DoD 6010.13-M 

 

MEDICAL EXPENSE AND PERFORMANCE REPORTING SYSTEM 

FOR 

FIXED MILITARY MEDICAL AND DENTAL TREATMENT FACILITIES 

MANUAL 

April 7, 2008

OFFICE OF THE ASSISTANT SECRETARY OF DEFENSE HEALTH AFFAIRS 
DoD 6010.13-M, April 7, 2008 

 FOREWORD 2

 

FOREWORD 

 This manual is issued under the authority of Department of Defense (DoD) Directive 

6000.12 (Reference (a)). It prescribes the procedures for the uniform reporting of expense and 

labor hour data for fixed military medical and dental treatment facilities. 

 DoD 6010.13-M, “Medical Expense and Performance Reporting System for Fixed 

Military Medical and Dental Treatment Facilities,” November 21, 2000, is hereby canceled. 

 This manual applies to the Office of the Secretary of Defense, the Military Departments, 

the Office of the Chairman of the Joint Chiefs of Staff, the Combatant Commands, the Office of 

the Inspector General of the Department of Defense, the Defense agencies, the DoD Field 

Activities, and all other organizational entities in DoD (hereafter referred to collectively as the 

“DoD Components”). 

 This manual does not apply to DoD facilities that are not involved in direct patient care 

(e.g., medical research facilities), DoD facilities for field service (e.g., force combat support and 

evacuation hospitals), facilities afloat (e.g., hospital ships and sick bays aboard ships), and 

tactical casualty staging facilities (e.g., medical advance base staging facilities and medical 

advance base components contained within mobile-type units). 

 This manual is effective immediately and is mandatory for use by all the DoD 

Components. 

 Send recommended changes to this manual to the following address. 

 TRICARE Management Activity 

 Office of the Chief Financial Officer, Management Control and Financial Studies 

 5111 Leesburg Pike, Suite 810 

 Falls Church, VA 22041-3206 

 This manual is approved for public release; distribution is unlimited. Copies are 

available via the Internet at www.dtic.mil/whs/directives. 

 
DoD 6010.13-M, April 7, 2008 

 TABLE OF CONTENTS 3

TABLE OF CONTENTS

Page

FOREWORD ...................................................................................................................................2 

TABLE OF CONTENTS.................................................................................................................3 

TABLES ..........................................................................................................................................5 

REFERENCES ................................................................................................................................6 

DEFINITIONS.................................................................................................................................7 

ABBREVIATIONS AND ACRONYMS......................................................................................17 

C1. CHAPTER 1 – GENERAL INFORMATION.......................................................................20 

 C1.1. INTRODUCTION.........................................................................................................20 

 C1.2. ORGANIZATION OF THE MEDICAL EXPENSE AND PERFORMANCE 

 REPORTING SYSTEM (MEPRS) MANUAL............................................................22 

C2. CHAPTER 2 – CHART OF FUNCTIONAL COST CODE (FCC) ACCOUNTS................24 

 C2.1. INPATIENT CARE ......................................................................................................24 

 C2.2. AMBULATORY CARE...............................................................................................44 

 C2.3. DENTAL CARE ...........................................................................................................77 

 C2.4. ANCILLARY SERVICES............................................................................................79 

 C2.5. SUPPORT SERVICES ...............................................................................................104 

 C2.6. SPECIAL PROGRAMS..............................................................................................142 

 C2.7. READINESS...............................................................................................................166 

C3. CHAPTER 3 – MEPRS GUIDELINES AND REPORTING REQUIREMENTS..............179 

 C3.1. PURPOSE ...................................................................................................................179 

 C3.2. EXPENSE ALLOCATION METHODOLOGY ........................................................179 

 C3.3. REPORTING REQUIREMENTS...............................................................................187 

C4. CHAPTER 4 – MEPRS ISSUE PROCESS .........................................................................191 

 C4.1. PURPOSE ...................................................................................................................191 

 C4.2. POLICY ......................................................................................................................191 

 C4.3. RESPONSIBILITIES FOR ISSUE IDENTIFICATION AND RESOLUTION ........191 

 C4.4. ISSUE IDENTIFICATION.........................................................................................192 

 C4.5. ISSUE RESOLUTION PROCESS. ............................................................................192 

 C4.6. PHASE 1 – INITIATION PROCESS .........................................................................192 
DoD 6010.13-M, April 7, 2008 

 TABLE OF CONTENTS 4

 C4.7. PHASE 2 – INITIAL REVIEW AND TRACKING PROCEDURES........................193 

 C4.8. PHASE 3 – ISSUE COORDINATION AND RESOLUTION...................................194 

 C4.9. PHASE 4 – FINAL DISPOSITION OF ISSUE 

 AND PRIORITIZATION OF SYSTEM CHANGE REQUESTS (SCR) ..................194 

 C4.10. PROCESSING PROCEDURES ...............................................................................195 

APPENDICES .............................................................................................................................196 

 AP1. STANDARD FCC ACCOUNTS.................................................................................196 

 AP2. EXPENSE ASSIGNMENT SYSTEM (EAS) IV DATA ELEMENTS......................227 

 AP3. SPECIFIC RULES FOR REPORTING AVAILABLE AND NON-AVAILABLE 

 TIME/HOURS FOR MEPRS/EAS.............................................................................244 

 AP4. MEPRS ISSUE PAPER RESOLUTION FORMAT...................................................255 
DoD 6010.13-M, April 7, 2008 

 TABLES 5

TABLES

Table Title Page

C2.T1. Pharmacy Weighted Procedures.......................................................................................81 

C2.T2. Laboratory Weighted Values............................................................................................83

C2.T3. Radiology Weighted Procedure........................................................................................86 

C2.T4. DJ MEPRS/Composite Healthcare System (CHCS)/Armed Forces Health 

 Longitudinal Technology Application (AHLTA) “A”-Level Intensive Care 

 Unit (ICU) Code Relationship.......................................................................................102 

C2.T5. Depreciation Distribution Percentages................ .......................................................107 

C2.T6. Inpatient Clinical Nutrition Weighted Procedures .........................................................137 

C3.T1. Skill Types......................................................................................................................179 

C3.T2. Full-Time Equivalents (FTEs)........................................................................................179 

C3.T3. Alignment of Intermediate Operating Expense Accounts..............................................188 

AP1.T1. Standard FCC Accounts ...............................................................................................199 

AP3.T1. Specific Rules for Reporting Available and Non-Available Time in 

 Fixed Medical and Dental Facilities .............................................................................249 
DoD 6010.13-M, April 7, 2008 

 REFERENCES 6

REFERENCES

(a) DoD Directive 6000.12, “Health Services Operations and Readiness,” April 29, 1996 

(b) DoD 6010.13-M, “Medical Expense and Performance Reporting System for Fixed Military 

 Medical and Dental Treatment Facilities,” November 21, 2000 (hereby canceled) 

(c) DoD 6015.1-M, “DoD Glossary of Healthcare Terminology,” January 1999 

(d) Joint Publication 1-02, “DoD Dictionary of Military and Associated Terms,” as amended 

(e) DoD Instruction 6025.8, “Ambulatory Procedure Visit (APV),” September 23, 1996 

(f) Sections 1341 and 1517 of title 31, United States Code 

(g) Chapter 47 and sections 2801-2813 of title 10, United States Code 

(h) DoD 7000.14-R, “Department of Defense Financial Management Regulations (FMRs),” 

 Volumes 1, 2A, 3, 4, 6A, 10, 11A, and 11B 

(i) DoD Instruction 1342.12, “Provision of Early Intervention and Special Education 1966 

 Services to Eligible DoD Dependents,” April 11, 2005 

(j) Medical Group Management Association Guide, “RVUs: Applications for Medical 

 Practice Success,” November 20021

(k) Office of Management and Budget Circular A-123, “Management’s Responsibility for 

 Internal Control,” December 21, 2004 

(l) DoD 8910.1-M, “Department of Defense Procedures for Management of Information 

 Requirements,” June 1998 

(m) DoD Directive 8320.2, “Data Sharing in a Net-Centric Department of Defense,” 

 December 2, 2004 

(n) Section 1400 of title 20, United States Code 

(o) Under Secretary of Defense (Comptroller) Web Site, “Military Personnel Composite 

 Standard Pay and Reimbursement Rates,” http://www.defenselink.mil/comptroller/rates/ 

(p) DoD Instruction 6040.40, “Military Health System Data Quality Management Control 

 Procedures,” November 26, 2002 

(q) Joint Federal Travel Regulations, Volumes 1 and 2, “Uniformed Service Members,” and 

 “Department of Defense Civilian Personnel,” current editions 

 

1

 May be purchased via the Internet at www.pohly.com/books/rvus.html 
DoD 6010.13-M, April 7, 2008 

 7 DEFINITIONS 

DEFINITIONS

DL1. The following terms are defined in DoD 6015.1-M (Reference (c)). 

 DL1.1. Admission. 

 DL1.2. Aeromedical Staging Facility. 

 DL1.3. Ambulatory Care. 

 DL1.4. Ambulatory Procedure Unit (APU). 

 DL1.5. Ancillary Services. 

 DL1.6. Assignment Factor. 

 DL1.7. Average Daily Patient Load (ADPL). 

 DL1.8. Average Length of Stay (ALOS). 

 DL1.9. Bassinet Day. 

 DL1.10. Borrowed Labor. 

 DL1.11. Clinic. 

 DL1.12. Clinician. 

 DL1.13. Complete Physical Examination. 

 DL1.14. Construction. 

 DL1.15. Continuing Education (CE). 

 DL1.16. Convalescent Leave. 

 DL1.17. Cost Assignment. 

 DL1.18. Cost Pool. 

 DL1.19. Death. 

 DL1.20. Delivery. 

 DL1.21. Dental Clinic. 
DoD 6010.13-M, April 7, 2008 

 8 DEFINITIONS 

 DL1.22. Depreciation. 

 DL1.23. Facility. 

 DL1.24. FTE. 

 DL1.25. FTE Work-Month. 

 DL1.26. Graduate Medical Education (GME). 

 DL1.27. Healthcare Professional. 

 DL1.28. Hospital. 

 DL1.29. Hours or Minutes of Service or Treatment. 

 DL1.30. Inpatient Care. 

 DL1.31. Inpatient Visit. 

 DL1.32. Length of Patient Stay. 

 DL1.33. Live Birth. 

 DL1.34. Loaned Labor. 

 DL1.35. Maintenance. 

 DL1.36. Manpower Requirement. 

 DL1.37. Medical Center. 

 DL1.38. Investment Equipment. 

 DL1.39. Modernization and Replacement Equipment. 

 DL1.40. Non-Available Time. 

 DL1.41. Non-Reportable Time. 

 DL1.42. Occasion of Service. 

 DL1.43. Occupational Medical Examination. 

 DL1.44. Occupied Bed Day (OBD). 
DoD 6010.13-M, April 7, 2008 

 9 DEFINITIONS 

 DL1.45. Operating Expenses. 

 DL1.46. Operating Room Minutes of Service. 

 DL1.47. Outpatient Visit. 

 DL1.48. Plant Equipment. 

 DL1.49. Plant Property. 

 

 DL1.50. Real Property Installed Equipment. 

 DL1.51. Recovery Room Minutes of Service. 

 DL1.52. Repair. 

 DL1.53. Training and CE of Non-Student Personnel. 

 DL1.54. Transient Patient. 

 DL1.55. Transient Patient’s Bed. 

DL2. The following terms are defined in Joint Publication 1-02 (Reference (d)). 

 DL2.1. Mobilization. 

 DL2.2. Readiness. 

DL3. The following terms are defined in the references cited below. 

 DL3.1. Ambulatory Procedure Visit (APV). Defined in DoD Instruction (DoDI) 6025.8 

(Reference (e)). 

 DL3.2. Appropriation. Defined in sections 1341 and 1517 of title 31, United States 

Code (U.S.C.) (Reference (f)). 

 DL3.3. Depreciation, Method of. Defined in Volume 4, Chapter 6, of DoD 7000.14-R 

(Reference (h)). 

 DL3.4. Individualized Education Plan (IEP). Defined in DoDI 1342.12 (Reference (i)). 

 DL3.5. Initial Outfitting. Defined in sections 2801-2813 of title 10, U.S.C. (Reference 

(g)). 

DL4. The following terms are unique to this Manual. 
DoD 6010.13-M, April 7, 2008 

 10 DEFINITIONS 

 DL4.1. Ambulatory Nursing Services. Provides a centralized program of nursing 

assessment and care for outpatients. (See Ambulatory Nursing Services (DGE sub-account) for 

more details.) 

 DL4.2. Ambulatory Nursing Services Minutes of Service. Minutes of service are 

counted from the time the patient arrives in the ambulatory nursing services unit until the patient 

leaves the unit. The patient receives care, assessment, pre-operative interview, and processing 

while in the unit. Ambulatory nursing services minutes of service shall not include time that the 

patient is out of the unit, such as for radiology or laboratory services. 

 DL4.3. APU Minutes of Service. Calculated as the time elapsed between the patient’s 

arrival at the APU and their departure to the ambulatory surgical procedure (known as an APV) 

and the time elapsed between the patient’s return from the APV and disposition time. APU 

minutes of service shall not include time that the patient is out of the unit for the APV. 

 DL4.4. Assigned FTE. Personnel on the facility’s manning or staffing document. 

 DL4.5. Available Time. Those hours worked or expensed in support of the healthcare 

and readiness missions regardless of the type of personnel. (See Appendix 3 for procedures for 

charging available time.) 

 DL4.6. Contract Personnel. Those personnel who are employed and paid under a 

contract. These individuals are not Federal, non-appropriated fund, or military employees. For 

MEPRS purposes, both contract labor hours and expenses shall be recorded to the appropriate 

work center. 

 DL4.7. Cost Center. A logical or physical grouping of one or more similar services for 

the purpose of identifying obligations or developing the cost identification for services. Services 

are grouped into cost codes to identify expended resources to produce a unit of work and 

segregate costs for management to assess efficiency and usage, examine trends, etc. 

 DL4.8. Cost Finding. A process of determining costs by sample or study rather than by 

detailed transaction recording in the cost accounts. Procedures for cost finding are designed to 

accomplish an end result that approximates the result that would be obtained if a formal cost 

accounting system were in operation. Expense assignment in MEPRS used for determining the 

expenses of the final operating expense accounts is not the same as cost finding. 

 DL4.9. Cost of Supplies Expensed. Total costs of items classified as “Supplies” in the 

work center. 

 DL4.10. Day-To-Day Proficiency Training. The third type of training requirement is the 

day-to-day proficiency training conducted to impart knowledge and improve technical skills, 

which will increase the efficiency and effectiveness of workers. This would include in-service, 

safety, security, and on-the-job training. This type of training is not always performed within the 

medical facility. Often short courses are sponsored by the military services and civilian 
DoD 6010.13-M, April 7, 2008 

 11 DEFINITIONS 

associations that do not qualify as “CE.” Conferences, conventions, and factory-conducted 

repair and operator courses fall into this category. The salary expenses of military and civilian 

personnel undergoing this type of training, wherever conducted, shall be charged to their primary 

work center and distributed as if they had not been engaged in training. Any locally funded 

travel, per diem, incidental expenses, and registration fees incurred in support of this training, as 

well as any personnel and non-personnel expenses of staff authorizations for conducting and 

directing this training, shall be charged to the work center of primary assignment. 

 DL4.11. Direct Care Paraprofessional. Individuals who are skilled to provide technical 

assistance or follow-up to direct patient care (e.g., Licensed Practical Nurses (LPN), Licensed 

Vocational Nurses (LVN), medical specialists, X-ray specialists, dental lab specialists, dental 

hygienists, and medical technicians). For labor hour collection purposes, these individuals are 

coded as Skill Type 4. (See Table C3.T1.) 

 DL4.12. Direct Care Professional. Individuals, other than clinicians, licensed or certified 

to deliver healthcare (e.g., physical and occupational therapists, podiatrists, psychologists, social 

workers, physician assistants, and advanced practice nurses who are privileged). Direct care 

professionals consult with other healthcare professionals to assess, plan, and implement an 

effective treatment program. For labor hour collection purposes, these individuals are coded as 

Skill Type 2. (See Table C3.T1.) 

 DL4.13. Direct Operating Expense. An expense identified specifically with a particular 

work center. 

 DL4.14. Disposition. The removal of a patient from the census of a medical center or 

hospital by reason of discharge to duty, to home, transfer to another medical facility, death, or 

other termination of inpatient care. The day of discharge is the day on which the medical center 

or hospital formally terminates the period of inpatient hospitalization. 

 DL4.15. Expense Allocation. Also referred to as “stepdown.” The reassignment of 

expenses of intermediate operating expense accounts to the final operating expense accounts on 

the basis of assignment procedures that measure the amount of services rendered by intermediate 

work centers to the other work centers. The expense allocation methodology distributes 

expenses by using a rigid hierarchy of intermediate accounts to allocate operating costs to the 

final accounts. 

 DL4.16. EAS. A standard automated data processing capability used by the military 

services for the calculations required to produce the MEPRS data. 

 DL4.17. FCC. A standard cost accounting element that uniformly labels a work/cost 

center in the DoD Military Health System (MHS) with a four-digit alphanumeric code. All 

workload, expense, and FTE data reported in MEPRS is aligned to an FCC. An FCC shows 

aggregated workload, expenses, and FTEs at the functional category (first level), summary 

account (second level), and work/cost center (third level). Fourth-level FCCs are assigned for 

cost centers or work centers that meet the criteria of a valid work center and as determined 
DoD 6010.13-M, April 7, 2008 

 12 DEFINITIONS 

and/or standardized by the Service MEPRS Program Office. Only the Military Service 

headquarters can determine and approve the use of site-specific fourth-level codes. 

 DL4.18. Final Operating Expense Account. The final expense accumulation point in the 

system. All Inpatient Care (A), Ambulatory Care (B), Dental Care (C), Special Programs (F), 

and Readiness (G) accounts are final operating expense accounts. 

 DL4.19. Free Receipts. See the definition of “non-reimbursables.” 

 DL4.20. Health and Medical Services. All professional, technical, and related functions 

performed by the three military medical departments, such as general and special medical 

treatment, dental care including prosthetic laboratory service, nursing care, veterinary service, 

medical laboratory service, patient evacuation, preventive medicine (including physical 

examinations), nutrition management, education, training, and reporting procedures. 

 DL4.21. Health Promotion. Any combination of health information, education, 

diagnostic screening, and healthcare interventions designed to facilitate behavioral alteration that 

will improve or protect health. It includes those activities intended to influence and support 

individual lifestyle modification and self-care. 

 DL4.22. Housekeeping Square Feet. To determine this statistic, the number of square 

feet in each department, service, and division of the healthcare facility that are cleaned under 

housekeeping services must be determined. Floor area measurements should be taken from the 

center of walls to the center of adjoining corridors if a hallway services more than one 

department. Stairwells, elevators, and commonly used areas (lobbies) should be charged to the 

appropriate housekeeping account. Hallways, waiting rooms, and other areas serving only one 

department should be included in that department. The effect of measuring only cleaned space 

will allocate the space (commonly used areas) among the departments in the ratio of space 

cleaned. When changes in assigned areas have been made during the year as the result of new 

construction, departmental relocation, expansion, or curtailment of service or changes in 

housekeeping requirements, sufficient data should be maintained to allow for the development of 

“weighted” areas for the fractional part of the year. 

 DL4.23. Indirect Operating Expense. An expense identified with two or more work 

centers, but not identified specifically with any particular work center. 

 DL4.24. Individualized Family Service Plan (IFSP). A written document for an infant or 

toddler, from birth through 2 years of age, with a disability, and the family of such infant or 

toddler, based on a multi-disciplinary assessment of the unique needs of the child and the 

concerns and priorities of the family. The IFSP identifies early intervention and other services 

appropriate to meet the needs, concerns, and priorities of the child and family. 

 DL4.25. Intermediate Operating Expense Accounts. An operating expense account that 

is further assigned to final operating expense accounts. Ancillary Services (D) and Support 

Services (E) accounts are intermediate operating expense accounts. 
DoD 6010.13-M, April 7, 2008 

 13 DEFINITIONS 

 DL4.26. Labor and Delivery Suite Minutes of Service. See the definition of “Hours or 

Minutes of Service.” 

 DL4.27. Medical Treatment Facility (MTF). A military facility established for the 

purpose of furnishing medical and/or dental care to eligible individuals.

 DL4.28. Minor Plant Equipment. An item of plant equipment having a unit value of less 

than $1,000, and other plant equipment, regardless of cost, when so designated by the 

Government. 

 DL4.29. Minutes of Service or Treatment. See “Ambulatory Nursing Services Minutes 

of Service,” “APU Minutes of Service,” “Post-Anesthesia Care Unit Minutes of Service,” and 

“Surgical Suite Minutes of Service.” 

 DL4.30. Mixed Ward or Clinic. A work center that is composed of more than one 

subspecialty account and where an indirect cost pool is usually established to collect appropriate 

expenses for subsequent distribution to the appropriate sub-accounts. The expenses collected in 

a cost pool will normally be distributed on the basis of each receiving account’s ratio of work 

performed (OBDs or visits) to the total work performed in the mixed ward or clinic. 

 DL4.31. Non-Reimbursables. Sometimes referred to as free receipts. Nonreimbursables are goods, services, or equipment provided to an activity (or MTF) and not 

financed from that activity’s operating budget. Free receipts are recorded in the ED accounts 

when a base provides logistical services to an MTF free of charge. Non-reimbursables do not 

result in an issuance of an SF 1080, “Voucher for Transfer Between Appropriations or Funds,” 

or other similar fund transfer document by the providing activity or in a decrease in available 

obligation authority of the receiver. 

 DL4.32. Obligation. Any act that legally binds the Government to make a payment. An 

obligation is a legal reservation of funds and is properly recordable only when supported by 

documentary evidence. 

 DL4.33. Other Personnel. Includes volunteers, Red Cross personnel, prisoners, service 

club personnel, visiting students, and civilian students, residents, interns, or persons not enrolled 

in DoD training programs. 

