CMS-1734-P_Indirect Practice Cost Indices     NPRM 2021	
Specialty	IPCI
01 - General practice	0.93033
02 - General surgery	0.93618
03 - Allergy/immunology	1.08497
04 - Otolaryngology	1.21252
05 - Anesthesiology	0.44633
06 - Cardiology	0.91200
07 - Dermatology	1.44870
08 - Family practice	1.16609
09 - Interventional Pain Management (IPM) (eff. 4/1/2003)	1.37801
10 - Gastroenterology	1.12159
11 - Internal medicine	1.18462
12 - Osteopathic manipulative therapy	0.56286
13 - Neurology	1.32676
14 - Neurosurgery	1.21466
15 - Speech Language Pathology	1.37818
16 - Obstetrics/gynecology	1.03396
17 - Hospice & Palative Care	1.56401
18 - Ophthalmology	1.55032
19 - Oral surgery (dentists only)	1.02455
20 - Orthopedic surgery	1.28846
21 - Cardiac Electrophysiology	1.18783
22 - Pathology	1.23411
23 - Sports Medicine	0.87936
24 - Plastic and reconstructive surgery	1.46585
25 - Physical medicine and rehabilitation	1.35561
26 - Psychiatry	0.46249
27 - Geriatric Psychiatry	0.45370
28 - Colorectal surgery (formerly proctology)	0.92501
29 - Pulmonary disease	0.74433
30 - Diagnostic radiology	0.90980
31 - Intensive Cardiac Rehab	2.56241
33 - Thoracic surgery	0.73194
34 - Urology	0.92860
35 - Chiropractic	0.93402
36 - Nuclear medicine	0.43356
37 - Pediatric medicine	0.94725
38 - Geriatric medicine	0.81339
39 - Nephrology	0.89264
40 - Hand surgery	1.43219
41 - Optometry (revised 10/1993 to mean optometrist)	0.85177
42 - Certified nurse midwife (eff. 1/1987)	1.24832
44 - Infectious disease	1.47141
46 - Endocrinology (eff. 5/1992)	1.07205
47 - Independent Diagnostic Testing Facility (IDTF) (eff. 6/1998)	0.63613
48 - Podiatry	0.55258
62 - Psychologist (billing independently)	0.44590
63 - Portable X-ray supplier	1.38098
64 - Audiologist (billing independently)	1.35417
65 - Physical therapist (private practice added 4/1/2003) (indepe	0.72858
66 - Rheumatology (eff. 5/1992)  During 1993 and 1994 DMERC also	1.05584
67 - Occupational therapist (private practice added 4/1/2003) (in	0.83822
68 - Clinical psychologist	0.31366
69 - Clinical laboratory (billing independently)	0.48665
70 - Multispecialty clinic or group practice	1.01938
71 - Registered Dietician/Nutrition Professional (eff. 1/1/2002)	1.91389
72 - Pain management (eff. 1/1/2002)	1.17903
76 - Peripheral vascular disease (eff. 5/1992)	0.34149
77 - Vascular surgery (eff. 5/1992)	0.39231
78 - Cardiac surgery (eff. 5/1992)	0.70381
79 - Addiction medicine (eff. 5/1992)	0.41372
80 - Licensed clinical social worker	0.30783
81 - Critical care (intensivists) (eff. 5/1992)	1.15115
82 - Hematology (eff. 5/1992)	1.95129
83 - Hematology/oncology (eff. 5/1992)	1.68332
84 - Preventive medicine (eff. 5/1992)	0.88247
85 - Maxillofacial surgery (eff. 5/1992)	1.35635
86 - Neuropsychiatry (eff. 5/1992)	0.37350
90 - Medical oncology (eff. 5/1992)	1.70619
91 - Surgical oncology (eff. 5/1992)	1.01534
92 - Radiation oncology (eff. 5/1992)	1.19669
93 - Emergency medicine (eff. 5/1992)	0.42573
94 - Interventional radiology (eff. 5/1992)	0.40158
98 - Gynecologist/oncologist (eff. 10/1994)	1.25297
99 - Unknown physician specialty	1.00000
C0 - Sleep Medicine	0.92591
C6 - Hospitalist	0.73652
C7 - Advanced Heart Failure and Transplant Cardiology	1.39500
C8 - Medical Toxicology	0.44897
C9 - Hematopoietic Cell Transplantation and Cellular Therapy	2.38513
