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

Description
Other Medical Services

Possible NAICS Codes
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621111 – Offices of Physicians (except Mental Health Specialists)
621399 – Offices of All Other Miscellaneous Health Practitioners
621910 – Ambulance Services
621999 – All Other Miscellaneous Ambulatory Health Care Services
532283 – Home Health Equipment Rental
621112 – Offices of Physicians, Mental Health Specialists
621498 – All Other Outpatient Care Centers
621511 – Medical Laboratories

Description
Expert Witness

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
541199 – All Other Legal Services
541611 – Administrative Management and General Management Consulting Services
541990 – All Other Professional, Scientific, and Technical Services
541690 – Other Scientific and Technical Consulting Services
531320 – Offices of Real Estate Appraisers
541330 – Engineering Services
541618 – Other Management Consulting Services
621112 – Offices of Physicians, Mental Health Specialists

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

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

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)

Description
Nursing

Includes
Registered nurses (RNs), all specialities, that provide direct care to patients (synchronous and asynchronous). This includes RN Case Management, RN Surgical Case Reviewer, Licensed Practical/Vocational Nurses (LPN/LVN), LPN/LVN Case Management, Medical Assistant, Nursing Assistant, Advanced Practice Registered Nurses (APRN {NP}), in all sub-specialties, and Clinical Nurse Specialists (also APRNs) in all sub-specialities.

Excludes
RN’s/LPN’s/LVN’s that work in a support position with no patient care. These positions include, RN/LPN/LVN Utilization Management, RN Medical Board Liaison, RN/LPN/LVN in Referral Management (all of these would use PSC Q701, Specialized Medical Support). Psychiatric Technician (use PSC Q519 Behavioral & Mental health), Emergency Medical Technicians and Paramedics (use PSC Q529, Emergency Medicine Services). With these changes to includes and excludes, all Federal Agencies DoD, VA, HHS, and other Department/Agencies will be able to better clarify spend visibility and supplementary guidance.

Possible NAICS Codes
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
621399 – Offices of All Other Miscellaneous Health Practitioners
541990 – All Other Professional, Scientific, and Technical Services
623110 – Nursing Care Facilities (Skilled Nursing Facilities)
621999 – All Other Miscellaneous Ambulatory Health Care Services

Description
Other Professional Services

Possible NAICS Codes
493190 – Other Warehousing and Storage
541611 – Administrative Management and General Management Consulting Services
541990 – All Other Professional, Scientific, and Technical Services
541690 – Other Scientific and Technical Consulting Services
541330 – Engineering Services
541519 – Other Computer Related Services
711510 – Independent Artists, Writers, and Performers

Possible NAICS Codes
621112 – Offices of Physicians, Mental Health Specialists
541380 – Testing Laboratories and Services
541715 – Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology)
561210 – Facilities Support Services
541330 – Engineering Services
335139 – Electric Lamp Bulb and Other Lighting Equipment Manufacturing

Description
Program Management/Support Services

Includes
Includes: Situations Where The Contractor is Solely Responsible for Program Management As Well As Situations Where the Contractor Provides Program Management Support to A Government Program Manager

Excludes
Excludes: Program Evaluations/Review/Dev(PSC R410); Contract/Procurement/Acquisition Support (PSC R707)

Possible NAICS Codes
541611 – Administrative Management and General Management Consulting Services
541330 – Engineering Services
541690 – Other Scientific and Technical Consulting Services
541990 – All Other Professional, Scientific, and Technical Services
541519 – Other Computer Related Services
541511 – Custom Computer Programming Services
541512 – Computer Systems Design Services
561210 – Facilities Support Services
541618 – Other Management Consulting Services
541620 – Environmental Consulting Services

Includes
Medical Logistics, Biomedical Equipment (Medical Equipment Technician), Medical Supply, Medical Writer/Technical Writer

Excludes
Occupational/Public Health Technicians (Q533), Medical coding (Q601), Medical Billing (Q701), Histology technician (Q515), Wellness/Health Coordinator and Health Coach (Q533), Technical Representative-Medical, Dental, and Veterinary Equipment and Supplies (L065), Sterile Processing Technician (Q523), Medical Technologist (Q515), Physical Therapist (Q518), Non-Medical Technical Support (R425)

Possible NAICS Codes
561320 – Temporary Help Services
541614 – Process, Physical Distribution, and Logistics Consulting Services
513210 – Software Publishers
541990 – All Other Professional, Scientific, and Technical Services
621999 – All Other Miscellaneous Ambulatory Health Care Services
621512 – Diagnostic Imaging Centers
811210 – Electronic and Precision Equipment Repair and Maintenance
621991 – Blood and Organ Banks
622110 – General Medical and Surgical Hospitals
621399 – Offices of All Other Miscellaneous Health Practitioners

Description
Court Reporting Services

Excludes
Excludes: Transcription (PSC R603), Stenographic (PSC R 609)

Possible NAICS Codes
561492 – Court Reporting and Stenotype Services
561320 – Temporary Help Services
561410 – Document Preparation Services

Possible NAICS Codes
541715 – Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology)
541990 – All Other Professional, Scientific, and Technical Services
541690 – Other Scientific and Technical Consulting Services
541720 – Research and Development in the Social Sciences and Humanities
541714 – Research and Development in Biotechnology (except Nanobiotechnology)
611310 – Colleges, Universities, and Professional Schools
541519 – Other Computer Related Services
541713 – Research and Development in Nanotechnology
541380 – Testing Laboratories and Services
541330 – Engineering Services

Description
Data Collection Services

Excludes
Excludes: Market Research/Public Opinion to Include Telephone and Field Interviews, Focus Testing, and Surveys (PSC R422)

Possible NAICS Codes
518210 – Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
923120 – Administration of Public Health Programs
541990 – All Other Professional, Scientific, and Technical Services
541611 – Administrative Management and General Management Consulting Services
541519 – Other Computer Related Services
541511 – Custom Computer Programming Services
541219 – Other Accounting Services
519290 – Web Search Portals and All Other Information Services
483212 – Inland Water Passenger Transportation
541910 – Marketing Research and Public Opinion Polling

Description
Legal Services

Includes
Includes: Attorney Services, Such as Testimony Preparation, Adjudication; Arbitration; Mediation

Excludes
Excludes: Environmental Legal Support (PSC F115), Expert Witness (PSC R424), Court Reporting (PSC R606)

Possible NAICS Codes
541199 – All Other Legal Services
541110 – Offices of Lawyers
541611 – Administrative Management and General Management Consulting Services
561611 – Investigation and Personal Background Check Services
922130 – Legal Counsel and Prosecution
541990 – All Other Professional, Scientific, and Technical Services
813311 – Human Rights Organizations
561320 – Temporary Help Services
541191 – Title Abstract and Settlement Offices
561492 – Court Reporting and Stenotype Services