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

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
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
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 Administrative Support Services

Possible NAICS Codes
541611 – Administrative Management and General Management Consulting Services
561110 – Office Administrative Services
561320 – Temporary Help Services
561210 – Facilities Support Services
541990 – All Other Professional, Scientific, and Technical Services
541330 – Engineering Services
541511 – Custom Computer Programming Services
561990 – All Other Support Services
541519 – Other Computer Related Services
622110 – General Medical and Surgical Hospitals

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
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
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
Dentistry Services

Includes
Family/General Dentists, pediatric dentistry, endodontist, periodontist, prosthodontist, oral & maxillofacial pathologist, oral and maxillofacial surgeon, oral surgery technicians, dental hygienist, dental assistants, and dental laboratory technicians.

Excludes
Radiology Technicians and Assistants (Q522 Radiology), Registered Nurses, Advanced Practice Registered Nurses, Clinical Nurse Specialists, Licensed Practical Nurses/Licensed Vocational Nurses, Medical and Nursing Assistants (Q401 Nursing), Operating Room Technicians (Q523 Surgery), Dental Instruments, Equipment, and Supplies (6520), and Dental Imaging Equipment and Dental Imaging Supplies (6525).

Possible NAICS Codes
561320 – Temporary Help Services
339116 – Dental Laboratories
621210 – Offices of Dentists
622110 – General Medical and Surgical Hospitals
621399 – Offices of All Other Miscellaneous Health Practitioners
621498 – All Other Outpatient Care Centers
524114 – Direct Health and Medical Insurance Carriers

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
621498 – All Other Outpatient Care Centers

Description
Physical Medicine and Rehabilitation Services

Includes
Physical Medicine & Rehabilitation Physicians/Physiatrists, Speech Therapists, Occupational Therapists (OT), Physical Therapists (PT), Occupational Therapy Assistants (OTA), Physical Therapy Assistants (PTA)

Excludes
Excludes Neurologists, Neurosurgeons/Neurosurgery, Neurology/Neurosurgery technicians (EEG, EMG testing) Orthopaedic Surgeons, Family Practice Physicians, Hospice and/or Palliative Care Physicians. These specialties will be included with their respective medical category.

Possible NAICS Codes
621340 – Offices of Physical, Occupational and Speech Therapists, and Audiologists
621111 – Offices of Physicians (except Mental Health Specialists)
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621399 – Offices of All Other Miscellaneous Health Practitioners
611692 – Automobile Driving Schools
519290 – Web Search Portals and All Other Information Services
611699 – All Other Miscellaneous Schools and Instruction
621420 – Outpatient Mental Health and Substance Abuse Centers
621999 – All Other Miscellaneous Ambulatory Health Care Services

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

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

Description
Medical and Health Studies

Possible NAICS Codes
541690 – Other Scientific and Technical Consulting Services
622110 – General Medical and Surgical Hospitals
621511 – Medical Laboratories
541720 – Research and Development in the Social Sciences and Humanities
541990 – All Other Professional, Scientific, and Technical Services
518210 – Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
541611 – Administrative Management and General Management Consulting Services
524114 – Direct Health and Medical Insurance Carriers
541715 – Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology)
541380 – Testing Laboratories and Services

Description
Other Management Support Services

Possible NAICS Codes
541611 – Administrative Management and General Management Consulting Services
561320 – Temporary Help Services
561210 – Facilities Support Services
541519 – Other Computer Related Services
541990 – All Other Professional, Scientific, and Technical Services
541330 – Engineering Services
541511 – Custom Computer Programming Services
561990 – All Other Support Services
541618 – Other Management Consulting Services
541512 – Computer Systems Design Services