The following Product Service Codes (PSCs) are commonly associated with NAICS 621111, Offices of Physicians (except Mental Health Specialists)

PSC Q519 Behavioral and Mental Health

Services
Federal Category 10.3: Medical Healthcare Services

Includes
All inpatient and outpatient clinical behavioral and mental health professionals: Psychiatrists, Clinical Psychologists, Advanced Practice Registered Nurses/Nurse Practitioners (certified in psychiatric/mental health), Certified Drug and Substance Counselor, Marriage and Family Counselor, Psychiatric Technician, Psychometrist, Recreational Therapist, Registered Art Therapist. Also includes psychiatric evaluation services.

Excludes
Excludes Licensed Clinical Social Workers and Social Workers in Case Management (covered under Social Work PSC Q528). If there is a requirement for mental or behavioral health Occupational Therapists (OT), Physical Therapists (PT) or OT or PT assistants, this can be found under Q518, Physical Medicine/Rehabilitation Medicine (PM&R). Registered Nurses (RN, psychiatric specialty) and Licensed Practical/Vocational Nurses (LPNs/LVNs, psychiatric specialty), can be found in Q401 Medical-Nursing. Last, Q519 excludes non-clinical services covered under G series codes.

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
621112 – Offices of Physicians, Mental Health Specialists
621330 – Offices of Mental Health Practitioners (except Physicians)
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
541611 – Administrative Management and General Management Consulting Services

PSC Q201 Medical—Managed Healthcare

Services
Federal Category 10.3: Medical Healthcare Services

Description
MEDICAL- MANAGED HEALTHCARE

Includes
Services that provide more than one medical discipline in a comprehensive contract requirement. Examples include DoD TRICARE Contracts and VA Community Care Contracts.

Excludes
Services that focus on one specific discipline or more than one discipline that are not part of a contract for comprehensive managed care services. For those services, select the specific code related to the specific discipline. If more than one discipline is being provided, choose the code that represents the preponderance of spend. For specific services for which no code is provided choose the hierarchical code such as Internal Medicine or Surgery.

Notes
Managed Care support services that provide a comprehensive array of healthcare services. Services are all inclusive and may include inpatient and/or outpatient services.

Possible NAICS Codes
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621498 – All Other Outpatient Care Centers
621111 – Offices of Physicians (except Mental Health Specialists)
524114 – Direct Health and Medical Insurance Carriers
541990 – All Other Professional, Scientific, and Technical Services
621511 – Medical Laboratories
621610 – Home Health Care Services
325412 – Pharmaceutical Preparation Manufacturing
621999 – All Other Miscellaneous Ambulatory Health Care Services

PSC Q522 Medical—Radiology

Services
Federal Category 10.3: Medical Healthcare Services

Description
Radiology Services

Includes
Radiologists, Interventional Radiologists, Radiology Technicians and Assistants, Diagnostic Medical Sonographer (Ultrasound Technicians), Fluoroscopy Technologists, Computed Tomography (CT) Technologists, Magnetic Resonance Imaging (MRI) Technologists, Radiation Oncologist, Radiation Therapy, Certified Medical Dosimetrist, Medical Physicist and Radiation Safety Officer.

Excludes
Radiology Equipment (6525), Nuclear Medicine Physicians & Technologists (Q527 Nuclear Medicine), Cardiac Catheterization Lab (Q502 Cardiology)

Possible NAICS Codes
561320 – Temporary Help Services
621512 – Diagnostic Imaging Centers
541512 – Computer Systems Design Services
621111 – Offices of Physicians (except Mental Health Specialists)
622110 – General Medical and Surgical Hospitals
611310 – Colleges, Universities, and Professional Schools
334519 – Other Measuring and Controlling Device Manufacturing
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
541690 – Other Scientific and Technical Consulting Services

PSC Q403 Medical—Evaluation/Screening

Services
Federal Category 10.3: Medical Healthcare Services

Description
Medical Evaluation and Screening Services

Includes
Healthcare provider services to complete the following: physical examinations to determine Fitness for duty, Military Entrance exams, Reserve and National Guard exams, Aerospace Exams, Disability Evaluation exams, Occupational Health Screening exams (not the providers), Public Health Screening Services (not providers).

