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
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
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

Possible NAICS Codes
236220 – Commercial and Institutional Building Construction
561210 – Facilities Support Services
238220 – Plumbing, Heating, and Air-Conditioning Contractors
238210 – Electrical Contractors and Other Wiring Installation Contractors
238160 – Roofing Contractors
541330 – Engineering Services
238990 – All Other Specialty Trade Contractors
238320 – Painting and Wall Covering Contractors
238190 – Other Foundation, Structure, and Building Exterior Contractors
238330 – Flooring Contractors

Description
Data Collection Services

Excludes
Excludes: Market Research/Public Opinion to Include Telephone and Field Interviews, Focus Testing, and Surveys (PSC R422)

Possible NAICS Codes
518210 – Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
923120 – Administration of Public Health Programs
541990 – All Other Professional, Scientific, and Technical Services
541611 – Administrative Management and General Management Consulting Services
541519 – Other Computer Related Services
541511 – Custom Computer Programming Services
541219 – Other Accounting Services
519290 – Web Search Portals and All Other Information Services
483212 – Inland Water Passenger Transportation
541910 – Marketing Research and Public Opinion Polling

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 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)

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

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

Possible NAICS Codes
541715 – Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology)
541714 – Research and Development in Biotechnology (except Nanobiotechnology)
541713 – Research and Development in Nanotechnology
926110 – Administration of General Economic Programs
622210 – Psychiatric and Substance Abuse Hospitals
541720 – Research and Development in the Social Sciences and Humanities
541613 – Marketing Consulting Services
339113 – Surgical Appliance and Supplies Manufacturing
334516 – Analytical Laboratory Instrument Manufacturing

Includes
Acidity (pH) Meters; Gas Analyzers; Alkalinity Measuring Instruments; Colorimeters.

Excludes
Gas Detecting Equipment; Manual Gas Alarms; Chemicals; In Vitro Diagnostic Substances and Reagents.

Possible NAICS Codes
334516 – Analytical Laboratory Instrument Manufacturing
334519 – Other Measuring and Controlling Device Manufacturing
334515 – Instrument Manufacturing for Measuring and Testing Electricity and Electrical Signals
339113 – Surgical Appliance and Supplies Manufacturing
423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
334513 – Instruments and Related Products Manufacturing for Measuring, Displaying, and Controlling Industrial Process Variables
325413 – In-Vitro Diagnostic Substance Manufacturing
333310 – Commercial and Service Industry Machinery Manufacturing

Includes
Orthopedic Equipment; Operating Lights; Physiotherapy Equipment; Sterilizers; Wheel Chairs; Litters; Hospital Beds; Restraint Equipment.

Possible NAICS Codes
423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
339113 – Surgical Appliance and Supplies Manufacturing
331313 – Alumina Refining and Primary Aluminum Production

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