 DL4.34. Pounds of Laundry Processed. Includes the weight of linen after being 

processed and dried. 

 DL4.35. Post-Anesthesia Care Unit Minutes of Service. The period of time beginning 

when the patient enters the post-anesthesia care unit and ending when the patient leaves the postanesthesia care unit. 

 DL4.36. Program Element Code (PEC). A code that represents a program that reflects a 

force mission or a support function of the Department of Defense and contains the resources 

allocated to achieve an objective or plan. 
DoD 6010.13-M, April 7, 2008 

 14 DEFINITIONS 

 DL4.37. Readiness Training. Training that is unique to the medical mission of the 

Services because they operate with and in support of combat units. Examples would include 

maneuvers, field training, contingency training, local exercises, and exercises conducted by the 

Chairman of the Joint Chiefs of Staff. The salary expenses of military and civilian personnel 

while away from the MTF, as well as any locally funded travel, per diem, and incidental 

expenses shall be charged to the appropriate medical readiness account. 

 DL4.38. Registered Nurse. All registered nurses (Skill Type 3), except those who are 

being used as advanced nurses, such as practitioners, nurse anesthetists, and nurse midwives who 

are accounted for in the direct-care professional’s category (Skill Type 2). LPNs and LVNs are 

classified as direct-care paraprofessionals (Skill Type 4), not registered nurses. (See Table 

C3.T1.) 

 DL4.39. Reimbursable. A reimbursable transaction occurs when one activity, known as 

the “provider,” accomplishes work or provides goods or services to another activity or 

individual, known as the “receiver.” In the process of accomplishing this work for the receiver, 

the provider generates an account receivable due from the receiving individual or activity and 

bills the receiver using Intragovernmental Payment and Collection; a Standard Form (SF) 1080, 

“Voucher for Transfers Between Appropriations and or Funds;” or similar billing document. 

The transfer of funds on the SF 1080 from the receiver to the provider liquidates the account 

receivable. 

 DL4.40. Reimbursable Indicator. Also referred to as source of funds in MEPRS that 

indicates an appropriation classification to show the obligations financed by reimbursements, 

direct or resource sharing funds. 

 DL4.41. Relative Value Unit (RVU). Relative value units are non-monetary, relative 

units of measure that indicate the value of healthcare services and relative difference in resources 

consumed when providing different procedures and services. RVUs assign relative values or 

weights to medical procedures primarily for the purpose of reimbursement of services 

performed. They are used as a standardized method of analyzing resources involved in the 

provision of services or procedures. (See Medical Group Management Association Guide 

(Reference (j))). 

 DL4.42. Reportable Time. Total available and non-available hours. (See Appendix 3 for 

charging reportable time.) 

 DL4.43. Square Feet. To determine this statistic, the number of square feet in each 

department, service, and division of the healthcare facility must be determined either by a 

physical measurement of the facility or by a measurement from blueprints. Floor area 

measurements should be taken from the center of walls to the center of adjoining corridors if a 

hallway services more than one department. Exclude stairwells, elevators, other shafts, and idle 

area. Idle areas are those areas closed off or unused for a period of time. Hallways, waiting 

rooms, and storage areas serving only one department should be included in that department. 

Commonly used areas, such as lobbies, shall be divided equitably among the users of those areas. 
DoD 6010.13-M, April 7, 2008 

 15 DEFINITIONS 

The effect of measuring only usable space will allocate the space (commonly used and idle area) 

among the departments in the ratio of space used. When changes in assigned areas have been 

made during the year as the result of new construction, departmental relocation, expansion, or 

curtailment of service, sufficient data should be maintained to allow for the development of 

“weighted” areas for the fractional part of the year. 

 DL4.44. Standard Element Expense Code (SEEC). Synonymous with object classes, 

these are the MEPRS standard financial categories that represent the expenses reported from 

obligations for items or services purchased by the Government such as labor, supplies, 

equipment, contracted services, and others. Each military service has a unique object code 

referred to as Service-Unique Element Expense that maps to a related SEEC to facilitate 

comparison among the Services. 

 DL4.45. Surgical Suite Minutes of Service. The elapsed time of an operation performed 

in the surgical suite multiplied by the number of hospital personnel participating in each 

operation. Elapsed time is the difference between the starting time and the ending time. Starting 

time begins with the start of surgical suite preparation and ending time is when clean-up of the 

surgical suite following an episode of surgery is complete. It is meant to include only those 

personnel who are directly assigned to the surgical suite. (Surgeons, anesthesiologists, and nurse 

anesthetists are excluded from this work center.) It also includes student nurses and trainees 

when replacing individuals in the surgical suite team. 

 DL4.46. Travel Expense Accounting. Travel expenses as used herein include the costs 

of transportation of people and authorized excess baggage, per diem, incidental fees such as taxi 

fare, automobile rentals, locker fees, tolls, and registration fees. 

 DL4.47. Visit. Healthcare characterized by the professional examination or evaluation of a 

patient and the delivery or prescription of a care regimen. 

 DL4.48. Weighted Patient Nutrition Procedure. Weighted patient nutrition procedures are 

based on weighted values, which reflect the resource intensity of the various procedures rendered 

to patients. 

 DL4.49. Work Center 

 DL4.49.1. A discrete functional or organizational subdivision of an MTF for which 

provision is made to collect and measure its expenses and determine its workload performance. 

The minimum work centers for a facility are established by meeting specific criteria and using 

the prescribed FCCs as described in Chapter 2 of this Manual. MTFs are not authorized to create 

new FCCs for work centers without coordination and approval from the Service MEPRS 

Program Office. A work center shall be established when the MEPRS reporting facility requires 

the performance of a function that is assigned or authorized by higher medical authority, 

manpower (staffing) is assigned, physical space is designated to accomplish the function, and 

workload is generated. Generally, the following criteria should be considered for establishing a 

work center. 
DoD 6010.13-M, April 7, 2008 

 16 DEFINITIONS 

 DL4.49.1.1. Normally operates 16 hours or more each month. 

 DL4.49.1.2. Has identifiable expenses. 

 DL4.49.1.3. Is allocated physical space. 

 DL4.49.1.4. Is allocated or assigned manpower. Such staffing may or 

may not be authorized on the facility manning or staffing documents. In the areas of inpatient, 

ambulatory, and dental care, this means that the medical or dental specialty or subspecialty is 

assigned. 

 DL4.49.1.5. Has a valid work output. 

 DL4.49.1.6. Uses a valid workload measure. 

 DL4.49.1.7. Service provided or expenses incurred are unique when 

compared to other established work centers. 

 DL4.49.1.8. Is compatible with the MTF organizational structure. 

 DL4.49.1.9. Facilitates the management decision-making process. 

 DL4.49.2. A work center shall be established and expenses identified and 

reported when the aforementioned criteria are established. EXCEPTIONS to the criteria above 

are FCCs established to accumulate expenses only, such as depreciation accounts, 

reimbursement accounts, base operations accounts, holding or variance accounts, and indirect 

cost pools. Work center expenses shall be identified and reported only if they are considered to 

be significant by the MTF Commander, even if physical space is allocated and utilized for the 

performance of a function. 

 DL4.50. Working at Home. Work performed at home in support of the MTF mission 

that is normally performed in the individual’s assigned work center. 

 DL4.51. Workload. The amount of work produced in a functional activity or work 

center. (See Chapter 2 for the Uniform Chart of Accounts (UCA) and Chapter 3 for accounting 

for workload.) 
DoD 6010.13-M, April 7, 2008 

 ABBREVIATIONS AND ACRONYMS 17

ABBREVIATIONS AND ACRONYMS

AARC American Association for Respiratory Care 

ACLS Advanced Cardiac Life Support 

ADPL Average Daily Patient Load 

AHLTA Armed Forces Health Longitudinal Technology Application 

ALOS Average Length of Stay 

AMA American Medical Association 

APU Ambulatory Procedure Unit 

APV Ambulatory Procedure Visit 

ASD Account Subset Definition 

ASN Assignment Sequence Number 

ATLS Advanced Trauma Life Support 

AWOL Absent Without Leave 

AWOP Absent Without Pay 

 

C4 Combat Casualty Care Course 

CE Continuing Education 

CHAMPUS Civilian Health and Medical Program of the Uniformed Services 

CHCS Composite Healthcare System 

CLV Composite Lab Value 

CONUS Continental United States 

CPR Cardiopulmonary Resuscitation 

CPT Current Procedural Terminology 

CSC Case Study Committee 

CSP Contingency Support Plan 

CTIM Cooked Therapeutic In-flight Meal 

 

DMHRSi Defense Medical Human Resources System Internet

DMIS ID Defense Medical Information System Identifier 

DNA Deoxyribonucleic Acid 

DoDDS DoD Dependents Schools 

DoDI DoD Instruction 

DTF Dental Treatment Facility 

 

EAS Expense Assignment System 

EIS Early Intervention Services 

 

FAM-D Functional Area Model-Data 

FCC Functional Cost Code 

FMF Fleet Marine Force 

FTE Full-Time Equivalent 

 

GDE Graduate Dental Education 

GME Graduate Medical Education 
DoD 6010.13-M, April 7, 2008 

 ABBREVIATIONS AND ACRONYMS 18

 

HBO Hyperbaric Oxygen 

HCP Hearing Conservation Program 

HIV Human Immunodeficiency Virus 

 

I.V. Intravenous 

ICU Intensive Care Unit 

ID Identification 

IEP Individualized Education Plan 

IFSP Individualized Family Service Plan 

IM Information Management 

IT Information Technology 

 

LPN Licensed Practical Nurse 

LVN Licensed Vocational Nurse 

LWOP Leave Without Pay 

 

MEPRS Medical Expense and Performance Reporting System 

MHS Military Health System 

MMART Mobile Medical Augmentation Readiness Team 

MMIG MEPRS Management Improvement Group 

MRS Medically Related Services 

MTF Medical Treatment Facility 

MTS Multi-Disciplinary Team Services 

 

Na Sodium 

NBC Nuclear, Biological, and Chemical 

NDMS National Disaster Medical System 

NICU Neonatal Intensive Care Unit 

 

OASD(HA) Office of the Assistant Secretary of Defense for Health Affairs 

OBD Occupied Bed Day 

Ob-Gyn Obstetrical and Gynecological 

OCONUS Outside the Continental United States 

 

PCS Permanent Change of Station 

PEC Program Element Code 

 

QA Quality Assurance 

QC Quality Control 

QI Quality Improvement 

 

RDMF Rapidly Deployable Medical Facility 

RMSC Resource Management Steering Committee 

RVU Relative Value Unit 

RWP Relative Weighted Product 
DoD 6010.13-M, April 7, 2008 

 ABBREVIATIONS AND ACRONYMS 19

 

SCR System Change Request 

SEEC Standard Element Expense Code 

SIR System Incident Report 

SIQ Sick in Quarters 

SME Subject Matter Expert 

SUEE Service Unique Expense Element 

 

TAD Temporary Additional Duty 

TDY Temporary Duty 

TMA TRICARE Management Activity 

TRO TRICARE Regional Office 

 

UA Unauthorized Absence 

UCA Uniform Chart of Accounts 

USD(C) Under Secretary of Defense (Comptroller) 

USD(P&R) Under Secretary of Defense for Personnel and Readiness 

 

USM Uniform Staffing Methodologies 

 

VA Department of Veterans Affairs 

 

WRM War Readiness Materiel 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 1 20

C1. CHAPTER 1

GENERAL INFORMATION

C1.1. INTRODUCTION 

 C1.1.1. Purpose 

 C1.1.1.1. The purpose of the MEPRS is to provide a uniform system of 

healthcare managerial accounting for the MHS. MEPRS provides detailed uniform performance 

indicators, common expense classification by work center/cost center, uniform reporting of 

personnel utilization data by work centers, and a labor cost assignment methodology. 

 C1.1.1.2. The MEPRS methodology provides consistent performance data to 

managers responsible for healthcare delivery in support of dual Warfighter Support Operations 

and integrated tri-Service healthcare missions. 

 C1.1.1.3. MEPRS defines a set of functional work centers/cost centers, applies a 

uniform performance measurement system, prescribes a cost assignment methodology, and 

obtains reported information in standard formats for fixed MTF and dental treatment facilities 

(DTF). Resource and performance data must reflect the resources used in delivering healthcare 

services and also comply with MEPRS functional work/cost center requirements. Data must be 

complete, accurate, and timely, and in sufficient detail to permit review and audit by 

management. 

 C1.1.2. Responsibilities. The responsibilities for policy guidance and MEPRS 

implementation, issuance, and maintenance are as follows. 

 C1.1.2.1. The Assistant Secretary of Defense for Health Affairs (ASD(HA)), 

under the Under Secretary of Defense for Personnel and Readiness (USD(P&R)), shall exercise 

management, direction, and maintenance of the MEPRS program within the Department of 

Defense. 

 C1.1.2.1.1. The TRICARE Management Activity (TMA) MEPRS 

Program Office, under the authority, direction, and control of the ASD(HA), shall be responsible 

for overall program management, oversight, and administration of the MEPRS Management 

Improvement Group (MMIG). 

 C1.1.2.1.2. The MMIG, as the functional proponent for the DoD MEPRS 

program, shall be responsible for the development, implementation, management, and integration 

of MEPRS policies, procedures, business practices, and system requirements. The MMIG 

operates under the auspices of the TMA Resource Management Steering Committee (RMSC) 

and, through the MMIG charter, is empowered to jointly resolve tri-Service issues in favor of a 

single, standard, and binding MHS solution. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 1 21

 C1.1.2.2. The Under Secretary of Defense (Comptroller) (USD(C)) shall provide 

policy guidance and instruction to DoD healthcare and readiness resources within the 

Department of Defense. 

 C1.1.2.3. The USD(P&R) shall provide general policy guidance and instruction 

on manpower management to DoD Components. 

 C1.1.2.4. The DoD Components shall implement the provisions of this Manual 

and collect and report uniform, comparable data. 

 C1.1.2.5. All principals mentioned in this section shall coordinate their efforts to 

ensure that MEPRS is consistently implemented and integrated into existing management 

systems. 

 C1.1.3. Objectives 

 C1.1.3.1. MEPRS provides the Department of Defense with a uniform system for 

managerial cost accounting and reporting on the fixed military healthcare DHP funded programs 

and supporting activities, such as non-reimbursables (free receipts) and external resource 

sharing. 

 C1.1.3.2. The MEPRS Manual provides guidance to ensure consistent 

identification, recording, and reporting of expense and performance data from fixed MTFs. 

MEPRS information assists in measuring productivity and management effectiveness, 

developing performance standards, developing program estimating equations, and business 

planning opportunities. 

 C1.1.3.3. In accordance with Managerial Cost Accounting Concepts and 

Standards for the Federal Government Statement of Federal Financial Accounting Standards 

Number 4, MEPRS supports MTFs and all entities within the MHS in approximating and 

reporting full cost of resources used to produce output by responsibility segments/functional cost 

centers. The full cost data derived from MEPRS may be used by the department in developing 

the actuarial liability estimates for the Military Retirement Health Benefits Liability in the Other 

Defense Organization General Funds. This information is included in the department’s annual 

agency-wide audited financial statements. 

 C1.1.3.4. Office of Management and Budget Circular A-123 (Reference (k)) 

defines management controls as the organization, policies, and procedures used to reasonably 

ensure that programs achieve their intended results, resources are used consistent with the 

mission of the agency, and reliable and timely information is obtained, maintained, reported, and 

used for decision-making (Reference (k)). The systems that provide data for MEPRS should 

meet the standards for this regulation through the implementation of detailed guidance, 

compliance metrics, and reconciliation procedures. 

 C1.1.4. Interpretations and Recommendations. Requests for information, clarification or 

interpretation, or changes to this Manual shall be submitted to the Office of the Assistant 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 1 22

Secretary of Defense for Health Affairs (OASD(HA)) TMA. Deviations from this Manual must 

be submitted for approval to OASD(HA) TMA after coordinating the overall effect of the 

deviation with the Military Services. Other issues, such as proposed modifications to this 

Manual, should be submitted in accordance with Chapter 4. 

C1.1.5. Information Requirements. Data transmitted from the DoD MEPRS to the EAS 

IV Repository described in Chapter 3, are exempt from licensing in accordance with paragraph 

C4.4.6. of DoD 8910.1-M (Reference (l)). 

 C1.1.6. Standardization Compliance. In accordance with DoD Directive 8320.2 

(Reference (m)), EAS IV adheres to MHS Functional Area Model-Data (FAM-D) and DoD Data 

Element Standardization Procedures which are published in a federated DoD metadata registry. 

OASD(HA) TMA is responsible for ensuring that MEPRS data elements comply with DoD 

Directives. 

C1.2. ORGANIZATION OF THE MEPRS MANUAL 

This manual is divided into front matter (definitions and acronyms), four chapters, and four 

appendices, as follows. 

 C1.2.1. Front matter

 C1.2.1.1. Definitions. Defines those terms considered essential to the 

understanding and implementation of MEPRS. Many definitions have been written with certain 

subtle constraints or changes to accommodate Tri-Service understanding and use. Users are 

cautioned to read this appendix with particular care. 

 C1.2.1.2. Acronyms and Abbreviations. Defines the acronyms used in this 

Manual. 

 C1.2.2. Chapter 1 – General Information. Provides an overview of the MEPRS system. 

 C1.2.3. Chapter 2 – Chart of FCC Accounts 

 C1.2.3.1. Functional Categories. The subparagraphs of this chapter are arranged 

in functional categories, based on the hierarchy of accounts in which all expenses and 

corresponding workload data are collected. The functional categories are: 

A Inpatient Care 

B Ambulatory Care 

C Dental Care 

D Ancillary Services 

E Support Services 

F Special Programs 

G Readiness 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 1 23

 C1.2.3.2. Summary and Sub-Accounts. Each of the functional categories is 

further divided into summary accounts and sub-accounts. The sub-accounts are collected into 

their corresponding summary account. An example of this hierarchical arrangement follows. 

A Inpatient Care (functional category) 

AA Medical Care (summary account) 

AAA Internal Medicine (sub-account) 

AAB Cardiology (sub-account) 

 C1.2.3.3. Final and Intermediate Accounts. Inpatient Care (A), Ambulatory Care 

(B), Dental Care (C), Special Programs (F), and Readiness (G) are final operating expense 

accounts. (See the definitions section of this Manual.) Ancillary Services (D) and Support 

Services (E) are intermediate operating accounts. (See Appendix 1 for summary list.) 

 C1.2.4. Chapter 3 – MEPRS Guidelines and Reporting Requirements. This chapter 

defines the basis for distributing salaries and expenses to the final operating expense accounts 

(Inpatient Care (A), Ambulatory Care (B), Dental Care (C), Special Programs (F), and Readiness 

(G)). It also sets forth the requirements for preparation and submission of the EAS data from 

DoD MEPRS by designated reporting MTFs. There are basic EAS reports; however, EAS can 

generate other reports as defined by the user. 

 C1.2.5. Chapter 4 – MEPRS Issue Process. The MEPRS Manual is subject to change, 

refinement, and clarification over time. The issue resolution system discussed in Chapter 4 is 

designed to keep the Manual current with developments and techniques and to ensure uniformity 

of interpretation and application by MTFs. 

 C1.2.6. Appendix 1 – Standard FCC Accounts. This appendix summarizes the standard 

FCC accounts used in MEPRS. Except for changes made by the Department of Defense, these 

account codes may not be altered or modified at the first, second, or third levels. Costs pools, 

which may be created locally, are the only exception to this rule. Account codes with a “Z” in 

the third position (e.g., AAZ and ABZ) are used, for a limited time only, to collect data for 

special circumstances while new permanent codes are established. The Military Service 

headquarters, in coordination with the TMA MEPRS Program Office, must approve the use of 

“Z” codes. Coordination with TMA shall include a brief description of the specialty or service, 

and the expected or projected time frame for “Z” code usage. 

C1.2.7. Appendix 2 – MEPRS Data Elements. This appendix lists MEPRS/EAS IV data 

elements, which have been registered and standardized in the MHS FAM-D. 

C1.2.8. Appendix 3 – Specific Rules for Reporting Available and Non-Available Time/ 

Hours for MEPRS/EAS. This appendix provides guidelines for collecting and reporting 

available and non-available time. 

C1.2.9. Appendix 4 – MEPRS Issue Paper Resolution Format. This appendix contains 

the suggested format the DoD Components may use to report and resolve MEPRS issues. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 24

C2. CHAPTER 2

CHART OF FUNCTIONAL COST CODE (FCC) ACCOUNTS

C2.1. INPATIENT CARE: A

 C2.1.1. Function. Inpatient Care provides for the examination, diagnosis, treatment, and 

prompt disposition of inpatients receiving care at the MTF. In accomplishing this mission, the 

highest standards of clinical practice are maintained. Every effort is made to keep the quality of 

healthcare at the optimal level. Standards for delivery of healthcare conform to the generally 

accepted standards of hospital operations as practiced in the United States. Supervision and 

control are exercised over assigned inpatient care and treatment areas. The CE and training of 

professional and paraprofessional medical personnel are promoted. Participation in staff 

conferences and provision of consultant services, as required, are ensured. The formulation of 

clinical policies and standards is maintained. Collaboration between clinical and administrative 

services is promoted to further patient comfort, welfare, speedy recovery, and proper disposition. 

Additionally, depending upon the relative size and organizational complexity of the MTF, the 

following functions may be performed: conduct approved residency-training programs in 

accordance with the requirements of the Council on Medical Education of the American Medical 

Association or other accreditation bodies; conduct training, as directed, for interns, externs, 

medical students from affiliated medical schools, and other healthcare providers, including 

orientation, observation, refresher, and familiarization training; confer with consultants on 

professional matters including the education and training of interns; initiate, conduct, and 

participate, as authorized, in clinical or research studies to enhance professional growth and 

development. 

 C2.1.2. Costs. The Inpatient Care functional account shall include all expenses in the 

following summary accounts: Medical Care, Surgical Care, Ob-Gyn Care, Pediatric Care, 

Orthopedic Care, Psychiatric Care, and Family Medicine Care, as outlined in paragraphs C2.1.9. 

through C2.1.15. 