Excludes
Managed Healthcare Contracts (Q201), Occupational and Public Healthcare Providers (Q533), Family, Internal Medicine and Aerospace Physicians (Q509)

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
621511 – Medical Laboratories
621340 – Offices of Physical, Occupational and Speech Therapists, and Audiologists
621999 – All Other Miscellaneous Ambulatory Health Care Services
621498 – All Other Outpatient Care Centers
621491 – HMO Medical Centers
621399 – Offices of All Other Miscellaneous Health Practitioners
621610 – Home Health Care Services
561320 – Temporary Help Services
621330 – Offices of Mental Health Practitioners (except Physicians)

PSC Q509 Family & Internal Medicine Services

Services
Federal Category 10.3: Medical Healthcare Services

Includes
Family & Internal Medicine Physicians (both MD’s and DO’s), Family & Internal Medicine Physician Assistants, Aerospace Medicine Physicians & Services, Preventive Medicine Physicians & Services, Allergy/Immunology Physicians & Services, Infectious Disease Physicians & Services, Rheumatology Physicians & Services, Gerontology Physicians

Excludes
Advanced Practice Registered Nurses, Clinical Nurse Specialists, Registered Nurses, Licensed Practical/Vocational Nurses, Nursing/ Medical Assistants (all fall under Q401-Nursing), Psychiatrists (Q 519 Behavioral & Mental Health), Pediatrics (Q516), Dermatology (Q504), Endocrinology (Q530), Gastroenterology (Q505), Hematology & Oncology (Q508), Obstetrics & Gynecology (Q507), Cardiology (Q502), Neurology (Q510)

Possible NAICS Codes
561320 – Temporary Help Services
621111 – Offices of Physicians (except Mental Health Specialists)
611310 – Colleges, Universities, and Professional Schools
621112 – Offices of Physicians, Mental Health Specialists
622110 – General Medical and Surgical Hospitals
621492 – Kidney Dialysis Centers
621999 – All Other Miscellaneous Ambulatory Health Care Services
325412 – Pharmaceutical Preparation Manufacturing

PSC Q518 Medical—Physical Medicine/Rehabilitation

Services
Federal Category 10.3: Medical Healthcare Services

Description
Physical Medicine and Rehabilitation Services

Includes
Physical Medicine & Rehabilitation Physicians/Physiatrists, Speech Therapists, Occupational Therapists (OT), Physical Therapists (PT), Occupational Therapy Assistants (OTA), Physical Therapy Assistants (PTA)

Excludes
Excludes Neurologists, Neurosurgeons/Neurosurgery, Neurology/Neurosurgery technicians (EEG, EMG testing) Orthopaedic Surgeons, Family Practice Physicians, Hospice and/or Palliative Care Physicians. These specialties will be included with their respective medical category.

Possible NAICS Codes
621340 – Offices of Physical, Occupational and Speech Therapists, and Audiologists
621111 – Offices of Physicians (except Mental Health Specialists)
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621399 – Offices of All Other Miscellaneous Health Practitioners
611692 – Automobile Driving Schools
519290 – Web Search Portals and All Other Information Services
611699 – All Other Miscellaneous Schools and Instruction
621420 – Outpatient Mental Health and Substance Abuse Centers
621999 – All Other Miscellaneous Ambulatory Health Care Services

PSC Q502 Cardiology

Services
Federal Category 10.3: Medical Healthcare Services

Includes
Physicians (MD & DO) and Physician Assistants working in Cardiology and Interventional Cardiology, Cardiac Catheterization Technologist, Cardiovascular/Echocardiographer Technologist, and telemetry technicians.

Excludes
Cardiothoracic Surgeons (Q524), Interventional Radiologist (Q522), Vascular Surgeons (Q523 Surgery), Registered nurses (RNs), Licensed Practical/Vocational Nurses (LPN/LVN), Medical Assistant, Nursing Assistant, Advanced Practice Registered Nurses (APRN), and Clinical Nurse Specialists (also APRNs) (Q401, Nursing), Surgical Technologist (Q523 Surgery), Radiology Technician or Technologist (Q522 Radiology) and Medical and Surgical Equipment, Instruments and Supplies (6515).

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
611310 – Colleges, Universities, and Professional Schools
561320 – Temporary Help Services
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
621511 – Medical Laboratories
621512 – Diagnostic Imaging Centers
622110 – General Medical and Surgical Hospitals
541990 – All Other Professional, Scientific, and Technical Services
811210 – Electronic and Precision Equipment Repair and Maintenance

PSC Q523 Medical—Surgery

Services
Federal Category 10.3: Medical Healthcare Services

Description
Surgery Services

Includes
General, Trauma, Colorectal, Plastics/Reconstructive, Vascular, Neurosurgeons, Transplant, Oncologic Surgery, Pediatric Surgery, Perfusionists, Surgical Technician (ST), Central Sterile Supply Technicians (CST)/Sterile Processing Department (SPD)Technicians, purchased sterile processing services.

