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

Description
Social Rehabilitation Services

Possible NAICS Codes
621420 – Outpatient Mental Health and Substance Abuse Centers
623990 – Other Residential Care Facilities
624221 – Temporary Shelters
623220 – Residential Mental Health and Substance Abuse Facilities
624229 – Other Community Housing Services
624310 – Vocational Rehabilitation 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
621610 – Home Health Care Services
621511 – Medical Laboratories
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
621492 – Kidney Dialysis Centers
622110 – General Medical and Surgical Hospitals
621999 – All Other Miscellaneous Ambulatory Health Care Services
325412 – Pharmaceutical Preparation Manufacturing

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
611310 – Colleges, Universities, and Professional Schools
622110 – General Medical and Surgical Hospitals
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
621910 – Ambulance Services
621399 – Offices of All Other Miscellaneous Health Practitioners
621112 – Offices of Physicians, Mental Health Specialists
532283 – Home Health Equipment Rental
621498 – All Other Outpatient Care Centers
621511 – Medical Laboratories

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

Includes
Emergency Medicine Physicians (both MD’s and DO’s), Emergency Medicine Physician Assistants, Emergency Medical Technician (EMT), Advanced Emergency Medical Technician, Paramedics, purchased Emergency Medical Services (EMS (EMT/Paramedic pre-hospital) and purchased patient care during transport. Emergency Medicine physicians and physician assistants may specialize in various subspecialties however if their primary training is in emergency medicine they will be captured under this PSC, Emergency Medicine Services.

Excludes
Advanced Practice Registered Nurses (all, including ER specialty), Clinical Nurse Specialists, Registered Nurses (all, including ER specialty), Licensed Practical/Vocational Nurses, Nursing/ Medical Assistants (all fall under Q401, Nursing), medical and medical sub-specialty providers/services (Q509 Family & Internal Medicine Services), surgical subspecialty providers/services (Q523 Surgery), pediatric and pediatric sub-specialty providers/services (Q516)

Possible NAICS Codes
611310 – Colleges, Universities, and Professional Schools
561320 – Temporary Help Services
621910 – Ambulance Services
622110 – General Medical and Surgical Hospitals
624230 – Emergency and Other Relief Services
621111 – Offices of Physicians (except Mental Health Specialists)
621493 – Freestanding Ambulatory Surgical and Emergency Centers

Includes
Healthcare professionals and programs that do NOT provide direct patient care. This includes but may not be limited to, medical utilization management personnel, medical clinical quality management professionals (for medical credentialing & privileging), health risk management, medical evaluation board personnel, healthcare benefits programs/personnel, health safety programs, patient safety & medical quality program personnel, medical quality assurance programs, medical library, patient advocacy/ liaison programs, medical billing, third party liability, tumor registrar, patient referral management.

Excludes
Any healthcare professional or program that provides direct patient care, whether virtual or in person. The services will be placed in the PSC that best aligns with the care delivery, Occupational and Public Health (Q533)

Possible NAICS Codes
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
541990 – All Other Professional, Scientific, and Technical Services
621111 – Offices of Physicians (except Mental Health Specialists)
621511 – Medical Laboratories
541614 – Process, Physical Distribution, and Logistics Consulting Services
524298 – All Other Insurance Related Activities
621991 – Blood and Organ Banks