Qme Form 106 - Request For Qme Panel Under Labor Code Form Page 4

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For Use with the QME Panel Request Form 106
MD/DO SPECIALTY CODES
NON-MD/DO SPECIALTY CODES
MAA
Anesthesiology
ACA
Acupuncture
MAI
Allergy and Immunology
DCH
Chiropractic
MDE
Dermatology
DEN
Dentistry
MEM
Emergency Medicine
OPT
Optometry
MFP
Family Practice
POD
Podiatry
MPM
General Preventive Medicine
PSY
Psychology
MHH
Hand
MMM Internal Medicine
MMV
Internal Medicine - Cardiovascular Disease
MME
Internal Medicine - Endocrinology Diabetes and
Metabolism
MMG
Internal Medicine - Gastroenterology
MMH
Internal Medicine - Hematology
MMI
Internal Medicine - Infectious Disease
MMO
Internal Medicine - Medical Oncology
MMN
Internal Medicine - Nephrology
MMP
Internal Medicine - Pulmonary Disease
MMR
Internal Medicine - Rheumatology
MNB
Spine
MPN
Neurology
Neurological Surgery (other than Spine)
MNS
MOG
Obstetrics and Gynecology
MOQ
Medicine Otherwise Qualified
MPO
Occupational Medicine
MOP
Ophthalmology
MOS
Orthopaedic Surgery (other than Spine or Hand)
MTO
Otolaryngology
MPA
Pain Medicine
MHA
Pathology
MPR
Physical Medicine & Rehabilitation
MPS
Plastic Surgery (other than Hand)
MPD
Psychiatry (other than Pain Medicine)
MSY
Surgery (other than Spine or Hand)
MSG
Surgery - General Vascular
MTS
Thoracic Surgery
MTT
Toxicology
MUU
Urology
Do not file this page with your form!
QME Form 106 (rev. 9/2015)

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