labs |
|
0284 |
Institutional |
Home Care Program |
|
0285 |
Institutional |
Inpatient |
|
0286 |
Institutional |
Skilled Nursing Facility |
|
0287 |
Institutional |
Hospital Based Outpatient Services |
|
0287 |
Institutional |
Day Treatment |
|
0321 |
Professional |
Durable Medical Equipment |
|
0322 |
Professional |
Hearing Aid Dispenser |
|
0323 |
Professional |
Oxygen and Related Equipment Dealer |
|
0324 |
Professional |
Audiologist/Hearing Aid Dealer |
|
0325 |
Professional |
Audiologist |
|
0381 |
Institutional |
Skilled Nursing Facility |
|
0383 |
Institutional |
Day Care |
|
0384 |
Institutional |
Intermediate Care Facility/Developmentally Disabled |
|
0385 |
Institutional |
Mental Retardation, Outpatient Services |
|
0386 |
Institutional |
HHA Professional Services |
|
0388 |
Institutional |
Long Term Home Health Care |
|
0389 |
Institutional |
Ordered Ambulatory Other Than Labs |
|
0401 |
Professional |
Optical Establishment with Salaried Optometrist |
|
0402 |
Professional |
Optical Establishment without Salaried Optometrist |
|
0403 |
Professional |
Optician (Ophthalmic Dispenser) Salaried |
|
0404 |
Professional |
Optician (Ophthalmic Dispenser) Self-Employed |
|
0405 |
Professional |
Eye Prosthesis Fitter |
|
0421 |
Professional |
Optometrist (Salaried) |
|
0422 |
Professional |
Optometrist (Self Employed) |
|
0423 |
Professional |
Optometrist Who Employs Other Optometrists or an Optician |
|
0442 |
Professional |
Pharmacy Medical Supplies, Equipment and Appliances |
|
0443 |
Professional |
Pharmacy Hearing Aid Dispenser |
|
0460 |
Professional |
Physician Services |
|
0461 |
Professional |
Chap Prac. |
|
0462 |
Professional |
Physicians Assistants |
|
0463 |
Professional |
High Ordering Provider |
|
0469 |
Professional |
Nurse Prac. |
|
0500 |
Professional |
Podiatry Services |
|
0521 |
Professional |
LPN |
|
0522 |
Professional |
RN |
|
0523 |
Professional |
Hospital Registry LPN |
|
0524 |
Professional |
Hospital Registry RN |
|
0525 |
Professional |
Nurse-Midwife |
|
0560 |
Professional |
Clinical Social Worker Services |
|
0580 |
Professional |
Clinical Psychology Services |
|
0601 |
Professional |
Ambulance |
|
0602 |
Professional |
Invalid Coach |
|
0603 |
Professional |
Taxi |
|
0604 |
Professional |
Trans-Medical/Surgical Supplies |
|
0605 |
Professional |
Livery Services |
|
0606 |
Professional |
Trans Day Treatment |
|
0609 |
Professional |
Transportation (Other) |
|
0621 |
Professional |
Occupational Therapist |
|
0622 |
Professional |
Physical Therapist |
|
0623 |
Professional |
Speech Pathologist |
|
1000 |
Professional |
Laboratory (Free-Standing) |
|
1001 |
Professional |
Laboratory Director |