 C2.1.3. Service Units for Inpatient Final Account Codes

 C2.1.3.1. Admissions. 

 C2.1.3.2. Dispositions. 

 C2.1.3.3. OBDs with Ancillary Costs and Professional Fees. 

 C2.1.3.4. OBDs without Ancillary Costs and Professional Fees. 

 C2.1.3.5. OBDs with Ancillary Costs and without Professional Fees. 

 C2.1.4. Service Unit(s) for Cost Pools. Not applicable. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 25

 C2.1.5. Allocation Factor for Inpatient Final Account Codes. Not applicable. 

 C2.1.6. Allocation Factor for Cost Pools. Minutes of service. 

 C2.1.7. Assignment Procedure for Inpatient Final Account Codes. Not applicable for 

final account inpatient specialties. These final operating expense accounts shall not be 

reassigned during the expense allocation process described in Chapter 3. 

 C2.1.8. Assignment Procedure for Cost Pools. Expenses and FTEs of shared performing 

specialties shall be reassigned during allocation based on workload. Cost pools are purified in 

alphabetical order before the expense allocation process described in Chapter 3. 

 C2.1.9. Medical Care: AA

 C2.1.9.1. Function. Medical Care provides inpatient care and consultative 

evaluation in the medical specialties and subspecialties described in this section; coordinates 

healthcare delivery relative to the examination, diagnosis, treatment and proper disposition of 

eligible patients appropriate to the specialty or subspecialty; prepares medical records; and 

submits required reports. The organization of the medical care function will vary according to 

patient load, staffing, and facilities. When subspecialty services are established, they shall 

provide the related specialized techniques and practices using all the available modern diagnostic 

procedures, studies, and therapies. 

 C2.1.9.2. Costs. Medical Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the inpatient specialties and subspecialties 

described in subparagraphs C2.1.9.3. through C2.1.9.23. 

 C2.1.9.3. Internal Medicine: AAA 

 C2.1.9.3.1. Function. Internal Medicine provides inpatient care and 

consultative services to patients suffering from disease, injury, and illness (appropriate to the 

specialty); maintains communicable disease facilities to provide for the specialized care of 

contagious and infectious diseases; maintains close liaison with Federal, State, and local 

authorities on matters relating to incidence and control of communicable diseases; provides 

subspecialty assistance in medical areas where trained sub-specialists are not assigned; and 

performs those functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.3.2. Costs. The Internal Medicine work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Internal Medicine activities. 

 C2.1.9.4. Cardiology: AAB 

 C2.1.9.4.1. Function. Cardiology provides for specialized treatment and 

consultative evaluation of patients with cardiovascular disease diagnosis; provides specialized 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 26

treatment and diagnostic specialized cardiovascular studies such as the precise techniques of 

cardiac catheterization, coronary arteriography, and exercise-stress testing; and performs those 

functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.4.2. Costs. The Cardiology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Cardiology activities. 

 C2.1.9.5. Inactive: AAC 

 C2.1.9.6. Dermatology: AAD 

 C2.1.9.6.1. Function. Dermatology provides for specialized treatment 

and consultative evaluation of patients suffering from dermatological conditions, provides 

superficial X-ray therapy and ultraviolet therapy, prepares and examines cultural materials 

having to do with superficial mycotic diseases, reviews slides on specimens submitted by the 

pathology service that pertain to pathology of the skin (e.g., tissue freezing and laser therapy), 

and performs those functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.6.2. Costs. The Dermatology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Dermatology activities. 

 C2.1.9.7. Endocrinology: AAE 

 C2.1.9.7.1. Function. Endocrinology provides specialized treatment and 

consultative evaluation of patients with diseases of the endocrine system and with endocrinologic 

diagnosis, and performs those functions described in paragraph C2.1.9.1., “Medical Care,” as 

appropriate. 

 C2.1.9.7.2. Costs. The Endocrinology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Endocrinology activities. 

 C2.1.9.8. Gastroenterology: AAF 

 C2.1.9.8.1. Function. Gastroenterology provides specialized treatment 

and consultative evaluation to patients with disease or injury to the gastrointestinal tract, and 

performs those functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.8.2. Costs. The Gastroenterology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 27

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Gastroenterology activities. 

 C2.1.9.9. Hematology: AAG 

 C2.1.9.9.1. Function. Hematology provides for specialized treatment and 

consultative evaluation of patients suffering from diseases of the blood and blood forming 

tissues, coagulation disorders, and hematologic complications of other systemic diseases. 

Hematology, in conjunction with other clinical services, provides specialized studies of the blood 

and bone marrow in support of inpatient care, and performs those functions described in 

paragraph C2.1.9.1. “Medical Care,” as appropriate. 

 C2.1.9.9.2. Costs. The Hematology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Hematology activities. 

 C2.1.9.10. Inactive: AAH 

 C2.1.9.11. Nephrology: AAI 

 C2.1.9.11.1. Function. Nephrology provides for specialized care, testing, 

and consultative evaluation of patients suffering from renal diseases, disorders, and injury; 

provides interpretation of tests relating to such disorders and diseases; provides the care and 

management of patients with renal failure including hemodialysis; and performs those functions 

described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.11.2. Costs. The Nephrology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Nephrology activities. 

 C2.1.9.12. Neurology: AAJ 

 C2.1.9.12.1. Function. Neurology provides for the specialized care and 

consultative evaluation of patients with neurological disorders, provides for diagnostic 

examinations, and performs those functions described in paragraph C2.1.9.1., “Medical Care,” as 

appropriate. 

 C2.1.9.12.2. Costs. The Neurology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Neurology activities. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 28

 C2.1.9.13. Oncology: AAK 

 C2.1.9.13.1. Function. Oncology provides for the specialized care, 

treatment, consultative evaluation, and follow-up of patients suspected of or diagnosed as having 

a benign or malignant tumor; coordinates patient care functions with surgery, radiology, and 

other clinical services, as appropriate, and performs those functions described in paragraph 

C2.1.9.1. “Medical Care,” as appropriate. 

 C2.1.9.13.2. Costs. The Oncology work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, equipment, travel, and any other expenses identified directly in support of 

Oncology activities. 

 C2.1.9.14. Pulmonary and Upper Respiratory Disease: AAL 

 C2.1.9.14.1. Function. Pulmonary and Upper Respiratory Disease 

provides specialized care, treatment, and consultative evaluation (non-surgical) of patients with 

disease, disorders, and injuries of the pulmonary system, and performs those functions described 

in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.14.2. Costs. The Pulmonary and Upper Respiratory Disease work 

center shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function, such as expenses for personnel, supplies, equipment, travel, and any other expenses 

identified directly in support of Pulmonary and Upper Respiratory Disease. 

 C2.1.9.15. Rheumatology: AAM 

 C2.1.9.15.1. Function. Rheumatology provides specialized care, 

treatment, and consultative evaluation (non-surgical) of patients with disease and disorders of the 

joints, and performs those functions described in paragraph C2.1.9.1., “Medical Care,” as 

appropriate. 

 C2.1.9.15.2. Costs. The Rheumatology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Rheumatology activities. 

 C2.1.9.16. Physical Medicine: AAN 

 C2.1.9.16.1. Function. Physical Medicine provides consultation, 

diagnosis, and referral primarily for patients with neuromusculoskeletal disorders, evaluates and 

prescribes orthotics and assistive devices, performs electroneuromyographic testing, and 

performs those functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.16.2. Costs. The Physical Medicine work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 29

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Physical Medicine activities. 

 C2.1.9.17. Clinical Immunology: AAO 

 C2.1.9.17.1. Function. Clinical Immunology provides specialized care, 

treatment, and consultative evaluation (non-surgical) for patients with disorders of the immune 

system, including hypofunction, hyperfunction, and misdirected activities of both the acquired 

and inherited modes of transmission, and performs those functions described in paragraph 

C2.1.9.1., “Medical Care,” as appropriate. Treatments include replacement therapy for 

immunodeficiencies, suppressive therapy for hyperfunction, and active immunization of patients 

to arm the immune system against infections. 

 C2.1.9.17.2. Costs. The Clinical Immunology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Clinical Immunology activities. 

 C2.1.9.18. Inactive: AAP 

 C2.1.9.19. Bone Marrow Transplant: AAQ 

 C2.1.9.19.1. Function. The Bone Marrow Transplant program is 

responsible for bone marrow transplantation management within the Department of Defense. 

This includes all inpatient medical care, outpatient follow-up, and management of patients 

referred to a civilian facility for bone marrow transplantation. Bone marrow transplants have 

become the standard of care for many bone marrow diseases such as leukemia, aplastic anemia, 

and immunologic disorders. 

 C2.1.9.19.2. Costs. The Bone Marrow Transplant work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, equipment, travel, and any other expenses identified directly 

in support of Bone Marrow Transplant. 

 C2.1.9.20. Infectious Disease: AAR

 C2.1.9.20.1. Function. Infectious Disease examines, diagnoses, treats, 

and performs research on patients with infectious diseases, performs full medical evaluations on 

patients including neurological and psychological exams, provides primary care for patients with 

Human Immunodeficiency Virus (HIV) and related infectious diseases, provides specific 

treatments such as intravenous (I.V.) and intramuscular antibiotics and inhaled pentamidine, 

performs the full range of diagnostic tests required for the evaluation of infectious diseases 

including sputum induction and specimen sampling for patients with respiratory tract disease, 

and performs those functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 30

 C2.1.9.20.2. Costs. The Infectious Disease work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Infectious Disease activities. 

 C2.1.9.21. Allergy: AAS 

 C2.1.9.21.1. Function. Allergy provides specialized care for and 

consultative evaluation of patients with asthma and allergies including, but not limited to, drug 

reactions, anaphylaxis, rhinitis, food allergy, and hypersensitive lung disease, and performs those 

functions described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.9.21.2. Costs. The Allergy work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function such as expenses for 

personnel, supplies, equipment, travel, and any other expenses identified directly in support of 

Allergy activities. 

 C2.1.9.22. Cost Pool: AAX

 C2.1.9.22.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific specialty because two or more specialty services 

share the same ward, physical space, personnel, equipment, and supplies. Physicians shall not 

charge their time to cost pools. 

 C2.1.9.22.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the ward. 

 C2.1.9.23. Medical Care Not Elsewhere Classified: AAZ

 C2.1.9.23.1. Function. Medical Care Not Elsewhere Classified includes 

inpatient specialties and subspecialties that are not described in subparagraphs C2.1.9.3. through 

C2.1.9.22. 

 C2.1.9.23.2. Costs. Any sub-account established hereunder shall be 

charged with all expenses incurred in operating and maintaining the function. 

 C2.1.10. Surgical Care: AB

 C2.1.10.1. Function. Surgical Care provides inpatient care and consultative 

evaluation in the surgical specialties and subspecialties described in this subsection; coordinates 

healthcare delivery relative to the examination, treatment, diagnosis, and proper disposition of 

eligible patients appropriate to the specialty or subspecialty; prepares medical records; and 

submits required reports. The organization of the surgical care function varies according to 

patient load, staffing, and facilities. When subspecialty services are established, they shall 

provide the related specialized techniques and practices using all the available modern diagnostic 

procedures, studies, and therapies. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 31

 C2.1.10.2. Costs. Surgical Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the inpatient surgical specialties and 

subspecialties described in subparagraphs C2.1.10.3. through C2.1.10.21. 

 C2.1.10.3. General Surgery: ABA

 C2.1.10.3.1. Function. General Surgery provides diagnostic, preoperative, surgical, and post-operative care for general surgery patients; provides consultative 

evaluation for referral patients; provides subspecialty assistance in surgical areas where trained 

sub-specialists are not assigned; and performs those functions described in paragraph C2.1.10.1., 

“Surgical Care,” as appropriate. 

 C2.1.10.3.2. Costs. The General Surgery work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of General Surgery activities. 

 C2.1.10.4. Cardiovascular and Thoracic Surgery: ABB 

 C2.1.10.4.1. Function. Cardiovascular and Thoracic Surgery provides 

diagnostic, pre-operative, surgical, and post-operative care for patients with diseases and injuries 

of the cardiovascular system and of the chest, and performs those functions described in 

paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.4.2. Costs. The Cardiovascular and Thoracic Surgery work 

center shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function, such as expenses for personnel, supplies, equipment, travel, and any other expenses 

identified directly in support of Cardiovascular and Thoracic Surgery activities. 

 C2.1.10.5. Inactive: ABC 

 C2.1.10.6. Neurosurgery: ABD

 C2.1.10.6.1. Function. Neurosurgery provides diagnostic, pre-operative, 

surgical, and post-operative care for patients with injuries or mass lesions of the skull, brain, 

spinal cord, or peripheral nerves, and performs those functions described in paragraph 

C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.6.2. Costs. The Neurosurgery work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Neurosurgery activities. 
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 C2.1.10.7. Ophthalmology: ABE

 C2.1.10.7.1. Function. Ophthalmology provides for specialized 

treatment, care, and consultative evaluation of patients with disease, injury, or disorder of the 

eye; performs ophthalmologic surgery with pre-operative and post-operative care; and performs 

those functions described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.7.2. Costs. The Ophthalmology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Ophthalmology activities. 

 C2.1.10.8. Oral Surgery: ABF

 C2.1.10.8.1. Function. Oral Surgery provides for the specialized 

diagnosis, care, and treatment of oral infections, facial bone fractures, and other abnormalities of 

the mouth and jaw; performs oral maxillofacial surgery involving dental and associated facial 

structure; diagnoses and treats oral and jaw lesions; and performs those functions described in 

paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.8.2. Costs. The Oral Surgery work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Oral Surgery activities. 

 C2.1.10.9. Otolaryngology: ABG

 C2.1.10.9.1. Function. Otolaryngology provides for specialized 

treatment, care, and consultative evaluation of patients with injuries, disease, or disorders of the 

ear, nose, and throat and the general anatomic area of the head and neck (exclusive of 

neurosurgical, dental, and ophthalmologic conditions); provides bronchoscopic, esophoscopic, 

and laryngoscopic examinations and performs advanced tests of auditory and vestibular 

functions and neurootologic disorders; performs surgical procedures for facial nerve disease, 

trauma, and diseases of the ear and corrective cosmetic surgery for acquired or congenital 

deformities; performs microsurgery of the temporal bone, maxillofacial surgery, and surgery of 

the sinuses, tonsils, adenoids, and vocal cords; and performs those functions described in 

paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.9.2. Costs. The Otolaryngology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Otolaryngology activities. 
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 C2.1.10.10. Pediatric Surgery: ABH

 C2.1.10.10.1. Function. Pediatric Surgery provides general surgical 

procedures for infants and children, provides post-operative care for these patients, maintains 

close liaison with the pediatric service, and performs those functions described in paragraph 

C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.10.2. Costs. The Pediatric Surgery work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Pediatric Surgery activities. 

 C2.1.10.11. Plastic Surgery: ABI

 C2.1.10.11.1. Function. Plastic Surgery provides diagnostic, preoperative, surgical, and post-operative care for patients with plastic and reconstructive problems; 

provides surgery to restore or aid in healing wounded, disfigured, or unsightly parts of the body; 

and performs those functions described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.11.2. Costs. The Plastic Surgery work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Plastic Surgery activities. 

 C2.1.10.12. Proctology: ABJ

 C2.1.10.12.1. Function. Proctology provides diagnostic, pre-operative, 

surgical, and post-operative care for patients with diseases and injuries of the anus, rectum, and 

colon and performs those functions described in paragraph C2.1.10.1., “Surgical Care,” as 

appropriate. 

 C2.1.10.12.2. Costs. The Proctology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Proctology activities. 

 C2.1.10.13. Urology: ABK

 C2.1.10.13.1. Function. Urology provides diagnostic, pre-operative, 

surgical, and post-operative care and treatment to eligible patients suffering from genitourinary 

disease or disorders; provides cystoscopic examinations, urograms, pyleograms, 

cystometrograms, lymphangiograms, retroperitoneal carbon dioxide studies, function studies, 

and other urological studies; and performs those functions described in paragraph C2.1.10.1., 

“Surgical Care,” as appropriate. 
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 C2.1.10.13.2. Costs. The Urology work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, equipment, travel, and any other expenses identified directly in support of 

Urology activities. 

 C2.1.10.14. Organ Transplant: ABL 

 C2.1.10.14.1. Function. Organ Transplant provides for replacement 

therapy for patients with end-stage organ failure confined to the abdominal cavity; provides 

vascular and peritoneal access for patients with end-stage renal disease; provides general surgical 

care to patients with end-stage organ failure confined to the abdominal cavity; provides 

instruction to surgical resident in training and nephrology fellows in training in the pre-operative, 

operative, and post-operative care of the transplant recipient; and performs those functions 

described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.14.2. Costs. The Organ Transplant work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Organ Transplant activities. 

 C2.1.10.15. Burn Unit: ABM

 C2.1.10.15.1. Function. The Burn Unit investigates problems of 

mechanical and thermal injuries with complications arising from such trauma, cares for patients 

with such injuries, teaches and trains other personnel in the management of injured patients, 

conducts investigative studies at both the basic and clinical level, and performs those functions 

described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.15.2. Costs. The Burn Unit work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Burn Unit activities. 

 C2.1.10.16. Peripheral Vascular Surgery: ABN

 C2.1.10.16.1. Function. Peripheral Vascular Surgery provides diagnostic, 

pre-operative, surgical, and post-operative care for patient with diseases and injuries of arteries, 

veins, and lymphatics that are outside the cranium and the thorax, and performs those functions 

described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.16.2. Costs. The Peripheral Vascular Surgery work center shall 

be a sub-account that includes all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, equipment, travel, and any other expenses identified 

directly in support of Peripheral Vascular Surgery activities. 
DoD 6010.13-M, April 7, 2008 

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 C2.1.10.17. Inactive: ABO 

 C2.1.10.18. Inactive: ABP

 C2.1.10.19. Vascular and Interventional Radiology: ABQ

 C2.1.10.19.1. Function. Vascular and Interventional Radiology provides 

specialized care and evaluation for eligible inpatients including vascular disease urologic disease, 

fluid collections of diverse origin, infertility, and malignancy; provides placement of extendeduse venous access devices for multiple indications and specialized diagnostic procedures; and 

performs those functions described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.10.19.2. Costs. The Vascular and Interventional Radiology work 

center shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function, such as expenses for personnel, supplies, equipment, travel, and any other expenses 

identified directly in support of Vascular and Interventional Radiology activities. 

 C2.1.10.20. Cost Pool: ABX

 C2.1.10.20.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.1.10.20.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.1.10.21. Surgical Care Not Elsewhere Classified: ABZ

 C2.1.10.21.1. Function. Surgical Care Not Elsewhere Classified includes 

inpatient surgical specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.1.10.3. through C2.1.10.20. 

 C2.1.10.21.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.1.11. Obstetrical and Gynecological (OB-GYN) Care: AC

 C2.1.11.1. Function. OB-GYN Care provides specialized inpatient care, 

treatment, and consultative evaluation in the specialties described in this subsection; coordinates 

healthcare delivery relative to the examination, diagnosis, treatment, and proper disposition of 

eligible patients appropriate to the specialty or subspecialty; prepares medical records; and 

submits required reports. The organization of the OB-GYN care function varies according to 

patient load, staffing, and facilities. When subspecialty services are established, they shall 

provide the related specialized techniques and practices using all the available modern diagnostic 

procedures, studies, and therapies. 
DoD 6010.13-M, April 7, 2008 

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 C2.1.11.2. Costs. OB-GYN Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the inpatient specialties and subspecialties 

described in subparagraphs C2.1.11.3. through C2.1.11.6. 

 C2.1.11.3. Gynecology: ACA

 C2.1.11.3.1. Function. Gynecology provides specialized gynecological 

care, treatment, and consultative evaluation to eligible inpatients and performs those functions 

described in paragraph C2.1.11.1., “OB-GYN Care,” as appropriate. 

 C2.1.11.3.2. Costs. The Gynecology work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Gynecology activities. 

 C2.1.11.4. Obstetrics: ACB

 C2.1.11.4.1. Function. Obstetrics provides for specialized care, 

treatment, and consultative evaluation to eligible inpatients; provides antepartum, delivery, and 

postpartum care to maternity patients; and operates and maintains the labor and delivery suite. 

The labor and delivery suite provides labor and delivery care by specially trained personnel to 

eligible patients, including prenatal care during labor, assistance during delivery, post-natal care, 

and minor gynecological surgery, if it is performed in the suite. Additional activities may 

include preparing sterile set-ups for deliveries, preparing patients for transportation to the 

delivery suite and the post-anesthesia care unit, and monitoring patients while they are in the 

post-anesthesia care unit. Obstetrics performs those functions described in paragraph C2.1.11.1., 

“Ob-Gyn Care,” as appropriate. 

 C2.1.11.4.2. Costs. The Obstetrics work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Obstetrics activities. 

 C2.1.11.5. Cost Pool: ACX

 C2.1.11.5.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.1.11.5.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.1.11.6. OB-GYN Care Not Elsewhere Classified: ACZ
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 C2.1.11.6.1. Function. OB-GYN Care Not Elsewhere Classified includes 

inpatient specialties and subspecialties that satisfy the criteria for a work center and are not 

described in subparagraphs C2.1.11.3. through C2.1.11.5. 

 C2.1.11.6.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.1.12. Pediatric Care: AD

 C2.1.12.1. Function. Pediatric Care provides specialized inpatient care, 

treatment, and consultative evaluation of infants and children; maintains close liaison with the 

other professional services; coordinates healthcare delivery relative the examination, diagnosis, 

treatment, and proper disposition of eligible patients; prepares medical records; and submits 

required reports. The organization of the pediatric function may vary according to patient load, 

staffing, and facilities. When subspecialty services are established, they shall provide the related 

specialized techniques and practices using all the available modern diagnostic procedures, 

studies, and therapies. 

 C2.1.12.2. Costs. Pediatric Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the inpatient specialties and subspecialties 

described in subparagraphs C2.1.12.3. through C2.1.12.9. 