Excludes
Anesthesiology (Q501), Anesthesia Technicians (501), Pain Management Services (Q501), Certified Registered Nurse Anesthetists, Advanced Practice Registered Nurses, Clinical Nurse Specialists, Registered Nurses (all specialties), Licensed Practical/Vocational Nurses, Nursing/ Medical Assistants (all fall under Q401-Nursing), Obstetrics & Gynecology (Q507), Oral Surgeons (Q503-Dentistry), Orthopedic Surgeon & Technician (Q513) Podiatry (Q520), Ophthalmology Surgeon &Technician (Q511) Otolaryngology Physician &Technician (Q514), Interventional Radiology (Q522 Radiology), Cardio-Thoracic Surgery (Q524), Urologist & Urology Technician (Q525), Interventional Cardiology (Q502 Cardiology)

Possible NAICS Codes
611310 – Colleges, Universities, and Professional Schools
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
621991 – Blood and Organ Banks
334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing
621111 – Offices of Physicians (except Mental Health Specialists)
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
541990 – All Other Professional, Scientific, and Technical Services
339112 – Surgical and Medical Instrument Manufacturing

PSC Q515 Medical—Pathology

Services
Federal Category 10.3: Medical Healthcare Services

Description
Pathology Services

Includes
Services directly provided by a Pathologist, this may include surgical pathology, cytopathology, and forensic pathology, etc. Also includes technicians related to pathology such as Cytotechnologists, Phlebotomy Technicians, Medical Laboratory Technicians, Histotechnicians, Medical Laboratory Technologists, and Medical Laboratory Assistants.

Excludes
All services performed by a reference laboratory (Q301). Hematology/Oncology (Q508), Laboratory equipment (6632 or 6640).

Possible NAICS Codes
621511 – Medical Laboratories
561320 – Temporary Help Services
621111 – Offices of Physicians (except Mental Health Specialists)
621991 – Blood and Organ Banks
611310 – Colleges, Universities, and Professional Schools
621999 – All Other Miscellaneous Ambulatory Health Care Services
622110 – General Medical and Surgical Hospitals
541380 – Testing Laboratories and Services
334516 – Analytical Laboratory Instrument Manufacturing
621399 – Offices of All Other Miscellaneous Health Practitioners

PSC Q510 Medical—Neurology

Services
Federal Category 10.3: Medical Healthcare Services

Description
Neurology Services

Includes
Neurologist, Neurology Services, Neurology Technician, Neurology Stroke Physician Services, Electroencephalographic Technologist (EEG); Neurophysiologic Intraoperative Monitoring Technologist (CNIM); Long Term Monitoring Technologists (CLTM); Autonomic Testing Professionals (CAP) Neurophysiological Monitoring Services, Neuromonitoring Services, Sleep Medicine Services.

Excludes
Excludes Neurosurgeons/Neurosurgery, Neurosurgery technicians (Q523), Physical Medicine & Rehabilitation Physicians/Physiatrists (Q518), Orthopaedic Surgeons (Q523, Family Practice Physicians, Hospice and/or Palliative Care Physicians (Q509). These specialties will be included with their respective medical category. Neurological/neurosurgical instruments, equipment, supplies such as EEG Equipment, Neurostimulators, and Spinal Implants should be aligned to 6515 - Medical/Surgical Equipment, Instruments, and Supplies.

Possible NAICS Codes
611310 – Colleges, Universities, and Professional Schools
621111 – Offices of Physicians (except Mental Health Specialists)
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
622110 – General Medical and Surgical Hospitals
334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing
561320 – Temporary Help Services

PSC Q505 Medical—Gastroenterology

Services
Federal Category 10.3: Medical Healthcare Services

Description
Gastroenterology Services

Includes
Physicians (MD & DO) and Physician Assistants working in adult and pediatric Gastroenterology (GI).

Excludes
Colorectal, General or Trauma Surgeons (Q523 Surgery), Family or Internal Medicine Physicians (Q509), Registered nurses (RNs), Licensed Practical/Vocational Nurses (LPN/LVN), Medical Assistant, Nursing Assistant, Advanced Practice Registered Nurses (APRN), and Clinical Nurse Specialists (also APRNs) (Q401, Nursing), Surgical Technologist (Q523 Surgery), Radiology Technician or Technologist (Q522 Radiology) and Medical and Surgical Equipment, Instruments and Supplies (6515).

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
611310 – Colleges, Universities, and Professional Schools
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
611420 – Computer Training
541519 – Other Computer Related Services

PSC Q516 Medical—Pediatric

Services
Federal Category 10.3: Medical Healthcare Services

Description
Pediatric Services

Includes
Pediatricians and physician assistants specializing in pediatric primary medicine, medicine sub-specialties and early childhood assessments.

Excludes
Advanced Practice Registered Nurses (all), Clinical Nurse Specialists, Registered Nurses, Licensed Practical/Vocational Nurses, Nursing/ Medical Assistants (all fall under Q401-Nursing), Pediatric surgical sub-specialties, (all fall under Q523, Surgery), Pediatric Psychiatry/Psychology (Q519 Behavioral & Mental Health), Pediatric Dentistry (Q503).

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
541690 – Other Scientific and Technical Consulting Services