Includes
Ophthalmologists, Optometrists, Opticians, Ophthalmology & Optometry Technicians

Excludes
Plastic Surgeons specializing in eye surgery (Q523 Surgery), General or Trauma surgeons (Q523 Surgery), Otolaryngology/ENT Surgeons (Q514), Surgical Technicians (Q523 Surgery), Anesthesia (Q501), Registered Nurses (RNs), LPNs/LVNs, Advanced Practice Registered Nurses, and Clinical Nurse Specialists (Q401 Nursing), Ophthalmic Instruments, Equipment & Supplies (6540), Medical and Surgical Instruments, Equipment, and Supplies (6515).

Possible NAICS Codes
621320 – Offices of Optometrists
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
611310 – Colleges, Universities, and Professional Schools
339115 – Ophthalmic Goods Manufacturing
621111 – Offices of Physicians (except Mental Health Specialists)
456130 – Optical Goods Retailers
621999 – All Other Miscellaneous Ambulatory Health Care Services
621512 – Diagnostic Imaging Centers
621399 – Offices of All Other Miscellaneous Health Practitioners

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)
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
621910 – Ambulance Services
621112 – Offices of Physicians, Mental Health Specialists
532283 – Home Health Equipment Rental
621498 – All Other Outpatient Care Centers
621511 – Medical Laboratories

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
Ophthalmic Lens Cutting and Grinding Machine; Ophthalmic Lenses and Lens Blanks; Spectacle Frames; Ophthalmological and Optometric Instruments, Equipment, and Supplies

Excludes
Optical Lens Cutting and Grinding Machines: Ophthalmoscope and Otoscope Set; Surgical Instruments and Supplies that can be used by other medical disciplines; i.e., sutures, eye pads, eye shields, eye bath, and the like.

Possible NAICS Codes
339115 – Ophthalmic Goods Manufacturing
336611 – Ship Building and Repairing
339112 – Surgical and Medical Instrument Manufacturing
339113 – Surgical Appliance and Supplies Manufacturing
334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing
333310 – Commercial and Service Industry Machinery Manufacturing
423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers

Includes
Anesthesia Apparatus; Blood Transfusion Apparatus; Oxygen Therapy Apparatus; Respirators; Orthopedic Supplies; Arch Supports; Clinical Thermometers; Sutures; Hearing Aids; Veterinary Equipment, Endoscopes, Fiber Optic.

Excludes
Ophthalmic Instruments, Equipment, and Supplies; Non-Medical Endoscopes.

Possible NAICS Codes
423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
339113 – Surgical Appliance and Supplies Manufacturing
325411 – Medicinal and Botanical Manufacturing
339112 – Surgical and Medical Instrument Manufacturing

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
622110 – General Medical and Surgical Hospitals
621991 – Blood and Organ Banks
561320 – Temporary Help Services
621111 – Offices of Physicians (except Mental Health Specialists)
334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing
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

Description
Podiatry Services

Includes
Doctor of Podiatric Medicine (DPM); podiatrist

Excludes
(Q518); Dermatology (Q504)

Possible NAICS Codes
334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing
621391 – Offices of Podiatrists
561320 – Temporary Help Services
532490 – Other Commercial and Industrial Machinery and Equipment Rental and Leasing
622110 – General Medical and Surgical Hospitals
621320 – Offices of Optometrists

Description
Anesthesiology Services

Includes
Anesthesiologists (MD); Anesthesiology Technicians, and Pain Services

Excludes
Pharmacology (pharmacologists), pharmaceuticals related services (Q517); registered nurse; nursing assistant; medical assistant (Q401), Certified Registered Nurse Anesthetists (CRNA) (Q401)

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

Includes
All services performed in a reference laboratory. Services can be comprehensive or specific and generally include the following: blood counts, coagulation, clinical biochemistry, histopathology, cytopathology, molecular diagnostics, genetic testing, drug testing, etc.

Excludes
Hematology/Oncology (Q508), Services of a Pathologist, Laboratory Technician or Technologist (Q515), equipment (6632 or 6640), and reagents and test kits (6550).

Possible NAICS Codes
621511 – Medical Laboratories
541380 – Testing Laboratories and Services
334516 – Analytical Laboratory Instrument Manufacturing
561320 – Temporary Help Services
541714 – Research and Development in Biotechnology (except Nanobiotechnology)
325413 – In-Vitro Diagnostic Substance Manufacturing
541990 – All Other Professional, Scientific, and Technical Services