 C2.1.12.3. Pediatrics: ADA

 C2.1.12.3.1. Function. Pediatrics provides or ensures comprehensive 

diagnostic evaluation, specialized care and treatment, including prophylactic measures, for 

infants, children, and adolescents; provides full consultative services to the other professional 

services; appraises children’s health and development status; and performs those functions 

described in paragraph C2.1.12.1., “Pediatric Care,” as appropriate. 

 C2.1.12.3.2. Costs. The Pediatrics work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, equipment, travel, and any other expenses identified directly in support of 

Pediatrics activities. 

 C2.1.12.4. Newborn Nursery: ADB

 C2.1.12.4.1. Function. The Newborn Nursery provides specialized 

inpatient care, treatment, and consultative evaluation of newborn infants; coordinates healthcare 

delivery relative to the examination, diagnosis, treatment, and proper disposition of the newborn 

including those born prematurely; provides for or otherwise ensures appropriate diagnostic 

evaluation and care of all inpatients in the neonatal age group; prepares medical records; submits 

required reports; and performs those functions described in paragraph C2.1.12.1., “Pediatric 

Care,” as appropriate. The Newborn Nursery functional work center may vary according to 

patient load, staffing, and facilities. 
DoD 6010.13-M, April 7, 2008 

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 C2.1.12.4.2. Costs. The Newborn Nursery work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Newborn Nursery activities. 

 C2.1.12.5. Inactive: ADC 

 C2.1.12.6. Adolescent Pediatrics: ADD

 C2.1.12.6.1. Function. Adolescent Pediatrics provides treatment for acute 

and chronic pediatric medical illnesses and diseases affecting youths 13 to 21 years of age; 

addresses overt and covert problems involving pubertal change, psychosocial adjustment, 

cognitive development, and emotional maturation; and performs those functions described in 

paragraph C2.1.12.1., Pediatric Care, as appropriate. 

 C2.1.12.6.2. Costs. The Adolescent Pediatrics work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Adolescent Pediatrics activities. 

 C2.1.12.7. Inactive: ADE 

 C2.1.12.8. Cost Pool: ADX

 C2.1.12.8.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.1.12.8.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.1.12.9. Pediatric Care Not Elsewhere Classified: ADZ

 C2.1.12.9.1. Function. Pediatric Care Not Elsewhere Classified includes 

inpatient specialties and subspecialties that satisfy the criteria for a work center and are not 

described in subparagraphs C2.1.12.3. through C2.1.12.8. 

 C2.1.12.9.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.1.13. Orthopedic Care: AE

 C2.1.13.1. Function. Orthopedic Care provides inpatient care and consultative 

evaluation in the specialties described in this paragraph; coordinates healthcare delivery relative 

to the examination, diagnosis, care and treatment, rehabilitation, and proper disposition of 

eligible patients requiring orthopedic treatment, especially the preservation and restoration of the 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 39

functions of the skeletal system, its articulation, and associated structures; prepares medical 

records; and submits required reports. The organization of the orthopedic care function is 

divided into subspecialty areas that shall provide the specialized techniques and practices related 

to those subspecialty areas using all available, modern diagnostic procedures, studies, and 

therapies. 

 C2.1.13.2. Costs. Orthopedic Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the inpatient specialties and subspecialties 

described in subparagraphs C2.1.13.3. through C2.1.13.7. 

 C2.1.13.3. Orthopedics: AEA

 C2.1.13.3.1. Function. Orthopedics provides for the specialized care, 

treatment, and consultative evaluation of patients with diseases, disorders, and injuries of the 

musculoskeletal system; performs surgery for abnormal conditions of bones, joints, muscles, 

fasciae, and tendons; provides care and treatment of bone infections and other infected 

orthopedic cases; provides care and treatment of fractures and associated soft tissue injuries; 

operates a cast room with facilities for application, alteration, and removal of plaster casts, 

splints, and various forms of traction required; and performs those functions described in 

paragraph C2.1.13.1., “Orthopedic Care,” as appropriate. 

 C2.1.13.3.2. Costs. The Orthopedic work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Orthopedics activities. 

 C2.1.13.4. Podiatry: AEB

 C2.1.13.4.1. Function. Podiatry is responsible for the diagnosis, 

treatment, and prevention of foot disorders; provides inpatient consultations when requested by 

other professional services; assists with or performs inpatient surgical procedures on the foot; 

provides related follow-up care; and performs those functions described in paragraph C2.1.13.1., 

“Orthopedic Care,” as appropriate. 

 C2.1.13.4.2. Costs. The Podiatry work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, equipment, travel, and any other expenses identified directly in support of 

Podiatry activities. 

 C2.1.13.5. Hand Surgery: AEC

 C2.1.13.5.1. Function. Hand Surgery provides diagnostic, pre-operative, 

surgical, and post-operative care for patients with all affiliations related to the hand and upper 

extremity. Hand Surgery also provides care to patients requiring peripheral reconstruction, 

including microvascular and microneural techniques and brachial plexus reconstruction, and 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 40

performs those functions described in paragraph C2.1.13.1., “Orthopedic Care,” and paragraph 

C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.13.5.2. Costs. The Hand Surgery work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Hand Surgery activities. 

 C2.1.13.6. Cost Pool: AEX

 C2.1.13.6.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.1.13.6.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.1.13.7. Orthopedic Care Not Elsewhere Classified: AEZ

 C2.1.13.7.1. Function. Orthopedic Care Not Elsewhere Classified 

includes inpatient specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.1.13.3. through C2.1.13.6. 

 C2.1.13.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.1.14. Psychiatric Care: AF

 C2.1.14.1. Function. Psychiatric Care provides specialized care and consultative 

evaluation for eligible inpatients; coordinates healthcare delivery relative to the examination, 

diagnosis, treatment, and proper disposition of patients with psychotic, neurotic, or other mental 

disorders; and maintains protective custody of patients with psychiatric disorders when required 

to prevent injury to themselves or to others. It establishes therapeutic regimens, conducts 

individual or group therapy sessions, and provides short-term treatment to patients 

psychologically or physically dependent upon alcohol or drugs. The function also maintains 

custody of sensitive or medically privileged records and correspondence that evolve during 

treatment of patients, prepares medical records, and submits required reports. The organization 

of the Psychiatric Care function is divided into subspecialty areas that shall provide the 

specialized techniques and practices related to those subspecialty areas using all available, 

modern diagnostic procedures, studies, and therapies. 

 C2.1.14.2. Costs. Psychiatric Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the inpatient specialties and subspecialties 

described in subparagraphs C2.1.14.3. through C2.1.14.6. 
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 C2.1.14.3. Psychiatrics: AFA

 C2.1.14.3.1. Function. Psychiatrics provides specialized care and 

consultative evaluation for eligible inpatients; coordinates healthcare delivery relative to the 

examination, diagnosis, treatment, and proper disposition of patients with psychotic neurotic or 

other mental disorder; maintains protective custody of patients psychologically or physically 

dependent upon alcohol or drugs; maintains custody of sensitive or medically privileged records 

and correspondence that evolve during treatment to patients; prepares medical records; submits 

required reports; and performs those functions described in paragraph C2.1.14.1., “Psychiatric 

Care,” as appropriate. 

 C2.1.14.3.2. Costs. The Psychiatrics work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Psychiatrics activities. 

 C2.1.14.4. Substance Abuse Rehabilitation: AFB

 C2.1.14.4.1. Function. Substance Abuse Rehabilitation provides 

specialized care and consultative evaluation for eligible inpatients undergoing rehabilitation for 

substance abuse. It coordinates healthcare delivery relative to the examination, diagnosis, 

treatment, and proper disposition of patients undergoing therapy for alcohol and drug abuse. The 

function also maintains protective custody of patients when required to prevent injury to 

themselves or to others, establishes therapeutic regimens, conducts individual or group therapy 

sessions, and provides short-term treatment to patients psychologically or physically dependent 

upon alcohol or drugs. Substance Abuse Rehabilitation also maintains custody of sensitive or 

medically privileged records and correspondence that evolve during treatment of patients, 

prepares medical records, submits required reports, and performs those functions described in 

paragraph C2.1.14.1., “Psychiatric Care,” as appropriate. 

 C2.1.14.4.2. Costs. The Substance Abuse Rehabilitation work center 

shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function, such as expenses for personnel, supplies, equipment, travel, and any other expenses 

identified directly in support of Substance Abuse Rehabilitation activities. 

 C2.1.14.5. Cost Pool: AFX

 C2.1.14.5.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.1.14.5.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.1.14.6. Psychiatric Care Not Elsewhere Classified: AFZ
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 C2.1.14.6.1. Function. Psychiatric Care Not Elsewhere Classified 

includes the expenses of inpatient specialties and subspecialties that satisfy the criteria for a work 

center and are not described in subparagraphs C2.1.14.3. through C2.1.14.5. 

 C2.1.14.6.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.1.15. Family Medicine Care: AG

 C2.1.15.1. Function. Family Medicine Care provides comprehensive specialty 

inpatient care to patients suffering from disease and illness; coordinates and provides healthcare 

relative to the examination, diagnosis, treatment, and proper disposition of inpatients; and 

provides a comprehensive plan of care for inpatients, including counseling and guidance, health 

education, rehabilitation, and prevention of disease. The organization of the Family Medicine 

care function varies according to patient load, staffing, and facilities. When subspecialty 

services are established, they shall provide the related specialized techniques and practices using 

all the available modern diagnostic procedures, studies, and therapies. 

 C2.1.15.2. Costs. Family Medicine Care shall be a summary account that 

includes all expenses incurred in operating and maintaining the inpatient specialties and 

subspecialties described in subparagraphs C2.1.15.3. through C2.1.15.12. 

 C2.1.15.3. Family Medicine: AGA

 C2.1.15.3.1. Function. Family Medicine provides general and specialized 

inpatient care to patients suffering from disease and illness, and performs those functions 

described in paragraph C2.1.9.1., “Medical Care,” as appropriate. 

 C2.1.15.3.2. Costs. The Family Medicine work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Family Medicine activities. 

 C2.1.15.4. Family Medicine Surgery: AGB

 C2.1.15.4.1. Function. Family Medicine Surgery provides diagnostic, 

pre-operative, and post-operative care for general surgery patients, and performs those functions 

described in paragraph C2.1.10.1., “Surgical Care,” as appropriate. 

 C2.1.15.4.2. Costs. The Family Medicine Surgery work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, equipment, travel, and any other expenses identified directly 

in support of Family Medicine Surgery activities. 

 C2.1.15.5. Family Medicine Obstetrics: AGC
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 C2.1.15.5.1. Function. Family Medicine Obstetrics provides for 

specialized care, treatment, and consultative evaluation to eligible inpatients; provides 

antepartum, delivery, and postpartum care to maternity patients; and performs those functions 

described in paragraph C2.1.11.1., “OB-GYN CARE,” as appropriate. 

 C2.1.15.5.2. Costs. The Family Medicine Obstetrics work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, equipment, travel, and any other expenses identified directly 

in support of Family Medicine Obstetrics activities. 

 C2.1.15.6. Family Medicine Pediatrics: AGD

 C2.1.15.6.1. Function. Family Medicine Pediatrics provides and ensures 

comprehensive diagnostic evaluation, specialized care, and treatment including prophylactic 

measures for infants, children, and adolescents; appraises children’s health and development 

status; and performs those functions described in paragraph C2.1.12.1., “Pediatric Care,” as 

appropriate. 

 C2.1.15.6.2. Costs. The Family Medicine Pediatrics work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, equipment, travel, and any other expenses identified directly 

in support of Family Medicine Pediatrics activities. 

 C2.1.15.7. Family Medicine Gynecology: AGE

 C2.1.15.7.1. Function. Family Medicine Gynecology provides 

specialized gynecological care, treatment, and evaluation to eligible inpatients and performs 

those functions described in paragraph C2.1.11.1., “OB-GYN CARE,” as appropriate. 

 C2.1.15.7.2. Costs. The Family Medicine Gynecology work center shall 

be a sub-account that includes all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, equipment, travel, and any other expenses identified 

directly in support of Family Medicine Gynecology activities. 

 C2.1.15.8. Family Medicine Psychiatry: AGF

 C2.1.15.8.1. Function. Family Medicine Psychiatry provides specialized 

care and evaluation for eligible inpatients; coordinates healthcare delivery relative to the 

examination, diagnosis, treatment, and proper disposition of patients with neurotic or other 

mental disorders; establishes therapeutic regimens; provides initial short-term treatment for 

patients psychologically or physically dependent upon alcohol or drugs; and performs those 

functions described in paragraph C2.1.14.1., “Psychiatric Care,” as appropriate. 

 C2.1.15.8.2. Costs. The Family Medicine Psychiatry work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the function, such 
DoD 6010.13-M, April 7, 2008 

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as expenses for personnel, supplies, equipment, travel, and any other expenses identified directly 

in support of Family Medicine Psychiatry activities. 

 C2.1.15.9. Family Medicine Orthopedics: AGG

 C2.1.15.9.1. Function. Family Medicine Orthopedics provides inpatient 

care and coordinates healthcare delivery relative to the examination, diagnosis, care, treatment, 

rehabilitation, and proper disposition of eligible patients requiring orthopedic treatment, 

especially the preservation and restoration of the skeletal system, its articulation, and associated 

structures. Family Medicine Orthopedics also performs those functions described in paragraph 

C2.1.13.1., “Orthopedic Care,” as appropriate. 

 C2.1.15.9.2. Costs. The Family Medicine Orthopedics work center shall 

be a sub-account that includes all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, equipment, travel, and any other expenses identified 

directly in support of Family Medicine Orthopedics activities. 

 C2.1.15.10. Family Medicine Newborn Nursery: AGH

 C2.1.15.10.1. Function. Family Medicine Newborn Nursery provides 

specialized inpatient care, treatment, and evaluation of newborn infants; coordinates healthcare 

delivery relative to the examination, diagnosis, treatment, and proper disposition of eligible 

patients; and performs those functions described in subparagraph C2.1.12.4.1., “Newborn 

Nursery (ADB),” as appropriate. 

 C2.1.15.10.2. Costs. The Family Medicine Newborn Nursery work center 

shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function, such as expenses for personnel, supplies, equipment, travel, and any other expenses 

identified directly in support of Family Medicine Newborn Nursery activities. 

 C2.1.15.11. Cost Pool: AGX

 C2.1.15.11.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.1.15.11.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.1.15.12. Family Medicine Care Not Elsewhere Classified: AGZ

 C2.1.15.12.1. Function. Family Medicine Care Not Elsewhere Classified 

includes inpatient specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.1.15.3. through C2.1.15.11. 
DoD 6010.13-M, April 7, 2008 

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 C2.1.15.12.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

C2.2. AMBULATORY CARE: B

 C2.2.1. Function. Ambulatory Care provides comprehensive primary medical care; 

diagnostic services, care, and treatment; ambulatory surgical procedures; medical examinations; 

mental health consultation; and proper medical disposition of inpatients and outpatients who are 

authorized beneficiaries. It provides a comprehensive plan for care for patients including 

monitoring and maintenance of their state of health, health education, individual and group 

counseling and guidance testing; psychiatric evaluation; rehabilitation; and prevention of disease. 

Ambulatory Care provides clinical and consultation services, medical care evaluation, 

professional training of assigned personnel, preparation and submission of reports, and 

maintenance of medical records. Ambulatory Care also provides follow-up care for selected 

post-operative patients, refers patients to specialty clinics, admits or refers patients to the MTF, 

and provides specialized aviation medicine and underseas medicine care and support. 

 C2.2.2. Costs. The Ambulatory Care functional account shall include all expenses in the 

following summary accounts: 3 Medical Care, Surgical Care, OB-GYN Care, Pediatric Care, 

Orthopedic Care, Psychiatric and Mental Healthcare, Family Medicine Care, Primary Medical 

Care, Emergency Medical Care, Flight Medicine Care, Underseas Medicine Care, and 

Rehabilitative Ambulatory Services, as outlined in paragraphs C2.2.9. through C2.2.20. 

 C2.2.3. Service Unit(s) for Ambulatory Final Account Codes

 

 C2.2.3.1. Ambulatory Weighted Procedures. 

 C2.2.3.2. APVs. 

 C2.2.3.3. OBS. 

 C2.2.3.4. Total Outpatient and Inpatient Visits With Ancillary (excludes APV 

and OBs). 

 C2.2.3.5. Total Outpatient and Inpatient Visits Without Ancillary (excludes APV 

and OBs). 

 C2.2.4. Service Unit(s) for Cost Pools. Not applicable. 

 C2.2.5. Allocation Factor for Ambulatory Final Account Codes. Not applicable. 

 C2.2.6. Allocation Factor for Cost Pools. Total visits. 
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 C2.2.7. Assignment Procedure for Ambulatory Final Account Codes. Not applicable for 

final account ambulatory specialties. These final operating expense accounts shall not be 

reassigned during the expense allocation process described in Chapter 3. 

 C2.2.8. Assignment Procedure for Cost Pools. Expenses and FTEs of shared performing 

specialties shall be reassigned during allocation based on workload. Cost pools are purified in 

alphabetical order before the expense allocation process described in Chapter 3. 

 C2.2.9. Medical Care: BA

 C2.2.9.1. Function. Medical Care provides diagnostic services, care, treatment, 

and proper medical disposition of inpatients and outpatients referred to medical clinics. It 

provides a comprehensive plan of care for patients, including monitoring and maintaining their 

state of health, counseling and guidance, health education, rehabilitation, and prevention of 

disease. Medical Care also provides professional training of assigned personnel, preparation and 

submission of reports, and maintenance of medical records. The organization of the Medical 

Care function varies according to patient load, staffing, and facilities. When subspecialty 

services are established, they shall provide the related specialized techniques and practices using 

all the available modern diagnostic procedures, studies, and therapies. If patient loads do not 

justify establishing any or all of the clinical subspecialties indicated, the functions shall be 

located and reported in the Internal Medicine (BAA) sub-account. 

 C2.2.9.2. Costs. Medical Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the medical clinics described in subparagraphs 

C2.2.9.3. through C2.2.9.26. Clinic expenses shall be collected if the clinic normally operates 16 

or more hours per month. Expenses for infrequently operated clinics (less than 16 hours per 

month) shall be reported in the Internal Medicine Clinic (BAA) sub-account. 

 C2.2.9.3. Internal Medicine: BAA

 C2.2.9.3.1. Function. The Internal Medicine Clinic examines, diagnoses, 

and treats internal disease, and performs those functions described in paragraph C2.2.9.1., 

“Medical Care,” as appropriate. 

 C2.2.9.3.2. Costs. The Internal Medicine Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Internal Medicine Clinic activities. 

 C2.2.9.4. Allergy Clinic: BAB

 C2.2.9.4.1. Function. The Allergy Clinic examines, diagnoses, and treats 

disorders of allergenic origin; prepares and reviews case histories; obtains data through 

interviews and testing; interprets findings and determines types and duration of therapy; prepares 

allergy treatment extracts and serum kits; administers routine and prescribed allergenic 
DoD 6010.13-M, April 7, 2008 

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injections; and performs the functions described in paragraph C2.2.9.1., “Medical Care,” as 

appropriate. 

 C2.2.9.4.2. Costs. The Allergy Clinic work center shall be a sub-account 

that includes expenses incurred in operating and maintaining the clinic, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of Allergy Clinic 

activities. 

 C2.2.9.5. Cardiology Clinic: BAC

 C2.2.9.5.1. Function. The Cardiology Clinic examines, diagnoses, and 

treats diseases and injuries (non-surgical) of the cardiovascular system; directs specialized 

diagnostic procedures; and performs those functions described in paragraph C2.2.9.1., “Medical 

Care,” as appropriate. 

 C2.2.9.5.2. Costs. The Cardiology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Cardiology Clinic activities. 

 C2.2.9.6. Inactive: BAD 

 C2.2.9.7. Diabetic Clinic: BAE 

 C2.2.9.7.1. Function. The Diabetic Clinic examines, diagnoses, and treats 

diabetic diseases; provides health education counseling; and performs those functions described 

in paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.7.2. Costs. The Diabetic Clinic work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the clinic, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of Diabetic 

Clinic activities. 

 C2.2.9.8. Endocrinology Clinic: BAF

 C2.2.9.8.1. Function. The Endocrinology Clinic examines, diagnoses, 

and treats diseases and injuries of the endocrine glands and internal secretions of the body, and 

performs those functions described in paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.8.2. Costs. The Endocrinology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Endocrinology Clinic activities. 

 C2.2.9.9. Gastroenterology Clinic: BAG
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 C2.2.9.9.1. Function. The Gastroenterology Clinic examines, diagnoses, 

and treats diseases and injuries (non-surgical) of the gastrointestinal tract; directs specialized 

diagnostic procedures; and performs those functions described in paragraph C2.2.9.1., “Medical 

Care,” as appropriate. 

 C2.2.9.9.2. Costs. The Gastroenterology Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Gastroenterology Clinic activities. 

 C2.2.9.10. Hematology Clinic: BAH

 C2.2.9.10.1. Function. The Hematology Clinic examines, diagnoses, and 

treats diseases of the blood; operates and maintains a hematology laboratory in support of the 

hematology clinic; and performs those functions described in paragraph C2.2.9.1., “Medical 

Care,” as appropriate. 

 C2.2.9.10.2. Costs. The Hematology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Hematology Clinic activities. 

 C2.2.9.11. Hypertension Clinic: BAI

 C2.2.9.11.1. Function. The Hypertension Clinic examines, diagnoses, 

and treats hypertension disease; provides health education counseling; and performs those 

functions described in paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.11.2. Costs. The Hypertension Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Hypertension Clinic activities. 

 C2.2.9.12. Nephrology Clinic: BAJ

 C2.2.9.12.1. Function. The Nephrology Clinic examines, diagnoses, and 

treats organic diseases and disorders of the renal system. (See the Hemodialysis (DGB) subaccount in paragraph C2.4.15.9.2. for services performed in the Hemodialysis work center.) The 

Nephrology Clinic also performs those functions described in paragraph C2.2.9.1., “Medical 

Care,” as appropriate. 

