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
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

Includes
Hematologists and Oncologists (both MD’s and DO’s) and physician assistants that specialize in hematology and/or oncology for adults and children.

Excludes
Advanced Practice Registered Nurses, Clinical Nurse Specialists, Registered Nurses, Licensed Practical/Vocational Nurses, Nursing/ Medical Assistants (all fall under Q401-Nursing), Family & Internal Medicine Services (Q509), Pediatric Medicine (Q516), Surgical Oncologists (Q523 Surgery), Pediatric Surgical Oncologists (Q523), Radiation Oncology (Q522 Radiology).

Possible NAICS Codes
621991 – Blood and Organ Banks
561320 – Temporary Help Services
325413 – In-Vitro Diagnostic Substance Manufacturing
334516 – Analytical Laboratory Instrument Manufacturing
611310 – Colleges, Universities, and Professional Schools
621492 – Kidney Dialysis Centers
621511 – Medical Laboratories
622110 – General Medical and Surgical Hospitals
621111 – Offices of Physicians (except Mental Health Specialists)
813920 – Professional Organizations

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
Maintenance, Repair and Rebuilding of Equipment: Medical, Dental, and Veterinary Equipment and Supplies

Possible NAICS Codes
811210 – Electronic and Precision Equipment Repair and Maintenance
339112 – Surgical and Medical Instrument Manufacturing
334517 – Irradiation Apparatus Manufacturing
811310 – Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance
541519 – Other Computer Related Services
334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing
423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
339113 – Surgical Appliance and Supplies Manufacturing
334516 – Analytical Laboratory Instrument Manufacturing
513210 – Software Publishers