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The following Product Service Codes (PSCs) are commonly associated with NAICS 621493, Freestanding Ambulatory Surgical and Emergency Centers
Medical—Surgery
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
Medical—Managed Healthcare
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
Medical—Other
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
Family & Internal Medicine 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
Specialized Medical Support
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)
541614 – Process, Physical Distribution, and Logistics Consulting Services
621511 – Medical Laboratories
524298 – All Other Insurance Related Activities
621910 – Ambulance Services