 C2.2.9.12.2. Costs. The Nephrology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Nephrology Clinic activities. 
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 C2.2.9.13. Neurology Clinic: BAK

 C2.2.9.13.1. Function. The Neurology Clinic examines, diagnoses, and 

treats organic diseases and disorders of the nervous system, and performs those functions 

described in paragraph C2.2.9.1., Medical Care, as appropriate. 

 C2.2.9.13.2. Costs. The Neurology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Neurology Clinic activities. 

 C2.2.9.14. Nutrition Care Clinic: BAL

 C2.2.9.14.1. Function. The Nutrition Care Clinic represents a physical 

location and clinic that provides comprehensive nutritional care to both inpatients and outpatients 

including scheduling appointments and assessing and planning nutrition care. It provides 

diagnostic services, care, and treatment to inpatients and outpatients including counseling and 

guidance, and consultations, which include the calculation and development of special diets. It 

also provides health and dietary education to patients, instructs groups and individuals on 

nutrition, consults patients by telephone, documents follow-up care and medical records, 

prepares required medical reports, and monitors and maintains a patient’s state of health. The 

Nutrition Care Clinic also performs those functions described in paragraph C2.2.9.1., “Medical 

Care,” as appropriate. 

 C2.2.9.14.2. Costs. The Nutrition Care Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Nutrition Care Clinic activities. 

 C2.2.9.15. Oncology Clinic: BAM

 C2.2.9.15.1. Function. The Oncology Clinic examines, diagnoses, and 

treats tumors, and performs those functions described in paragraph C2.2.9.1., “Medical Care,” as 

appropriate. 

 C2.2.9.15.2. Costs. The Oncology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Oncology Clinic activities. 

 C2.2.9.16. Pulmonary Disease Clinic: BAN

 C2.2.9.16.1. Function. The Pulmonary Disease Clinic examines, 

diagnoses, and treats pulmonary disease and other diseases of the chest cavity; prepares and 

reviews case histories and clinical records; directs specialized diagnostic procedures and may 
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supervise the pulmonary function laboratory; and performs those functions described in 

paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.16.2. Costs. The Pulmonary Disease Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Pulmonary Disease Clinic activities. 

 C2.2.9.17. Rheumatology Clinic: BAO

 C2.2.9.17.1. Function. The Rheumatology Clinic examines, diagnoses, 

and treats disease and injuries (non-surgical) of the joints and muscles, and performs those 

functions described in paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.17.2. Costs. The Rheumatology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Rheumatology Clinic activities. 

 C2.2.9.18. Dermatology Clinic: BAP

 C2.2.9.18.1. Function. The Dermatology Clinic examines, diagnoses, and 

treats patients with benign and malignant disorders of the skin, mouth, external genitalia, hair, 

and nails. The Clinic conducts diagnoses and treatment of skin cancers, melanomas, moles, and 

other tumors of the skin, manages contact dermatitis and other allergic and non-allergic skin 

disorders, and recognizes the skin manifestation of system (including malignancy) and infectious 

diseases. Dermatologists have special training in dermapathology and in the surgical techniques 

used in dermatology. The management of cosmetic disorders of the skin such as hair loss and 

scars, and the skin changes associated with aging. The Dermatology Clinic also performs those 

functions described in paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.18.2. Costs. The Dermatology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Dermatology Clinic activities. 

 C2.2.9.19. Infectious Disease Clinic: BAQ

 C2.2.9.19.1. Function. The Infectious Disease Clinic examines, 

diagnoses, and treats infectious diseases and performs those functions described in paragraph 

C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.19.2. Costs. The Infectious Disease Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Infectious Disease Clinic activities. 
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 C2.2.9.20. Physical Medicine Clinic: BAR

 C2.2.9.20.1. Function. The Physical Medicine Clinic provides 

consultation, diagnoses, and referrals primarily for patients with neuromusculoskeletal disorders; 

evaluates and prescribes orthotics and assistive devices; performs electroneuromyographic 

testing; and performs those functions described in paragraph C2.2.9.1., “Medical Care,” as 

appropriate. 

 C2.2.9.20.2. Costs. The Physical Medicine Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Physical Medicine Clinic activities. 

 C2.2.9.21. Radiation Therapy Clinic: BAS

 C2.2.9.21.1. Function. The Radiation Therapy Clinic examines clinical 

evaluation and selection of patients, treatment of isolated tumors and supervision of treatment 

course, and planning follow-up care and performs those functions described in paragraph 

C2.2.9.1., “Medical Care,” as appropriate. Radiation Therapy is exercised as the sole therapeutic 

modality in the care of the cancer patient or in combination with surgery or chemotherapy or 

both. Various means of this modality include external beam therapy (primary teletherapy) and 

brachytherapy (intracavitary, interstitial, and surface applications). Also provided are necessary 

support functions such as treatment planning and dosimetry, calibration of radiation sources, and 

storage of radioactive material. 

 C2.2.9.21.2. Costs. The Radiation Therapy Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Radiation Therapy Clinic activities. 

 C2.2.9.21.3. Service Unit Additional Information. Radiation is usually 

given once a day in a dose that is based on the type and location of the tumor. When the daily 

dose is divided into smaller doses that are given more than once a day (usually separated by 4 to 

6 hours), the therapy must be reported as one visit. 

 C2.2.9.22. Bone Marrow Transplant Clinic: BAT

 C2.2.9.22.1. Function. The Bone Marrow Transplant Clinic provides preadmission screening and procedures and post-procedure follow-up for bone marrow transplant 

patients, and performs those functions described in paragraph C2.2.9.1., “Medical Care,” as 

appropriate. 

 C2.2.9.22.2. Costs. The Bone Marrow Transplant Clinic work center 

shall be a sub-account that includes all expenses incurred in operating and maintaining the clinic, 
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such as expenses for personnel, supplies, travel, and any other expenses identified directly in 

support of Bone Marrow Transplant Clinic activities. 

 C2.2.9.23. Genetic Clinic (Keesler Only): BAU

 C2.2.9.23.1. Function. The Genetic Clinic examines, evaluates, 

diagnoses, and treats genetic disease and conditions; prepares and reviews case histories and 

clinical records; obtains clinical data and family histories through interviews and testing; 

constructs pedigrees; counsels on recurrence risks and availability of prenatal diagnosis; 

interprets findings and determines need for laboratory or other testing; and performs those 

functions described in paragraph C2.2.9.1., “Medical Care,” as appropriate. 

 C2.2.9.23.2. Costs. The Genetic Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Genetic Clinic activities. 

 C2.2.9.24. Hyperbaric Medicine Clinic: BAV

 C2.2.9.24.1. Function

 C2.2.9.24.1.1. The Hyperbaric Medicine Clinic is staffed with 

specially trained personnel who treat decompression illness and diving accident cases using 

Hyperbaric Oxygen (HBO) therapy. The Clinic treats conditions such as air or gas embolism, 

carbon monoxide poisoning, smoke inhalation, clostridial myonecrosis, crush compartment 

syndrome, gas gangrene, and other traumatic ischemias. It also treats decompression sickness, 

non-healing wounds, tissue damage from radiation and burns and bone infections, enhancement 

healing of selected problem wounds, exceptional blood loss, necrotizing soft tissue infections, 

refractory osteomyelitis, compromised skin grafts and flaps, thermal burns, and intracranial 

abscess. 

 C2.2.9.24.1.1.2. HBO therapy is the intermittent administration of 

100 percent oxygen at a pressure greater than sea level. Treatment is provided in a pressurized 

chamber. The Hyperbaric Medicine Clinic service provides consultation to other clinical 

departments and accepts worldwide referrals through attending physicians, selecting those 

patients who would benefit from HBO therapy. This work center provides medical and technical 

expertise for coordinated and comprehensive care, including transcutaneous oxygen testing, pain 

management, and daily wound care. The service serves as a center of medical expertise, acting 

as consultants for the management of decompression sickness and gas embolism resulting from 

operational flying and diving. They conduct oxygen tolerance tests and pressure tests necessary 

for potential submarine or diving personnel. Certain clinical hyperbaric facilities conduct 

research to determine the efficacy of HBO therapy in certain diseases for which the medical 

literature does not adequately support HBO treatment. Ancillary capabilities of fully equipped 

clinical hyperbaric facilities include cardiac monitoring and ventilatory support for the critically 

ill patient. The Hyperbaric Medicine Clinic also performs those functions described in paragraph 

C2.2.9.1., “Medical Care,” as appropriate. 
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 C2.2.9.24.2. Costs. The Hyperbaric Medicine Clinic work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Hyperbaric Medicine Clinic activities. 

 C2.2.9.25. Cost Pool: BAX

 C2.2.9.25.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.9.25.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.9.26. Medical Care Not Elsewhere Classified: BAZ

 C2.2.9.26.1. Function. Medical Care Not Elsewhere Classified includes 

ambulatory care specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.2.9.3. through C2.2.9.25. 

 C2.2.9.26.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.10. Surgical Care: BB

 C2.2.10.1. Function. Surgical Care provides diagnostic services, care, treatment, 

minor surgical procedures, proper medical disposition of inpatients and outpatients referred to 

surgical clinics, and provides follow-up care for selected post-operative patients. It provides a 

comprehensive plan of care for patients, including counseling, guidance, and rehabilitation, and 

provides clinical consultation services, surgical care evaluation, professional training of assigned 

personnel, preparation and submission of reports, and maintenance of medical records. The 

organization of the surgical care function varies according to patient load, staffing, and facilities. 

When subspecialty services are established, they shall provide the related specialized techniques 

and practices using all the available modern diagnostic procedures, studies, and therapies. If 

patient loads do not justify establishing any or all of the clinical subspecialties indicated, the 

functions shall be located and reported in the General Surgery Clinic (BBA) sub-account. 

 C2.2.10.2. Costs. Surgical Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the surgical clinics described in subparagraphs 

C2.2.10.3. through C2.2.10.18. Clinic expenses shall be collected if the clinic normally operates 

16 or more hours per month. Expenses for infrequently operated clinics (less than 16 hours per 

month) shall be reported in the General Surgery Clinic (BBA) sub-account. 

 C2.2.10.3. General Surgery Clinic: BBA
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 C2.2.10.3.1. Function. The General Surgery Clinic examines, diagnoses, 

and treats diseases, injuries, and disorders by surgical means, and performs those functions 

described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.3.2. Costs. The General Surgery Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

General Surgery Clinic activities. 

 C2.2.10.4. Cardiovascular and Thoracic Surgery Clinic: BBB

 C2.2.10.4.1. Function. The Cardiovascular and Thoracic Surgery Clinic 

examines, diagnoses, and surgically treats diseases and injuries of the heart, circulatory system, 

and chest and performs those functions described in paragraph C2.2.10.1., “Surgical Care,” as 

appropriate. 

 C2.2.10.4.2. Costs. The Cardiovascular and Thoracic Surgery Clinic 

work center shall be a sub-account that includes all expenses incurred in operating and 

maintaining the clinic, such as expenses for personnel, supplies, travel, and any other expenses 

identified directly in support of Cardiovascular and Thoracic Surgery Clinic activities. 

 C2.2.10.5. Neurosurgery Clinic: BBC

 C2.2.10.5.1. Function. The Neurosurgery Clinic examines, diagnoses, 

and surgically treats organic diseases, injuries, and disorders of the skull, brain, spinal cord, and 

peripheral nerves, and performs those functions described in paragraph C2.2.10.1., “Surgical 

Care,” as appropriate. 

 C2.2.10.5.2. Costs. The Neurosurgery Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Neurosurgery Clinic activities. 

 C2.2.10.6. Ophthalmology Clinic: BBD

 C2.2.10.6.1. Function. The Ophthalmology Clinic examines, diagnoses, 

and treats diseases and injuries of the eye, and performs those functions described in paragraph 

C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.6.2. Costs. The Ophthalmology Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Ophthalmology Clinic activities. 

 C2.2.10.7. Organ Transplant Clinic: BBE
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 C2.2.10.7.1. Function. The Organ Transplant Clinic examines, diagnoses, 

and treats diseases and injuries of organs that require transplant, and performs those functions 

described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.7.2. Costs. The Organ Transplant Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Organ Transplant Clinic activities. 

 C2.2.10.8. Otolaryngology Clinic: BBF

 C2.2.10.8.1. Function. The Otolaryngology Clinic examines, diagnoses, 

and treats injuries and disorders of the ear, nose, and throat, and performs those functions 

described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.8.2. Costs. The Otolaryngology Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Otolaryngology Clinic activities. 

 C2.2.10.9. Plastic Surgery Clinic: BBG

 C2.2.10.9.1. Function. The Plastic Surgery Clinic performs examinations 

and makes diagnoses to determine whether plastic or reconstructive surgery is required or 

feasible, examines and removes sutures on surgical follow-up patients, and performs those 

functions described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.9.2. Costs. The Plastic Surgery Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Plastic Surgery Clinic activities. 

 C2.2.10.10. Proctology Clinic: BBH

 C2.2.10.10.1. Function. The Proctology Clinic examines, diagnoses, and 

treats diseases and injuries of the anus, rectum, and colon, and performs those functions 

described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.10.2. Costs. The Proctology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Proctology Clinic activities. 

 C2.2.10.11. Urology Clinic: BBI
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 C2.2.10.11.1. Function. The Urology Clinic examines, diagnoses, and 

treats diseases, injuries, and disorders of the genitourinary tract, and performs those functions 

described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.11.2. Costs. The Urology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Urology Clinic activities. 

 C2.2.10.12. Pediatric Surgery Clinic: BBJ

 C2.2.10.12.1. Function. The Pediatric Surgery Clinic examines, 

diagnoses, and treats diseases, injuries, and disorders of infants and children, and performs those 

functions described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.12.2. Costs. The Pediatric Surgery Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Pediatric Surgery Clinic activities. 

 C2.2.10.13. Peripheral Vascular Surgery Clinic: BBK

 C2.2.10.13.1. Function. The Peripheral Vascular Surgery Clinic 

examines, diagnoses, and surgically treats peripheral venous and arterial diseases, and performs 

those functions described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.13.2. Costs. The Peripheral Vascular Surgery clinic work center 

shall be a sub-account that includes all expenses incurred in operating and maintaining the clinic, 

such as expenses for personnel, supplies, travel, and any other expenses identified directly in 

support of Peripheral Vascular Surgery Clinic activities. 

 C2.2.10.14. Pain Management Clinic: BBL

 C2.2.10.14.1. Function. The Pain Management Clinic examines, 

diagnoses, and treats patients suffering from chronic pain or acute post-operative pain, and 

patients who have been through a treatment program but need some ongoing support and 

additional treatment. A comprehensive evaluation incorporates the physical, psychological, 

cognitive and socio-cultural contributions to pain. Outpatient treatment involves pain 

assessment, classification of pain, and establishment of treatment techniques, objectives, and 

evaluation. Classification of pain may include head, neck, and whiplash pain; 

temporomandibular joint pain; pain of the spine and hip; tic douloureux and facial pain; shingles 

pain; post-surgical pain; myofascial pain; reflex sympathetic dystrophy; chest wall pain; low 

back pain; shoulder and arm pain; phantom limb pain; arthritis pain; peripheral nerve pain; nerve 

root damage and arachnoiditis; multiple sclerosis pain; work-related injury; and central pain. 

Pain management techniques may include patient-controlled analgesia, continuous epidural 

analgesia, and subcutaneous infusion pumps and catheters. They also include nerve blocks, 
DoD 6010.13-M, April 7, 2008 

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cryanalgesis, spinal cord stimulation, relaxation techniques, biofeedback, hypnosis, 

psychological therapy, manipulative therapy, acupuncture, spinal infusion devices, and 

continuing patient counseling and education. Treatment and evaluation of painful conditions 

require the implementation, coordination, and maximization of pharmacological and nonpharmacological modalities. The Pain Management Clinic also performs those functions 

described in paragraph C.2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.14.2. Costs. The Pain Management Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Pain Management activities. When the above functions are performed outside of the 

Pain Management Clinic, the applicable clinical work center sub-account shall be charged. 

 C2.2.10.15. Vascular and Interventional Radiology Clinic: BBM

 C2.2.10.15.1. Function. The Vascular and Interventional Radiology 

Clinic examines, diagnoses, and provides treatment for diverse disorders including vascular 

disease, urologic disease, fluid collections of diverse origin, infertility, and malignancy. It also 

provides placement of extended-use venous access devices for multiple indications and 

specialized diagnostic procedures, and performs those functions described in paragraph 

C2.2.10.1., “Surgical Care,” as appropriate. 

 C2.2.10.15.2. Costs. The Vascular and Interventional Radiology Clinic 

work center shall be a sub-account that includes all expenses incurred in operating and 

maintaining the clinic, such as expenses for personnel, supplies, travel, and any other expenses 

identified directly in support of Vascular and Interventional Radiology Clinic activities. 

 C2.2.10.16. Burn Clinic: BBN 

 C2.2.10.16.1. Function. The Burn Clinic provides consultative and 

follow-up care to eligible outpatients to promote optimal health in burn patients. A burn patient 

is any patient with a partial or full thickness burn, exfoliate disease, or other wound requiring 

specialized care that cannot be managed by a primary care provider. The Burn Clinic can be 

staffed with credentialed providers in multiple specialties such as general surgery, urology, 

anesthesiology, nutrition care, physical therapy, occupational therapy, social services, and 

behavioral health. The Burn Clinic specialty providers can submit referrals from one specialty to 

another specialty, working internal or external to the Burn Clinic, and perform those functions 

described in paragraph C2.2.10.1., “Surgical Care,” as appropriate. Research and clinical trials 

are not authorized to be reported in this account since this account is designated for direct patient 

care. 

 

 C2.2.10.16.2. Costs. The Burn Clinic work center will be a sub-account 

that includes all expenses incurred in operating and maintaining the clinic, such as expenses for 

personnel, supplies, equipment, travel and any other expenses identified directly in support of 

Burn Clinic activities. 
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 C2.2.10.16.3. FCC/MEPRS code BBN*. This code is approved only for 

use at Brooke Army Medical Center. 

 C2.2.10.17. Cost Pool: BBX

 C2.2.10.17.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.10.17.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.10.18. Surgical Clinics Not Elsewhere Classified: BBZ

 C2.2.10.18.1. Function. Surgical Clinics Not Elsewhere Classified 

includes surgical specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.2.10.3. through C2.2.10.17. 

 C2.2.10.18.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.11. OB-GYN Care: BC

 C2.2.11.1. Function. OB-GYN Care provides diagnostic services, care, 

treatment, minor surgical procedures, and proper medical disposition of inpatients and 

outpatients referred to OB-GYN clinics. It also provides follow-up care for selected postoperative patients; provides a comprehensive plan of care for patients including monitoring and 

maintaining their state of health, counseling and guidance, health education, rehabilitation, and 

prevention of diseases; and provides clinical and consultation services, medical care evaluation, 

professional training of assigned personnel, preparation and submission of reports, and 

maintenance of medical records. The organization of OB-GYN care function varies according to 

patient load, staffing, and facilities. When subspecialty services are established, they shall 

provide the related specialized techniques and practices using all the available modern diagnostic 

procedures, studies, and therapies. If patient loads do not justify establishing any or all of the 

clinical subspecialties indicated, the functions shall be located and reported in the Family 

Planning Clinic (BCA) sub-account. 

 C2.2.11.2. Costs. OB-GYN Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the clinics described in subparagraphs C2.2.11.3. 

through C2.2.11.8. Clinic expenses shall be collected if the clinic normally operates 16 or more 

hours per month. Expenses for infrequently operated clinics (less than 16 hours per month) shall 

be reported in the Family Planning Clinic (BCA) sub-account. 
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 C2.2.11.3. Family Planning Clinic: BCA

 C2.2.11.3.1. Function. The Family Planning Clinic plans and conducts 

individual and group conferences for patients and families; provides counseling and education 

for the promotion and maintenance of health; identifies healthcare services, agencies, and 

resources available to the family and makes necessary referrals; and performs those functions 

described in paragraph C2.2.11.1., “OB-GYN Care,” as appropriate. 

 C2.2.11.3.2. Costs. The Family Planning Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic. If this 

work center is not established separately, family planning expenses shall be charged to the work 

center performing the function. 

 C2.2.11.4. Gynecology Clinic: BCB

 C2.2.11.4.1. Function. The Gynecology Clinic examines, diagnoses, and 

treats diseases and injuries of the female reproductive system; performs such procedures as 

diagnostic suction curettages, culdoscopies, cryosurgery, tubal cautery, and insertion of 

intrauterine devices; and performs those functions described in paragraph C2.2.11.1., “OB-GYN 

Care,” as appropriate. 

 C2.2.11.4.2. Costs. The Gynecology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Gynecology Clinic activities. 

 C2.2.11.5. Obstetrics Clinic: BCC

 C2.2.11.5.1. Function. The Obstetrics Clinic examines, diagnoses, and 

treats obstetrical patients; provides conferences for patients; and performs those functions 

described in paragraph C2.2.11.1., “OB-GYN Care,” as appropriate. 

 C2.2.11.5.2. Costs. The Obstetrics Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Obstetrics Clinic activities. 

 C2.2.11.6. Breast Care Clinic: BCD

 C2.2.11.6.1. Function. The Breast Care Clinic offers beneficiaries direct 

access for asymptomatic screening, problem solving, and routine breast cancer follow-up; 

examines, diagnoses, and treats diseases of the breast; provides counseling about breast diseases 

and education on self-examination; makes referrals to other health professionals; and performs 

those functions described in paragraph C2.2.11.1., “OB-GYN Care,” as appropriate. This 

account includes mobile educational units providing breast health screening and education. 
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 C2.2.11.6.2. Costs. The Breast Care Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Breast Care Clinic activities. 

 C2.2.11.7. Cost Pool: BCX

 C2.2.11.7.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.11.7.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.11.8. OB-GYN Care Not Elsewhere Classified: BCZ

 C2.2.11.8.1. Function. OB-GYN Care Not Elsewhere Classified includes 

specialties and subspecialties that satisfy the criteria for a work center and are not described in 

subparagraphs C2.2.11.3. through C2.2.11.7. 

