The Pig-Nosed Turtle derives its most common name from the distinctive fleshy, pig-like snout featuring prominent nostrils, unlike the hard beaks of most turtles. This unique nasal structure is immediately recognizable and has inspired the universally used common name. The term "Pig-Nosed Turtle" accurately describes the species' most obvious feature and is recognized internationally. The specific nose morphology represents an adaptation to the turtle's riverine lifestyle, allowing breathing while submerged with minimal exposure at the water surface.
Alternate common names include "Fly River Turtle," referencing the Fly River in Papua New Guinea where the species occurs and was first collected by western scientists. This name is particularly common in Australia and among conservationists. "Pitted-Shell Turtle" describes the texture of the carapace, which features a sculptured, pitted surface unlike smooth or scute-covered shells of most turtles. In Australia, it is sometimes called the "Pig-Nose Turtle" (without hyphen) or simply "Pig-Nose." In Papua New Guinea, various local names exist in native languages. The species is occasionally referred to as the "paddle turtle" in reference to its unique flipper-like limbs.
Scientifically, Pig-Nosed Turtles hold a remarkable taxonomic position as the sole living member of the family Carettochelidae, making it a monotypic family. This unique status reflects its evolutionary distinctiveness and ancient lineage. The family Carettochelidae has existed for millions of years with numerous extinct species known from fossils, but Carettochelys insculpta is the only surviving representative. The genus name Carettochelys is derived from Greek words meaning "turtle-like," though the etymology is somewhat debated. The specific epithet "insculpta" is Latin meaning "engraved" or "sculptured," referencing the pitted texture of the carapace.
The species was scientifically described by Ramsay in 1886 based on specimens from the Fly River region of Papua New Guinea. Its evolutionary relationships puzzled scientists for decades, as it combines features of both side-necked and hidden-necked turtles while displaying unique characteristics. Modern molecular analysis has clarified its phylogenetic position as sister to the Trionychidae (softshell turtles), forming a distinct evolutionary lineage. No subspecies are recognized, as the species shows minimal geographic variation across its relatively restricted range. The monotypic family status emphasizes the conservation importance of this species as an irreplaceable lineage.

