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
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
Office/Ward Clerks, Admission and Disposition, Medical Secretaries, Medical Administrative Assistant, Healthcare Program Assistants

Excludes
Clinical Credentialing & Privileging Coordinator (Q701), Medical Transcriptions (Q603), Medical Records Technician (Q602), Release of Information Clerk (Q602), Non-Medical Administrative Support (R699)

Possible NAICS Codes
621999 – All Other Miscellaneous Ambulatory Health Care Services
561320 – Temporary Help Services
524114 – Direct Health and Medical Insurance Carriers
541611 – Administrative Management and General Management Consulting Services
561110 – Office Administrative Services
541990 – All Other Professional, Scientific, and Technical Services
518210 – Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
624230 – Emergency and Other Relief Services
561210 – Facilities Support 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)

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

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

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

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

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

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

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)
541990 – All Other Professional, Scientific, and Technical Services
325413 – In-Vitro Diagnostic Substance Manufacturing

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
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

Description
Urology Services

Includes
Urology Surgeons (both MD’s and DO’s) (includes general urology surgeons, urogynecology, neurourology, pediatric urology and urologic oncologic surgery), Physician Assistants in the urologic specialty, and urology technicians.

Excludes
Obstetrics & Gynecology (Q507), General/Trauma surgeons (Q523), Registered Nurses, Licensed Practical Nurses, Advanced Practice Registered Nurses, Clinical Nurse Specialists, Medical & Nursing Assistants (Q401 Nursing), Surgical Technicians (Q523 Surgery), Medical and Surgical Instruments, Equipment and Supplies (6515).

Possible NAICS Codes
611310 – Colleges, Universities, and Professional Schools
621999 – All Other Miscellaneous Ambulatory Health Care Services
621111 – Offices of Physicians (except Mental Health Specialists)
622110 – General Medical and Surgical Hospitals
621399 – Offices of All Other Miscellaneous Health Practitioners
561320 – Temporary Help Services
541990 – All Other Professional, Scientific, and Technical Services
334519 – Other Measuring and Controlling Device Manufacturing
621512 – Diagnostic Imaging Centers
532490 – Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Includes
Pharmacists, Clinical Pharmacists, Pharmacologists, Pharmacy Technicians, Virtual Pharmacy Services

Excludes
Drugs and Biologicals (6505), Medicated Cosmetics and Toiletries (6508), Drugs and Biologicals, Veterinary Use (6509), Medical and Surgical Instruments, Equipment and Supplies {i.e. Medication dispensing machines} (6515), Hospital Furniture, Equipment, Utensils and Supplies {i.e. pharmacy specific furniture} (6530), Pharmacy Software (DA10)

Possible NAICS Codes
561320 – Temporary Help Services
325412 – Pharmaceutical Preparation Manufacturing
621399 – Offices of All Other Miscellaneous Health Practitioners
456110 – Pharmacies and Drug Retailers
622110 – General Medical and Surgical Hospitals
524292 – Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
524114 – Direct Health and Medical Insurance Carriers
493110 – General Warehousing and Storage
621999 – All Other Miscellaneous Ambulatory Health Care Services
562112 – Hazardous Waste Collection