 C2.2.11.8.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.12. Pediatric Care: BD

 C2.2.12.1. Function. Pediatric Care provides diagnostic services, care, treatment, 

and proper medical disposition of inpatients and outpatients referred to pediatric care clinics; 

provides a comprehensive plan of care for patients, including monitoring and maintaining their 

state of health, counseling and guidance, health education, rehabilitation, and prevention of 

disease; and provides clinical and consultation services, medical care evaluation, professional 

training of assigned personnel, preparation and submission of reports, and maintenance of 

medical records. The organization of pediatric care function varies according to patient load, 

staffing, and facilities. When subspecialty services are established, they shall provide the related 

specialized techniques and practices using all the available modern diagnostic procedures, 

studies, and therapies. If patient loads do not justify establishing any or all of the clinical 

subspecialties indicated, the functions shall be located and reported in the Pediatric Clinic (BDA) 

sub-account. 

 C2.2.12.2. Costs. Pediatric Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the clinics described in subparagraphs C2.2.12.3. 

through C2.2.12.7. Clinic expenses shall be collected if the clinic normally operates 16 or more 

hours per month. Expenses for infrequently operated clinics (less than 16 hours per month) shall 

be reported in the Pediatric Clinic (BDA) sub-account. 
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 C2.2.12.3. Pediatric Clinic: BDA

 C2.2.12.3.1. Function. The Pediatric Clinic examines, diagnoses, and 

treats diseases and injuries of infants and children; implements a plan of care for children with 

minor illnesses, accidents, and developmental problems; assists and participates in programs for 

parent and child education on disease and accident prevention, nutrition, and family 

relationships; and performs those functions described in paragraph C2.2.12.1., “Pediatric Care,” 

as appropriate. 

 C2.2.12.3.2. Costs. The Pediatric Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Pediatric Clinic activities. 

 C2.2.12.4. Adolescent Clinic: BDB

 C2.2.12.4.1. Function. The Adolescent Clinic examines, diagnoses, and 

treats diseases and injuries of adolescents, and performs those functions described in paragraph 

C2.2.12.1., “Pediatric Care,” as appropriate. 

 C2.2.12.4.2. Costs. The Adolescent Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Adolescent Clinic activities. 

 C2.2.12.5. Well-Baby Clinic: BDC

 C2.2.12.5.1. Function. The Well-Baby Clinic examines, diagnoses, and 

refers newborn patients for treatment; assists and participates in programs for parent and child 

education and counseling in child rearing, healthcare practices, growth and development, disease 

and accident prevention, nutrition, and family relationships; and performs those functions 

described in paragraph C2.2.12.1., “Pediatric Care,” as appropriate. 

 C2.2.12.5.2. Costs. The Well-Baby Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Well-Baby Clinic activities. 

 C2.2.12.6. Cost Pool: BDX

 C2.2.12.6.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.12.6.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 
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 C2.2.12.7. Pediatric Care Not Elsewhere Classified: BDZ

 C2.2.12.7.1. Function. Pediatric Care Not Elsewhere Classified includes 

specialties and subspecialties that satisfy the criteria for a work center and are not described in 

subparagraphs C2.2.12.1. through C2.2.12.6. 

 C2.2.12.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.13. Orthopedic Care: BE

 C2.2.13.1. Function. Orthopedic Care provides diagnostic services, care, 

treatment, minor surgical procedures, and proper medical disposition of inpatients and 

outpatients referred to orthopedic clinics; provides follow-up care for selected post-operative 

ambulatory patients; provides a comprehensive plan of care for patients, including monitoring 

and maintaining their state of health, counseling and guidance, health education, rehabilitation, 

and prevention of disease; and provides clinical and consultation services, medical care 

evaluation, professional training of assigned personnel, preparation and submission of reports, 

and maintenance of medical records. The organization of the Orthopedic Care function varies 

according to patient load, staffing, and facilities. When subspecialty services are established, 

they shall provide the related specialized techniques and practices using all the available modern 

diagnostic procedures, studies, and therapies. If patient loads do not justify establishing any or 

all of the clinical subspecialties indicated, the functions shall be located and reported in the 

Orthopedic Clinic (BEA) sub-account. 

 C2.2.13.2. Costs. Orthopedic Care shall be a summary account that includes all 

expenses incurred in operating and maintaining the clinics described in subparagraphs C2.2.13.3. 

through C2.2.13.10. Clinic expenses shall be collected if the clinic normally operates 16 or more 

hours per month. Expenses for infrequently operated clinics (less than 16 hours per month) shall 

be reported in the Orthopedic Clinic (BEA) sub-account. 

 C2.2.13.3. Orthopedic Clinic: BEA

 C2.2.13.3.1. Function. The Orthopedic Clinic examines, diagnoses, and 

treats diseases, injuries, and abnormalities of the musculoskeletal system, and performs those 

functions described in paragraph C2.2.13.1., “Orthopedic Care,” as appropriate. 

 C2.2.13.3.2. Costs. The Orthopedic Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Orthopedic Clinic activities 

 C2.2.13.4. Inactive: BEB

 C2.2.13.5. Hand Surgery Clinic: BEC
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 C2.2.13.5.1. Function. The Hand Surgery Clinic examines, diagnoses, 

and surgically treats diseases and injuries of the hand, and performs those functions described in 

paragraph C2.2.13.1., “Orthopedic Care,” and paragraph C2.2.10.1., “Surgical Care,” as 

appropriate. 

 C2.2.13.5.2. Costs. The Hand Surgery Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Hand Surgery Clinic activities. 

 C2.2.13.6. Chiropractic Clinic: BED

 C2.2.13.6.1. Function. The Chiropractic Clinic examines and treats active 

duty patients with spine-related neuromusculoskeletal conditions who have passed a standard 

screening to rule out potentially serious medical conditions and/or have been referred by a 

physician on a consultative basis for chiropractic treatment. Treatment is performed by a 

contracted, licensed Doctor of Chiropractic according to privileges assigned under the 

Chiropractic Healthcare Demonstration Program. Treatment consists of patient history, 

chiropractic physical exam, and the performance of standard osseous and soft tissue procedures 

consistent with chiropractic care. 

 C2.2.13.6.2. Costs. The Chiropractic Clinic work center account shall be 

a sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

the Chiropractic Clinic activities. 

 C2.2.13.7. Orthotic Laboratory: BEE 

 C2.2.13.7.1. Function. The Orthotic Laboratory constructs orthopedic 

appliances such as braces, casts, splints, supports, and shoes from impressions, forms, molds, and 

other specifications; measures, assembles, fits, and adjusts appliances, prostheses, and shoes to 

patients; repairs, replaces, and refits worn or broken appliances; and performs those functions 

described in paragraph C2.2.13.1., “Orthopedic Care,” as appropriate. 

 C2.2.13.7.2. Costs. The Orthotic Laboratory work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Orthotic Laboratory Clinic activities. 

 C2.2.13.8. Podiatry Clinic: BEF

 C2.2.13.8.1. Function. The Podiatry Clinic is responsible for the medical 

and surgical treatment of the foot and ankle and related soft tissue structures and deformities. 

They perform medical, surgical, and other operative procedures, prescribe corrective devices, 
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and prescribe and administer drugs and physical therapy in addition to those functions described 

in paragraph C2.2.13.1., “Orthopedic Care,” as appropriate. 

 

 C2.2.13.8.2. Costs. The Podiatry Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Podiatry Clinic activities. 

 C2.2.13.9. Cost Pool: BEX

 C2.2.13.9.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.13.9.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.13.10. Orthopedic Care Not Elsewhere Classified: BEZ

 C2.2.13.10.1. Function. Orthopedic Care Not Elsewhere Classified 

includes specialties and subspecialties that satisfy the criteria for a work center and are not 

described in subparagraphs C2.2.13.3. through C2.2.13.9. 

 C2.2.13.10.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.14. Psychiatric and Mental Healthcare: BF

 C2.2.14.1. Function. Psychiatric and Mental Healthcare provides diagnostic 

services, mental health consultation, care, treatment, and proper medical disposition of inpatients 

and outpatients referred to psychiatric and mental health clinics. It provides a comprehensive 

plan of care for patients, including monitoring and maintenance of their state of health, 

individual and group counseling and guidance testing, psychiatric evaluation, health education, 

rehabilitation, and prevention of disease. Psychiatric and Mental Healthcare also provides 

clinical and consultation services, medical care and evaluation, professional training of assigned 

personnel, preparation and submission of reports, and maintenance of medical records. The 

organization of the Psychiatric and Mental Healthcare function varies according to patient load, 

staffing, and facilities. When subspecialty services are established, they shall provide the related 

specialized techniques and practices using all the available modern diagnostic procedures, 

studies, and therapies. If patient loads do not justify establishing any or all of the clinical 

subspecialties indicated, the functions shall be located and reported in the Psychiatry Clinic 

(BFA) sub-account. 

 C2.2.14.2. Costs. Psychiatric and Mental Healthcare shall be a summary account 

that includes all expenses incurred in operating and maintaining the clinics described in 

subparagraphs C2.2.14.3. through C2.2.14.10. Clinic expenses shall be collected if the clinic 
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normally operates 16 or more hours per month. Expenses for infrequently operated clinics (less 

than 16 hours per month) shall be reported in the Psychiatry Clinic (BFA) sub-account. 

 C2.2.14.3. Psychiatry Clinic: BFA

 C2.2.14.3.1. Function. The Psychiatry Clinic provides and coordinates 

psychiatric and medical services relative to the examination, consultation, diagnosis, treatment, 

and proper disposition of patients who require psychiatric care. It also conducts educational 

discussions with patients and their relatives to secure cooperation in the care and treatment of 

psychiatric disorders and in the prevention of recurrences. The Psychiatry Clinic maintains 

records on observations, evaluations, and treatments, and provides both individual and group 

therapy. The Clinic also performs those functions described in paragraph C2.2.14.1., 

“Psychiatric and Mental Healthcare,” as appropriate. 

 C2.2.14.3.2. Costs. The Psychiatry Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Psychiatry Clinic activities. 

 C2.2.14.4. Psychology Clinic: BFB

 C2.2.14.4.1. Function. The Psychology Clinic provides psychological 

evaluations; administers psychometric tests and measurements, including tests of intellectual 

ability, projective tests, examination of attitudes and aptitudes, and group and individual 

situational tests; interprets and records the findings of these tests in relation to available 

psychiatric, social, and education data, and the patient’s problems of personality adjustment; 

conducts individual and group therapy; provides consultative services as requested; and performs 

those functions described in paragraph C2.2.14.1., “Psychiatric and Mental Healthcare,” as 

appropriate. 

 C2.2.14.4.2. Costs. The Psychology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Psychology Clinic activities. 

 C2.2.14.5. Child Guidance Clinic: BFC

 C2.2.14.5.1. Function. The Child Guidance Clinic provides specialized 

evaluation counseling and treatment services for preadolescents and their families, evaluative 

work, and other services as required; provides limited psychotherapeutic services; and performs 

those functions described in paragraph C2.2.14.1., “Psychiatric and Mental Healthcare,” as 

appropriate. 

 C2.2.14.5.2. Costs. The Child Guidance Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 
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expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Child Guidance Clinic activities. 

 C2.2.14.6. Mental Health Clinic: BFD

 C2.2.14.6.1. Function. The Mental Health Clinic provides those functions 

described in subparagraphs C2.2.14.3. through C2.2.14.5. and C2.2.14.7., when they are not 

separately established, and performs those functions described in paragraph C2.2.14.1., 

“Psychiatric and Mental Healthcare,” as appropriate. The Mental Health Clinic is responsible for 

providing psychiatry, clinical psychology, and clinical social work as necessary to maintain the 

mental health of active duty military personnel. It also provides mental health consultation 

services to the command including advice on moral issues and motivation of military personnel, 

evaluation of command policies impact on the psychological effectiveness of military personnel, 

and technical advice on developing policies for the selection, utilization, and proper disposition 

of military personnel, and recommends clearance for separation from military service for those 

individuals who cannot function adequately because of marital, emotional, or behavioral factors. 

It provides diagnosis and proper medical disposition of patients, evaluation of medical care, 

preparation and completeness of medical records and reports, and liaison with civilian mental 

health agencies. 

 C2.2.14.6.2. Costs. The Mental Health Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Mental Health activities. 

 C2.2.14.7. Social Work Clinic: BFE

 C2.2.14.7.1. Function. The Social Work Clinic provides psychosocial 

and socioeconomic evaluation and consultation; individual and group services, patient care, 

information, referral, and follow-up services to facilitate medical diagnosis, care, treatment; and 

proper disposition of patients (inpatient and outpatient) referred to the Social Work Clinic, which 

includes self-referred patients and those seen automatically on the basis of diagnosis (e.g., 

suspected child abuse or attempted suicide). It provides a comprehensive plan of service to 

patients and their families including counseling and guidance, therapy, information and referral, 

and discharge planning. The Clinic also provides clinical and consultative services to patients 

and families, MTF staff, and the military community; social service delivery evaluation; and 

professional training of assigned and contractually affiliated personnel. It prepares and submits 

reports, maintains medical and social service records, and performs those functions described in 

paragraph C2.2.14.1., “Psychiatric and Mental Healthcare,” as appropriate. 

 C2.2.14.7.2. Costs. The Social Work Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Social Work Clinic activities. 

 C2.2.14.8. Substance Abuse Clinic: BFF
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 C2.2.14.8.1. Function. The Substance Abuse Clinic provides diagnostic 

services, mental health consultation, care, treatment, and proper medical disposition of inpatients 

and outpatients referred to the Substance Abuse clinic. The Clinic provides a comprehensive 

plan of care for patients, including monitoring and maintenance of their state of health, 

individual and group counseling and guidance testing, psychiatric evaluation, health education, 

rehabilitation, and prevention of diseases. It provides clinical and consultation services, medical 

care and evaluation, professional training of assigned personnel, preparation and submission of 

reports, maintenance of medical records, and monitors drug and alcohol abuse control. It also 

performs those functions described in paragraph C2.2.14.1., “Psychiatric and Mental 

Healthcare,” as appropriate. 

 C2.2.14.8.2. Costs. The Substance Abuse Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Substance Abuse Clinic activities. 

 C2.2.14.9. Cost Pool: BFX

 C2.2.14.9.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.14.9.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.14.10. Psychiatric and Mental Healthcare Not Elsewhere Classified: BFZ

 C2.2.14.10.1. Function. Psychiatric and Mental Healthcare Not 

Elsewhere Classified includes specialties and subspecialties that satisfy the criteria for a work 

center and are not described in subparagraphs C2.2.14.3. through C2.2.14.9. 

 C2.2.14.10.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.15. Family Medicine Care: BG

 C2.2.15.1. Function. Family Medicine Care provides comprehensive 

examination, diagnosis, and treatment of inpatients and outpatients. It assists, provides, and 

evaluates the care of patients with a healthcare problem including history and physical, 

assessment and treatment of illnesses, maintenance of chronic diseases, and counseling and 

teaching. The organization of Family Medicine Care function varies according to patient load, 

staffing, and facilities. When subspecialty services are established, they shall provide the related 

specialized techniques and practices using all the available modern diagnostic procedures, 

studies, and therapies. If patient loads do not justify establishing any or all of the clinical 
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subspecialties indicated, the functions shall be located and reported in the Family Medicine 

Clinic (BGA) sub-account. 

 C2.2.15.2. Costs. Family Medicine Care shall be a summary account that 

includes all expenses incurred in operating and maintaining the clinics described in 

subparagraphs C2.2.15.3. through C2.2.15.5. Clinic expenses shall be collected if the clinic 

normally operates 16 or more hours per month. Expenses for infrequently operated clinics (less 

than 16 hours per month) shall be reported in the Family Medicine Clinic (BGA) sub-account. 

 C2.2.15.3. Family Medicine Clinic: BGA

 C2.2.15.3.1. Function. The Family Medicine Clinic provides 

comprehensive primary medical care, diagnostic services, treatment, and proper medical 

disposition of inpatients and outpatients referred to the Family Medicine Clinic. It provides a 

comprehensive plan of care for patients including monitoring and maintenance of their state of 

health, counseling and guidance, health education, rehabilitation and prevention of disease; 

provides clinical and consultation services, medical care evaluation, professional training of 

assigned personnel, preparation and submission of reports; and performs those functions 

described in paragraph C2.2.15.1., “Family Medicine Care,” as appropriate. 

 C2.2.15.3.2. Costs. The Family Medicine Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Family Medicine Clinic activities. 

 C2.2.15.4. Cost Pool: BGX

 C2.2.15.4.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.15.4.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.15.5. Family Medicine Care Not Elsewhere Classified: BGZ

 C2.2.15.5.1. Function. Family Medicine Care Not Elsewhere Classified 

includes specialties and subspecialties that satisfy the criteria for a work center and are not 

described in paragraphs C2.2.15.3. through C2.2.15.4. 

 C2.2.15.5.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.16. Primary Medical Care: BH
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 C2.2.16.1. Function. Primary Medical Care includes examination, diagnosis, 

treatment, health education, counseling, and proper medical disposition of ambulatory patients. 

The organization of the Primary Medical Care function varies according to patient load, staffing, 

and facilities. When subspecialty services are established, they shall provide the related 

specialized techniques and practices using all the available modern diagnostic procedures, 

studies, and therapies. If patient loads do not justify establishing any or all of the clinical 

subspecialties indicated, the functions shall be located and reported in the Primary Care Clinic 

(BHA) sub-account. 

 C2.2.16.2. Costs. Primary Medical Care shall be a summary account that 

includes all expenses incurred in operating and maintaining the clinics described in 

subparagraphs C2.2.16.3. through C2.2.16.13. Clinic expenses shall be collected if the clinic 

normally operates 16 or more hours per month. Expenses for infrequently operated clinics (less 

than 16 hours per month) shall be reported in the Primary Care Clinic (BHA) sub-account. 

 C2.2.16.3. Primary Care Clinic: BHA

 C2.2.16.3.1. Function. The Primary Care Clinic examines, diagnoses, and 

treats ambulatory patients, giving continuity and coordination to their total healthcare, including 

referral to other health professionals and admissions to inpatient services while retaining primary 

responsibility for care of these patients, as appropriate. The Primary Care Clinic assesses, 

provides, and evaluates the care of patients with healthcare problems including history and 

physical, assessment and treatment of common minor illnesses, maintenance care of patients 

with chronic diseases, and health counseling and teaching. It also performs those functions 

described in paragraph C2.2.16.1., “Primary Medical Care,” as appropriate. The Primary Care 

Clinic includes non-specialized clinics such as the general outpatient clinic, walk-in (triage) 

clinic, acute minor illness clinic, chronic care clinic, dispensaries, general medicine clinic (when 

used as a primary care clinic), attending surgeon’s office, convenience clinics (all types) and 

military sick call. 

 C2.2.16.3.2. Costs. The Primary Care Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinics, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Primary Care Clinic activities. Expenses for occupational health tests and services provided for 

civilian employees shall be identified and reported under the Environmental Health Program 

(FBE) sub-account. 

 C2.2.16.4. Medical Examination Clinic: BHB

 C2.2.16.4.1. Function. The Medical Examination Clinic conducts active 

duty periodic reenlistment and separation medical exams and non-occupational medical 

examinations including all school entrance, insurance, premarital, and appropriated and nonappropriated fund occupational categories. It processes all administrative work incidents to such 

examinations; collects and labels specimens, requests and evaluates laboratory, X-ray, EKG, and 

dental reports for patients; takes and records vital signs; refers patients for medical care as 

appropriate; and performs those functions described in paragraph C2.2.16.1., “Primary Medical 
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Care,” as appropriate. Air Force facilities perform these functions under the Flight Medicine 

Clinic (BJA) sub-account. 

 C2.2.16.4.2. Costs. The Medical Examination Clinic work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Medical Examination Clinic activities. 

 C2.2.16.5. Optometry Clinic: BHC

 C2.2.16.5.1. Function. The Optometry Clinic examines, diagnoses, treats, 

and manages diseases, injuries, and disorders of the visual system, the eye, and associated 

structures as well as identifies related systemic conditions affecting the eye. Optometric 

providers will prescribe medications, spectacle lenses, contact lenses, as well as refer patients to 

other providers for diagnosis and treatment of suspected disease. Optometry clinics will counsel 

patients regarding surgical and non-surgical options that meet their visual needs related to their 

occupations, avocations, and lifestyle. 

 C2.2.16.5.2. Costs. The Optometry Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Optometry Clinic activities. 

 C2.2.16.6. Audiology Clinic: BHD

 C2.2.16.6.1. Function. The Audiology Clinic provides comprehensive 

audiologic support for active duty and eligible beneficiaries for the determination of etiology, 

pathology, and magnitude of hearing loss and potential for remediation and rehabilitation. It also 

assists in the evaluation of auditory and vestibular systems. Specific services include pure tone 

threshold audiometry; basic and advanced clinical testing; pediatric evaluations; neonatal hearing 

testing as part of the early hearing loss identification program; hearing aid evaluation, fittings, 

and repairs; ear mold fittings; vestibular evaluations; dispensing of hearing protection devices 

(fitting, education, and motivation); and determination of proper referral and disposition. 

Additional support includes healthcare education and counseling on hearing, inpatient audiologic 

evaluations, auditory monitoring of hearing thresholds following medical and surgical 

intervention, intraoperative monitoring of cranial nerves, assistive listening device guidance, and 

aural rehabilitation classes. 

 C2.2.16.6.2. Costs. The Audiology Clinic work center shall be a subaccount that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Audiology Clinic activities. 

 C2.2.16.7. Speech Pathology Clinic: BHE
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 C2.2.16.7.1. Function. The Speech Pathology Clinic administers 

medically prescribed therapeutic and rehabilitative services to speech defective patients. 

Additional activities may include, but are not limited to, the provision of clinical and consultative 

services. 

 C2.2.16.7.2. Costs. The Speech Pathology Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Speech Pathology Clinic activities. 

 C2.2.16.8. Community Health Clinic: BHF

 C2.2.16.8.1. Function. The Community Health Clinic identifies health 

needs and implements health services programs based on assessments of the health status of the 

military community, and provides health education and counseling for active duty and retired 

Service members and their beneficiaries. The Clinic participates in patient discharge planning; 

provides health guidance to the installation’s child care centers and preschools; makes home 

visits to high-risk families for disease prevention and health promotion including newborn, 

handicapped, and chronic illness visits; and coordinates child health services with area high 

school nurses. It also maintains a tuberculosis screening and surveillance program, including 

monitoring of patients on chemoprophylaxis; participates in epidemiological investigations; 

participates in family advocacy case management with emphasis on prevention and health 

promotion; provides counseling on child care; and participates in management of the wellness 

and fitness program. 

 C2.2.16.8.2. Costs. The Community Health Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Community Health Clinic activities. 

 C2.2.16.9. Occupational Health Clinic: BHG

 C2.2.16.9.1. Function. The Occupational Health Clinic supports the 

evaluation of health conditions in potentially health-hazardous job environments, especially 

regarding, but not limited to industrial settings. It provides clinical services for non-acute jobrelated illnesses and injuries that may occur as a result of exposure to work environment, and 

performs those functions described in paragraph C2.2.16.1., “Primary Medical Care,” as 

appropriate. 

 C2.2.16.9.2. Costs. The Occupational Health Clinic work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Occupational Health Clinic activities. 

 C2.2.16.10. Inactive: BHH
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 C2.2.16.11. Immediate Care Clinic: BHI

 C2.2.16.11.1. Function. The Immediate Care Clinic provides reasonable 

care in determining whether an emergency exists, renders lifesaving first aid, and makes referrals 

to the nearest facility that has the capability of providing the needed services. At least one 

physician will be available within 30 minutes or less. Ambulance service is provided at least 

during normal clinic duty hours and generally 24 hours per day. 

 C2.2.16.11.2. Costs. The Immediate Care Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Immediate Care Clinic activities. 

 C2.2.16.12. Cost Pool: BHX

 C2.2.16.12.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.16.12.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.16.13. Primary Medical Care Not Elsewhere Classified: BHZ

 C2.2.16.13.1. Function. Primary Medical Care Not Elsewhere Classified 

includes specialties and subspecialties that satisfy the criteria for a work center and are not 

described in subparagraphs C2.2.16.3. through C2.2.16.12. 

 C2.2.16.13.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.17. Emergency Medical Care: BI

 C2.2.17.1. Function. Emergency Medical Care provides emergency services, 

support, and treatment of an emergency nature and refers and admits patients as needed. It also 

provides various services, evaluations, and training. 

 C2.2.17.2. Costs. Emergency Medical Care shall be a summary account that 

includes all expenses incurred in operating and maintaining the clinics described in 

subparagraphs C2.2.17.3. through C2.2.17.5. Clinic expenses shall be collected if the clinic 

normally operates 16 or more hours per month. Expenses for infrequently operated clinics (less 

than 16 hours per month) shall be reported in the Emergency Medical Clinic (BIA) sub-account. 

 C2.2.17.3. Emergency Medical Clinic: BIA
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 C2.2.17.3.1. Function. The Emergency Medical Clinic provides 

emergency care, diagnostic services, treatment, surgical procedures, and proper medical 

disposition of an emergency nature to patients who present themselves to the service. It refers 

patients to specialty clinics and admits patients to the MTF, as needed. It also provides clinical 

consultation services and professional training of assigned personnel, supports mass casualty and 

fire drills, and prepares reports. 

 

 C2.2.17.3.2. Costs. The Emergency Medical Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Emergency Medical Clinic activities. 

 C2.2.17.4. Cost Pool: BIX

 C2.2.17.4.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.17.4.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.17.5. Emergency Medical Care Not Elsewhere Classified: BIZ

 C2.2.17.5.1. Function. Emergency Medical Care Not Elsewhere 

Classified includes specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.2.17.3. through C2.2.17.4. 

 C2.2.17.5.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.18. Flight Medicine Care: BJ

 C2.2.18.1. Function. Flight Medicine Care provides primary care for all aviation 

personnel, their dependents, and other authorized personnel. The function conducts medical 

examination for all active duty personnel requiring flight physicals; provides specialized aviation 

medicine, education, and staff advice to the installation commander; participates in the aviation 

safety and accident investigation program; and ensures accomplishment of proper administrative 

actions involving change in flying status for medical reasons. The Air Force performs routine 

periodic physicals in the Flight Medicine Clinic. 

 C2.2.18.2. Costs. Flight Medicine Care shall be a summary account that includes 

all expenses incurred in operating and maintaining the clinics described in subparagraphs 

C2.2.18.3. through C2.2.18.5. Clinic expenses shall be collected if the clinic normally operates 

16 or more hours per month. Expenses for infrequently operated clinics (less than 16 hours per 

month) shall be reported in the Flight Medicine Clinic (BJA) sub-account. 
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 C2.2.18.3. Flight Medicine Clinic: BJA

 C2.2.18.3.1. Function. The Flight Medicine Clinic provides diagnostic 

services, care, and proper medical disposition of all aviation personnel, their dependents, and 

other authorized personnel. The Clinic conducts medical examinations for all flying personnel, 

missile duty personnel, air traffic controllers, physiological training unit personnel, pilot and 

navigator training applicants, and applicants for Federal Aviation Administration certification 

(classes 2 and 3). It also provides specialized aviation medicine to the installation and 

geographical area, participates in the aviation safety and accident investigation programs, 

provides aeromedical staff advice and aeromedical education, and ensures accomplishment of 

proper administrative actions in all cases involving change in flying status for medical reasons. 

 C2.2.18.3.2. Costs. The Flight Medicine Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Flight Medicine activities. It excludes the cost of organizational equipment, such as flight 

clothing for physicians, nurses, and described technicians; travel to support proficiency flying; 

accident prevention and investigation; and repair, maintenance, and operation of field 

ambulances. The organizational equipment expenses shall be identified and reported in the 

applicable Readiness (section C2.7.) account. 

 C2.2.18.4. Cost Pool: BJX

 C2.2.18.4.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.18.4.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.18.5. Flight Medicine Care Not Elsewhere Classified: BJZ

 C2.2.18.5.1. Function. Flight Medicine Care Not Elsewhere Classified 

includes specialties and subspecialties that satisfy the criteria for a work center and are not 

described in subparagraphs C2.2.18.3. through C2.2.18.4. 

 C2.2.18.5.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.19. Underseas Medicine Care: BK

 C2.2.19.1. Function. Underseas Medicine Care provides primary care for all 

ambulatory submarine and diving personnel, conducts medical examinations of submarine and 

diving personnel and for occupational exposure to ionizing and non-ionizing radiation, 

coordinates studies in support of underseas medicine, monitors medical boards ensuring proper 
DoD 6010.13-M, April 7, 2008 

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disposition of personnel, and ensures accomplishment of proper administrative actions in all 

cases involving changes in rating for medical reasons. 

 C2.2.19.2. Costs. Underseas Medicine Care shall be a summary account that 

includes all expenses incurred in operating and maintaining the clinics described in 

subparagraphs C2.2.19.3. through C2.2.19.5. Clinic expenses shall be collected if the clinic 

normally operates 16 or more hours per month. Expenses for infrequently operated clinics (less 

than 16 hours per month) shall be reported in the Underseas Medicine Clinic (BKA) subaccount. 

 C2.2.19.3. Underseas Medicine Clinic: BKA

 C2.2.19.3.1. Function. The Underseas Medicine Clinic provides 

diagnostic services, care, treatment, and proper medical disposition of ambulatory submarine and 

diving personnel. The Clinic conducts medical examinations of submarine and diving personnel 

for occupational radiographic, laboratory, pulmonary function, audiometric, and ophthalmologic 

studies in support of underseas medicine, and monitors results of medical boards to ensure that 

timely and accurate qualification or disqualification procedures are carried out in regard to 

submarine and diving personnel and occupational radiation workers. It also provides undersea 

medical staff advice and education; acts as a consultant for the management of diving and 

hyperbaric casualties, diseases, and cases that may be amenable to hyperbaric oxygenation 

treatment; and ensures accomplishment of rating for medical reasons. 

 C2.2.19.3.2. Costs. The Underseas Medicine Clinic work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Underseas Medicine Clinic activities. 

 C2.2.19.4. Inactive: BKX

 C2.2.19.5. Underseas Medicine Care Not Elsewhere Classified: BKZ

 C2.2.19.5.1. Function. Underseas Medicine Care Not Elsewhere 

Classified includes specialties and subspecialties that satisfy the criteria for a work center and are 

not described in subparagraphs C2.2.19.3. through C2.2.19.4. 

 C2.2.19.5.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

 C2.2.20. Rehabilitative Ambulatory Services: BL

 C2.2.20.1. Function. Rehabilitative Ambulatory Services performs activities 

such as direct patient care, testing, evaluation, consultation, counseling, supervision, teaching, 

administration, research, and community service for inpatients and outpatients. Professionally 

qualified personnel provide services with periodic reports regarding evaluation and progress 

being submitted to cognizant physicians. The organization of rehabilitative ambulatory service 
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function varies according to patient load, staffing, and facilities. When subspecialty services are 

established, they shall provide the related specialized techniques and practices using all the 

available modern diagnostic procedures, studies, and therapies. If patient loads do not justify 

establishing any or all of the clinical subspecialties indicated, the functions shall be located and 

reported in the Physical Therapy Clinic (BLA) sub-account. 

 C2.2.20.2. Costs. Rehabilitative Ambulatory Services shall be a summary 

account that includes all expenses incurred in operating and maintaining the clinics described in 

subparagraphs C2.2.20.3. through C2.2.20.7. Clinic expenses shall be collected if the clinic 

normally operates 16 or more hours per month. Expenses for infrequently operated clinics (less 

than 16 hours per month) shall be reported in the Physical Therapy Clinic (BLA) sub-account. 

 C2.2.20.3. Physical Therapy Clinic: BLA

 C2.2.20.3.1. Function. The Physical Therapy Clinic develops, 

coordinates, and uses special knowledge and skills in planning, organizing, and managing 

programs for the care of inpatients and outpatients whose ability to function is impaired or 

threatened by disease or injury. It incorporates activities such as direct patient care, evaluation, 

testing, consultation, counseling, teaching, administration, research, and community services. 

Physical therapy primarily serves patients whose actual impairment is related to 

neuromusculoskeletal, pulmonary, and cardiovascular systems. It evaluates the function and 

impairment of these systems including testing and evaluating muscle and range of motion, and 

selects and applies therapeutic procedures to maintain, improve, or restore these functions. 

Therapeutic procedures include therapeutic exercises, application of physical modalities (heat 

and cold), gait training, including prosthetics, training in activities of daily living, and home 

visits to advise or give therapy. The Physical Therapy Clinic provides instructions for special 

exercise programs related to pre-partum and post-partum care, weight reduction, physical 

reconditioning, and therapeutic pool activities. 

 C2.2.20.3.2. Costs. The Physical Therapy Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the clinic, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Physical Therapy Clinic activities. 

 C2.2.20.4. Occupational Therapy Clinic: BLB

 C2.2.20.4.1. Function. The Occupational Therapy Clinic, under medical 

referral, uses tasks and activities for the remediation and restoration of physical and psychosocial 

functions, assessment and improvement of daily life skills, health maintenance, and prevention 

of disability. Occupational Therapy Clinic activities may include, but are not limited to, 

treatment for sensory integrative dysfunction, evaluation of work adjustment, development of 

vocational skills, fabrication of orthotic and assistive devices, and rehabilitative counseling with 

patients and families. Occupational therapy may be extended to provide home visits and 

consultation services to community agencies supporting the Uniformed Services. 
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 C2.2.20.4.2. Costs. The Occupational Therapy Clinic work center shall 

be a sub-account that includes all expenses incurred in operating and maintaining the clinic, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Occupational Therapy Clinic activities. 

 C2.2.20.5. Inactive: BLC 

 C2.2.20.6. Cost Pool: BLX

 C2.2.20.6.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.2.20.6.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the clinic(s). 

 C2.2.20.7. Rehabilitative Ambulatory Services Not Elsewhere Classified: BLZ

 C2.2.20.7.1. Function. Rehabilitative Ambulatory Services Not 

Elsewhere Classified includes specialties and subspecialties that satisfy the criteria for a work 

center and are not described in subparagraphs C2.2.20.3. through C2.2.20.6. 

 C2.2.20.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the clinic. 

C2.3. DENTAL CARE: C

 C2.3.1. Function. Dental Care provides comprehensive dental care in MTFs for active 

duty members. Subject to the availability of space and facilities and the capabilities of the dental 

staff care, Dental Care also provides comprehensive dental care for active duty dependents and 

certain former members. Comprehensive dental care includes emergency dental care worldwide; 

dental care as a necessary adjunct of medical, surgical, or preventive treatment, worldwide; 

routine dental care in and out of the United States where adequate civilian facilities are 

unavailable; diagnostic tests and services; and laboratory and X-ray examinations. 

 C2.3.2. Costs. The Dental Care functional account shall include all expenses in the 

Dental Services and Dental Prosthetics summary accounts as outlined in paragraphs C2.3.9. and 

C2.3.10. (For Area Dental Prosthetic Laboratory (Type 1), see the FAB sub-account 

(subparagraph C2.6.9.4.) under Special Programs (F).) 

 C2.3.3. Service Unit(s) for Dental Final Account Codes. See second-level FCC 

descriptions. 

 C2.3.4. Service Unit(s) for Cost Pools. Not applicable. 
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 C2.3.5. Allocation Factor for Dental Final Account Codes. Not applicable. 

 C2.3.6. Allocation Factor for Cost Pools. See second-level FCC descriptions. 

 C2.3.7. Assignment Procedure for Dental Final Account Codes. Not applicable for final 

account ambulatory specialties. These final operating expense accounts shall not be reassigned 

during the expense allocation process described in Chapter 3. 

 

 C2.3.8. Assignment Procedure for Cost Pools. Expenses and FTEs of shared performing 

work centers shall be reassigned during purification based on the ratio of weighted procedures 

performed for each shared work center to the total weighted procedures performed. Cost pools 

are purified in alphabetical order before the expense allocation process described in Chapter 3. 

 C2.3.9. Dental Services: CA

 C2.3.9.1. Function. Dental Services provides dental care to eligible dental 

patients. 

 C2.3.9.2. Costs. Dental Services shall be a summary account that includes all 

expenses incurred in operating and maintaining the function at an installation or a dental 

command as described in subparagraphs C2.3.9.5. through C2.3.9.7. 

 C2.3.9.3. Service Unit(s) for Dental Final Account Codes 

 C2.3.9.3.1. Dental Weighted Procedures. Weighted values have been 

developed for dental clinical procedures based on the American Dental Association weighted 

procedure codes. These values are furnished by the MHS dental community on a periodic basis. 

 C2.3.9.3.2. Dental Ambulatory Procedures These procedures are raw, 

unweighted counts representative of the dental workload. 

 C2.3.9.4. Allocation Factor for Cost Pools: Dental Weighted Procedures. 

Weighted values have been developed for dental clinical procedures based on the ADA weighted 

procedure codes. These values are furnished by the MHS dental community on a periodic basis. 

 C2.3.9.5. Dental Care: CAA

 C2.3.9.5.1. Function. Dental Care provides oral examination, patient 

education, diagnosis, treatment, and care including all phases of restorative dentistry, oral 

surgery, prosthodontics, oral pathology, periodontics, orthodontics, endodontics, oral hygiene, 

preventive dentistry, and radiodontics to eligible dental patients. 

 C2.3.9.5.2. Costs. The Dental Care work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of Dental 

Care clinic activities. 
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 C2.3.9.6. Cost Pool: CAX

 C2.3.9.6.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.3.9.6.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.3.9.7. Dental Care Not Elsewhere Classified: CAZ

 C2.3.9.7.1. Function. Dental Care Not Elsewhere Classified includes 

dental services that satisfy the criteria for a work center and are not described in subparagraphs 

C2.3.9.5. through C2.3.9.6. 

 C2.3.9.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.3.10. Dental Prosthetics: CB

 C2.3.10.1. Function. Dental Prosthetics are services required to support the daily 

practice of dentistry; prepare casts and models; repair dentures; fabricate transitional, temporary, 

or orthodontic appliances; and finish dentures. 

 C2.3.10.2. Costs. The Dental Prosthetics shall be a summary account that 

includes all expenses incurred in operating and maintaining the functions described in 

subparagraphs C2.3.10.5. through C2.3.10.7. at an installation or a dental command. 

 C2.3.10.3. Service Unit(s) for Dental Final Account Codes: Dental Weighted 

Procedures. Composite Lab Values (CLVs) are used for dental laboratory procedures. 

 C2.3.10.4. Allocation Factor for Cost Pools: Weighted Procedures. CLVs are 

used for dental laboratory procedures. 

 C2.3.10.5. Dental Laboratory: CBA

 C2.3.10.5.1. Function. The Dental Laboratory is required for the support 

of a comprehensive dental practice at a specific facility and is essential to the daily practice of 

dentistry. Equipment and dental technician availabilities vary, but are there to prepare casts and 

models; repair dentures; fabricate transitional, temporary, or orthodontic appliances; finish 

dentures; stain and glaze porcelain restoration; and polish metal and metal ceramic restoration. 

 C2.3.10.5.2. Costs. The Dental Laboratory work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 
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expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Dental Laboratory activities. 

 C2.3.10.6. Cost Pool: CBX

 C2.3.10.6.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.3.10.6.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.3.10.7. Dental Prosthetics Not Elsewhere Classified: CBZ

 C2.3.10.7.1. Function. Dental Prosthetics Not Elsewhere Classified 

includes dental prosthetics services that satisfy the criteria for a work center and are not 

described in subparagraphs C2.3.10.5. through C2.3.10.6. 

 C2.3.10.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

C2.4. ANCILLARY SERVICES: D

 C2.4.1. Function

 C2.4.1.1. Ancillary Services participate in the care of patients principally by 

assisting and augmenting the attending physicians, dentists, and non-physician privileged 

providers in diagnosing and treating human ills. Ancillary Services generally do not (although 

under certain circumstances may) have primary responsibility for the management of patients. 

Rather, patient services are provided on the orders of cognizant physicians, dentists, Independent 

Duty Corpsmen, and non-physician privileged providers. Ancillary Services comprise and apply 

various forms of therapy that are frequently administered through intricate techniques and 

require competent, expert, and qualified specialists and technical staff. 

 C2.4.1.2. In accomplishing the mission, the highest professional standards are 

maintained. Every effort is made to retain optimal quality of healthcare support. Standards for 

the delivery of healthcare are state-of-the-art and conform to requirements set by the generally 

accepted standards of hospital operations as practiced in the United States. Proper supervision 

and control are exercised over assigned areas of responsibility. The CE and training of 

professional and paraprofessional medical personnel are promoted. Participation in staff 

conferences and provision of consultant services are ensured. The formulation of clinical 

policies and standards is maintained. Collaboration between clinical and administrative services 

is promoted to further patient comfort, welfare, speedy recovery, and proper disposition. 
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 C2.4.1.3. Depending on the size and organizational complexity of the MTF, 

Ancillary Services functions may include conducting approved residency training programs in 

accordance with the requirements of the Council on Medical Education of the American Medical 

Association or other accrediting bodies; conducting, as directed, orientation, indoctrination, 

observer, refresher, and familiarization training for interns, externs, medical students from 

affiliated medical schools, clinical clerks, and others; conferring with professional consultants; 

and initiating, conducting, and participating in, as appropriate and authorized clinical or research 

studies to enhance professional growth and development. 

 C2.4.2. Costs. The Ancillary Services functional account shall include all expenses in 

the following summary accounts: Pharmacy Services, Pathology, Radiology, Special Procedure 

Services, Central Sterile Supply, Surgical Services, Ambulatory Nursing Services, Rehabilitative 

Services, Nuclear Medicine, and Intensive Care, as outlined in paragraphs C2.4.9. through 

C2.4.18. When MTF resources provide an ancillary service to their child Defense Medical 

Information System Identifier (DMIS ID), personnel expenses shall be distributed on the time 

spent in the DMIS ID, and personnel expenses shall be prorated on time spent in each work 

center or function. When an ancillary service is purchased by the MTF, the expense may be 

assigned directly to the work center sub-account that requested the service or to the ancillary 

work center sub-account that performs the service in the MTF. Ancillary expenses are assigned 

according to the assignment procedures governing Ancillary Services (D) intermediate accounts. 

The order of accounts in this section is different from the order of expense allocation. (See Table 

C3.T3. for the alignment of intermediate operating expense accounts.) 

 C2.4.3. Service Unit. Each summary and sub-account has a discrete unit of service that 

is not common among all accounts. In no instance should a visit be recorded as a workload 

indicator in any of the Ancillary Services sub-accounts when the patient is seen solely for the 

purpose of having a procedure performed as defined under “occasion of service” in the 

definitions section of this Manual. Ancillary procedures performed in support of Special 

Programs (F) must be assigned to the proper F sub-account. (See section C2.6.) 

 C2.4.4. Service Unit(s) for Cost Pools. Not applicable. 

 C2.4.5. Allocation Factor for Ancillary Services Intermediate Non-Cost Pool Account 

Codes. See second-level FCC descriptions. 

 C2.4.6. Allocation Factor for Cost Pools. See second-level FCC descriptions. 

 C2.4.7. Assignment Procedure for Ancillary Services Account Codes. See second-level 

FCC descriptions. 

 C2.4.8. Assignment Procedure for Cost Pools. See second-level FCC descriptions. 

 C2.4.9. Pharmacy Services: DA

 C2.4.9.1. Function. Pharmacy Services plans, supervises, and is accountable for 

all pharmaceuticals, including I.V. solutions, and all pharmaceutical activities of the MTF. 
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 C2.4.9.2. Costs. The Pharmacy Services shall be a summary account that 

includes all expenses incurred in operating and maintaining the functions described in this 

subsection. 

 C2.4.9.3. Service Unit for Intermediate (Non-Cost Pool) Account Codes. 

Pharmacy weighted procedure. (See Table C2.T1.) 

 C2.4.9.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Pharmacy weighted procedure. (See Table C2.T1.) 

 C2.4.9.5. Allocation Factor for Cost Pools. Weighted procedure. 

 C2.4.9.6. Assignment Procedure for Intermediate Non-Cost Pool Account Codes. 

Total expenses shall be assigned based on the ratio of weighted procedures performed for each 

receiving account to the total weighted procedures performed. Ancillary procedures performed 

in support of Special Programs (F) must be assigned to the proper F sub-account. (See section 

C2.6.) 

Table C2.T1. Pharmacy Weighted Procedures

Pharmacy Procedures Weighting Factor 

Prescription 1.00 

Clinic Issue 0.60 

Sterile Product 2.00 

Unit Dose 0.15 

Bulk Issue 2.00 

Prescription. Count written order for a medication or device prescribed for an individual 

patient A refill is counted the same as a prescription. 

Prescription Types Weighting Factor 

Original Prescription 1.00 

(New, Modified, Renewed) (Rx) 

Edit Prescription (EAP) 0.00 

Partial Action (PQD) 1.00 

Remove a Refill (RRE) 1.00 

Forward a Prescription (FAP) 1.00 

Decrement at forwarding 1.00 

Incremented at accepting 1.00 

Clinic Issue. Count each handout or prepared issue to a clinic for subsequent issue to 

individual patients by non-pharmacy personnel. A weighted value of 0.6 for each unit of issue 

is counted. 

Sterile Product. Count each parenteral bottle, bag, or syringe that is prepared by the 

pharmacy, i.e., that has any number of additive parenterals and is ready for administration. A 

weighted value of 2.0 for each unit of sterile product.

Unit Dose. Count each dose. A weighted value of 0.15 for each dose.

Bulk Issue. Count each line item issued to clinics or wards to be used within the clinic or 

ward. Each line item will have a weighted value of 2.0.
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 C2.4.9.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification, based on the ratio of weighted 

procedures performed for each shared work center to the total weighted procedures performed. 

Cost pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 

 C2.4.9.8. Pharmacy: DAA

 C2.4.9.8.1. Function. Pharmacy procures, preserves, stores, compounds, 

manufactures, packages, controls, assays, dispenses, and distributes medications (including I.V. 

solutions) for inpatients and outpatients. It also plans and technically supervises all 

pharmaceutical activities of the MTF; advises and makes recommendations on policies, 

standards, and practices; informs professional personnel of new medicinal and biological 

preparation; and establishes safeguards for storing and issuing poisons, narcotics, and alcoholic 

drugs. Other Pharmacy services include maintaining separate stocks of commonly used items in 

designated areas, developing and maintaining formularies and patient drug profiles, and adding 

drugs to I.V. solutions. Pharmacy also determines incompatible drug combinations, administers 

unit dose drug combinations, administers unit dose drug distribution system, and stocks floor or 

ward drugs and satellite pharmacies. 

 C2.4.9.8.2. Costs. The Pharmacy work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of Pharmacy 

activities. Total expenses shall ultimately be assigned through an expense allocation process to 

other ancillary services and to the final operating expense accounts. 

 C2.4.9.9. Cost Pool: DAX

 C2.4.9.9.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.9.9.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.9.10. Pharmacy Not Elsewhere Classified: DAZ

 C2.4.9.10.1. Function. Pharmacy Not Elsewhere Classified includes 

pharmacy services that satisfy the criteria for a work center and are not described in 

subparagraphs C2.4.9.8. through C2.4.9.9. 

 C2.4.9.10.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 
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 C2.4.10. Pathology: DB

 C2.4.10.1. Function. Pathology includes the functions organized under the 

designated work centers described in subparagraphs C2.4.10.8. through C2.4.10.15. 

 C2.4.10.2. Costs. Pathology shall be a summary account that includes all 

expenses incurred in operating and maintaining the functions described in this subsection. 

 C2.4.10.3. Service Unit for Intermediate (Non-Cost Pool) Account Codes. 

Laboratory weighted procedures. (See Table C2.T2.) 

 C2.4.10.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Weighted Procedure. (See Table C2.T2.) 

 C2.4.10.5. Allocation Factor for Cost Pools. Weighted procedure. 

 C2.4.10.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of weighted procedures performed 

for each receiving account to the total weighted procedures performed. Ancillary procedures 

performed in support of Special Programs (F) must be assigned to the proper F sub-account. 

(See section C2.6.) 

 C2.4.10.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of weighted 

procedures performed for each shared work center to the total weighted procedures performed. 

Cost pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

Table C2.T2. Laboratory Weighted Values

Pathology Procedures Weighted Values. All clinical pathology and anatomical pathology workload 

performance shall be weighted and reported in accordance with the EAS IV Current Procedural 

Terminology (CPT) Table as defined by the American Medical Association (AMA). Users can print the 

table from EAS.

Clinical Pathology. Count, as defined in the CHCS/AHLTA, each test, specimen, patient, smear, tube, 

bottle, plate, slide, or antigen (pool) performed on or for an inpatient, outpatient, clinic, ward, treatment 

area, or other requesting authority. Count all procedures or tests performed for Quality Control (QC) 

purposes and standardization purposes and distribute based on the ratio of weighted procedures provided 

to each receiving account to the total weighted procedures performed by the clinical pathology function. 

Anatomical Pathology. Count, as defined in the CHCS/AHLTA, the number of autopsies, frozen 

sections, cytology smears, special stains, and paraffin blocks performed on or for an inpatient or an 

outpatient. 

Genetic Laboratories. Count, as defined in the CHCS/AHLTA, each separate test or procedure 

performed under the type of genetic laboratory. 
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 C2.4.10.8. Clinical Pathology: DBA

 C2.4.10.8.1. Function. Clinical Pathology operates the clinical 

laboratories and conducts studies, investigations, analyses, and examinations, including 

diagnostic and routine tests and systems. Additional activities may include, but are not limited 

to, transportation of specimens from the nursing floors and surgical suites (only credited when 

performed by clinical pathology staff), preparation of samples for testing, and care of laboratory 

animals and equipment. 

 C2.4.10.8.2. Costs. The Clinical Pathology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Clinical Pathology. Total expenses shall ultimately be assigned through an expense allocation 

process to other ancillary services and to the final operating expense accounts. 

 C2.4.10.9. Anatomical Pathology: DBB

 C2.4.10.9.1. Function. Anatomical Pathology conducts the 

histopathology and cytopathology laboratories; directs studies, examinations, and evaluations 

including diagnostic and routine procedures; provides referrals and consultations; performs postmortem examinations; and operates the morgue. 

 C2.4.10.9.2. Costs. The Anatomical Pathology work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Anatomical Pathology activities. Total expenses shall ultimately be assigned through an 

expense allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.10.10. Inactive: DBC 

 C2.4.10.11. Cytogenetic Laboratory: DBD 

 C2.4.10.11.1. Function. Cytogenetic Laboratory performs cell culture of 

body fluids (peripheral blood, amniotic fluid, bone marrow, solid tumors, tissues), cell harvest 

procedures, microscopic chromosome analysis, C-banding, silver staining, and fluorescent in situ 

hybridization. 

 C2.4.10.11.2. Costs. The Cytogenetic Laboratory work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Cytogenetic Laboratory activities. Total expenses shall ultimately be assigned through an 

expense allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.10.12. Molecular Genetic Laboratory: DBE
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 C2.4.10.12.1. Function. The Molecular Genetic Laboratory extracts 

Deoxyribonucleic Acid (DNA) from body fluids and analyzes the DNA by a variety of 

specialized procedures including polymerase chain reaction, southern blotting, single strand 

conformational polymorphism, and DNA sequencing to diagnose hereditary genetic disease. 

 C2.4.10.12.2. Costs. The Molecular Genetic Laboratory work center shall 

be a sub-account that includes all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, travel, and any other expenses identified directly in 

support of Molecular Genetic Laboratory. Total expenses shall ultimately be assigned through 

an expense allocation process to other ancillary services and to the final operating expense 

accounts. 

 C2.4.10.13. Inactive: DBF

 C2.4.10.14. Cost Pool: DBX

 C2.4.10.14.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.10.14.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.10.15. Pathology Not Elsewhere Classified: DBZ

 C2.4.10.15.1. Function. Pathology Not Elsewhere Classified includes 

pathology services that satisfy the criteria for a work center and are not described in 

subparagraphs C2.4.10.8. through C2.4.10.14. 

 C2.4.10.15.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 

 C2.4.11. Radiology: DC

 C2.4.11.1. Function. Radiology includes the functions organized under the 

designated work centers as described in subparagraphs C2.4.11.8. through C2.4.11.11. 

 C2.4.11.2. Costs. The Radiology shall be a summary account that includes all 

expenses incurred in operating and maintaining the functions described in this paragraph. 

 C2.4.11.3. Service Unit For Intermediate (Non-Cost Pool) Account Codes. 

Radiology weighted procedures. (See Table C2.T3.) 
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 C2.4.11.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Weighted procedure. (See Table C2.T3.) 

 C2.4.11.5. Allocation Factor for Cost Pools. Weighted procedure. (See Table 

C2.T3.) 

 C2.4.11.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of weighted procedures performed 

for each receiving account to the total weighted procedures performed. Ancillary procedures 

performed in support of Special Programs (F) must be assigned to the proper F sub-account. 

(See section C2.6.) 

 C2.4.11.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of weighted 

procedures performed for each shared work center to the total weighted procedures performed. 

Cost pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

Table C2.T3. Radiology Weighted Procedures

Radiology Procedures Weighted Values. All diagnostic radiology workload performance will be 

weighted and reported in accordance with the CHCS/AHLTA CPT Table. Raw count for radiology 

procedures shall be the number of procedures. 

Diagnostic Radiology. Count, as defined in the CHCS/AHLTA CPT table, depending on site licensing, 

each procedure or test performed on or for an inpatient or outpatient, including procedures performed on 

portables. 

Radiation Therapy Clinic. A clinical service with a workload performance of a visit. 

 C2.4.11.8. Diagnostic Radiology: DCA

 C2.4.11.8.1. Function. Diagnostic Radiology provides diagnostic 

radiologic services to inpatients and outpatients. Activities include, but are not limited to, 

processing, examining, interpreting, storing, and retrieving radiographs and fluorographs; 

directing a radiological safety program; and consulting with physicians and patients. 

 C2.4.11.8.2. Costs. The Diagnostic Radiology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Diagnostic Radiology activities. Total expenses shall ultimately be assigned through an expense 

allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.11.9. Inactive: DCB 

 C2.4.11.10. Cost Pool: DCX
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 C2.4.11.10.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.11.10.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.11.11. Radiology Not Elsewhere Classified: DCZ

 C2.4.11.11.1. Function. Radiology Not Elsewhere Classified includes 

radiology services that satisfy the criteria for a work center and are not described in 

subparagraphs C2.4.11.8. through C2.4.11.10. 

 C2.4.11.11.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 

 C2.4.12. Special Procedure Services: DD

 C2.4.12.1. Function. Special Procedure Services includes the functions 

organized under the designated work centers as described in subparagraphs C2.4.12.8. through 

C2.4.12.14. 

 C2.4.12.2. Costs. Special Procedure Services shall be a summary account that 

includes all expenses incurred in operating and maintaining the functions described in this 

subsection. 

 C2.4.12.3. Service Unit for Intermediate (Non-Cost Pool) Account Codes. See 

third-level FCC descriptions. 

 C2.4.12.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

See third-level FCC descriptions. 

 C2.4.12.5. Allocation Factor for Cost Pools. Weighted procedure. 

 C2.4.12.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. See third-level FCC descriptions. 

 C2.4.12.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of weighted 

procedures performed for each shared work center to the total weighted procedures performed. 

Cost pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 C2.4.12.8. Electrocardiography: DDA
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 C2.4.12.8.1. Function. Electrocardiography services include the 

operations and maintenance of specialized equipment that records electromotive variations in the 

movements of the heart on an electrocardiograph to facilitate diagnosis of heart disease. 

Additional activities may include, but are not limited to, wheeling portable equipment to 

patients’ bedsides, explaining test procedures to patients, operating electrocardiograph 

equipment, and inspecting, testing, and maintaining special equipment. 

 C2.4.12.8.2. Costs. The Electrocardiography work center sub-account 

shall be charged with all expenses included in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Electrocardiography activities. Total expenses shall ultimately be assigned through an expense 

allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.12.8.3. Service Unit. ECG weighted procedure. 

 C2.4.12.8.4. Allocation Factor. Weighted procedure is equal to raw 

procedure. Each electrocardiogram, vectorcardiogram, phonocardiogram or other similar 

functional activity counts as one procedure. 

 C2.4.12.8.5. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of procedures performed for each receiving account to the total procedures 

performed. Ancillary procedures performed in support of Special Programs (F) must be assigned 

to the proper F sub-account. (See section C2.6.) 

 C2.4.12.9. Electroencephalography: DDB

 C2.4.12.9.1. Function. The Electroencephalography services include the 

operations and maintenance of specialized equipment that records electromotive variations in 

brain waves on an electroencephalograph for use in diagnosis. 

 C2.4.12.9.2. Costs. The Electroencephalography work center sub-account 

shall be charged with all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Electroencephalography activities. Total expenses shall ultimately be assigned through an 

expense allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.12.9.3. Service Unit. EEG weighted procedure. 

 C2.4.12.9.4. Allocation Factor. Weighted procedure is equal to raw 

procedure. Each electroencephalogram or other similar functional activity counts as one 

procedure. 

 C2.4.12.9.5. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of procedures performed for each receiving account to the total procedures 
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performed. Ancillary procedures performed in support of Special Programs (F) must be assigned 

to the proper F sub-account. (See section C2.6.) 

 C2.4.12.10. Electroneuromyography: DDC

 C2.4.12.10.1. Function. The Electroneuromyography services include the 

operations and maintenance of specialized equipment that records electrical potential variations 

in muscles on an electroneuromyograph to facilitate diagnosis of muscular and nervous 

disorders. Additional activities may include, but are not limited to, nerve conduction velocity 

testing, wheeling portable equipment to patients’ bedsides, explaining test procedures to patients, 

operating electroneuromyograph equipment, inspecting, testing, and maintaining special 

equipment. 

 C2.4.12.10.2. Costs. The Electroneuromyography work center subaccount shall be charged with all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, equipment, travel, and any other expenses identified 

directly in support of Electroneuromyography activities. Total expenses shall ultimately be 

assigned through an expense allocation process to other ancillary services and to the final 

operating expense accounts. 

 C2.4.12.10.3. Service Unit. EMG weighted procedure. 

 C2.4.12.10.4. Allocation Factor. Weighted procedure is equal to raw 

procedure. Each electroneuromyogram or other similar functional activity counts as one 

procedure. 

 C2.4.12.10.5. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of procedures performed for each receiving account to the total procedures 

performed. Ancillary procedures performed in support of Special Programs (F) must be assigned 

to the proper F sub-account. (See section C2.6.) 

 C2.4.12.11. Pulmonary Function: DDD

 C2.4.12.11.1. Function. The Pulmonary Function tests and evaluates the 

patient’s ability to exchange oxygen and other gases through measurement of inhaled and 

exhaled gases and analysis of blood. Other activities include initiating, monitoring, and 

evaluating patient performance, cooperation, and ability during the test procedure. 

 C2.4.12.11.2. Costs. The Pulmonary Function work center sub-account 

shall be charged with all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, travel, and any other expenses identified directly in 

support of Pulmonary Function. Total expenses shall ultimately be assigned through an expense 

allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.12.11.3. Service Unit. Respiratory therapy/pulmonary function 

weighted procedure. 
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 C2.4.12.11.4. Allocation Factor. Weighted procedure. 

 C2.4.12.11.5. Respiratory Therapy, Pulmonary Function, and 

Cardiovascular Procedures Weighted Values. Respiratory therapy, pulmonary function, and 

cardiovascular procedures use the weights of the American Association for Respiratory Care 

(AARC) Uniform Reporting Manual for time standards. Respiratory therapy and cardiovascular 

weighted values are included in pulmonary functions. Users can print the table from EAS. 

 C2.4.12.11.6. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of weighted procedures performed for each receiving account to the total 

weighted procedures performed. Ancillary procedures performed in support of Special Programs 

(F) must be assigned to the proper F sub-account. (See section C2.6.) 

 C2.4.12.12. Cardiac Catheterization: DDE

 C2.4.12.12.1. Function. Cardiac Catheterization services include the 

operations and maintenance of specialized equipment that displays and records the condition of 

the heart and circulatory system. Other activities include explaining test procedures to patients; 

performing invasive procedures using catheters and other techniques; retrieving and analyzing 

test results; and inspecting, testing, calibrating, and maintaining special equipment. 

 C2.4.12.12.2. Costs. The Cardiac Catheterization work center subaccount shall be charged with all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, equipment, travel, and any other expenses identified 

directly in support of Cardiac Catheterization. Total expenses shall ultimately be assigned 

through an expense allocation process to other ancillary services and to the final operating 

expense accounts. 

 C2.4.12.12.3. Service Unit. Cardiac catheterization weighted procedure. 

 C2.4.12.12.4. Allocation Factor. Weighted procedure. 

 C2.4.12.12.5. Cardiac Catheterization Procedures Weighted Values. See the 

CHCS/AHLTA CPT Table. For cardiac catheterization laboratory, CPT codes cannot be entered 

through the Radiology module in CHCS. 

 C2.4.12.12.6. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of weighted procedures performed for each receiving account to the total 

weighted procedures performed. Ancillary procedures performed in support of Special Programs 

(F) must be assigned to the proper F sub-account. (See section C2.6.) 

 C2.4.12.13. Cost Pool: DDX
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 C2.4.12.13.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.12.13.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.12.14. Special Procedure Services Not Elsewhere Classified: DDZ

 C2.4.12.14.1. Function. Special Procedure Services Not Elsewhere 

Classified includes special procedure services that satisfy the criteria for a work center and are 

not described in subparagraphs C2.4.12.8. through C2.4.12.13. 

 C2.4.12.14.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 

 C2.4.12.14.3. Service Unit. Special procedure services weighted 

procedure. 

 C2.4.12.14.4. Allocation Factor. Raw or weighted procedure. 

 C2.4.12.14.5. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of raw or weighted procedures performed for each receiving account to the 

total raw or weighted procedures performed. 

 C2.4.13. Central Sterile Supply: DE

 C2.4.13.1. Function. Central Sterile Supply include the functions organized 

under the work centers described in subparagraphs C2.4.13.9. through C2.4.13.12. Each work 

center sub-account shall be directly charged with the expenses incurred in performing its 

particular functions and activities. 

 C2.4.13.2. Costs. Central Sterile Supply shall be a summary account that 

includes all expenses incurred in operating and maintaining the functions described in this 

subsection. 

 C2.4.13.3. Service Unit. Hours of service or cost of supplies and minor plant 

equipment issued. 

 C2.4.13.4. Service Unit for Intermediate (Non-Cost Pool) Account Codes. See 

third-level FCC descriptions. 
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 C2.4.13.5. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

See third-level FCC descriptions. 

 C2.4.13.6. Allocation Factor for Cost Pools. Weighted procedure. 

 C2.4.13.7. Assignment Procedure for intermediate Non-Cost Pool Account 

Codes. See third-level FCC descriptions. 

 C2.4.13.8. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on like service units. Cost 

pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. Expenses for supplies and equipment not maintained as shelf stock shall be assigned 

directly to the receiving account. 

 C2.4.13.9. Central Sterile Supply: DEA

 C2.4.13.9.1. Function. Central Sterile Supply prepares, maintains, and 

issues medical and surgical sterile supplies, packs, trays, gloves, syringes, needles (nondisposable), equipment, instruments, and solutions to surgical and delivery suites, emergency 

rooms, dental activities, nursing units, and clinics for the treatment of inpatients and outpatients 

and receives used and outdated materiel from them. Additional activities may include, but are 

not limited to, preparing sterile irrigating solutions; collecting, assembling, sterilizing, and 

redistributing reusable items; and cleaning, assembling, maintaining, and issuing portable 

apparatus. 

 C2.4.13.9.2. Costs. The Central Sterile Supply work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Central Sterile Supply activities. Total expenses shall ultimately be assigned through an 

expense allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.13.9.3. Service Unit. Central sterile supply hours of service. 

 C2.4.13.9.4. Allocation Factor. Hours of service. 

 C2.4.13.9.5. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of hours of service rendered to each receiving account to the total hours of 

service rendered. Expenses for supplies and equipment not maintained as shelf stock shall be 

assigned directly to the receiving account. 

 C2.4.13.10. Inactive: DEB

 C2.4.13.11. Cost Pool: DEX

 
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 C2.4.13.11.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.13.11.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.13.12. Central Sterile Supply and Materiel Service Not Elsewhere 

Classified: DEZ

 C2.4.13.12.1. Function. Central Sterile Supply Not Elsewhere Classified 

includes the expenses of these services that satisfy the criteria for a work center and are not 

described in subparagraphs C2.4.13.9. through C2.4.13.11. 

 C2.4.13.12.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 

 C2.4.13.12.3. Service Unit. Hours of service or cost of supplies and 

minor plant equipment issued. 

 C2.4.13.12.4. Allocation Factor. Hours of service or cost of supplies and 

minor plant equipment issued. 

 C2.4.13.12.5. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of hours of service rendered or expenses incurred for each receiving account to 

the total hours of service rendered or expenses incurred. Expenses for supplies and equipment 

not maintained as shelf stock shall be assigned directly to the receiving account. 

 C2.4.14. Surgical Services: DF

 C2.4.14.1. Function. Surgical Services includes the functions organized under 

the designated work centers described in subparagraphs C2.4.14.8. through C2.4.14.12. Each 

work center sub-account shall be specifically charged with the expenses incurred in performing 

its particular functions and activities. 

 C2.4.14.2. Costs. Surgical Services shall be a summary account that includes all 

expenses incurred in operating and maintaining the functions described in this subsection. 

 C2.4.14.3. Service Unit For Intermediate (Non-Cost Pool) Account Codes. See 

third-level FCC descriptions. 

 C2.4.14.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Minutes of service. 
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 C2.4.14.5. Allocation Factor for Cost Pools. Minutes of service. 

 C2.4.14.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of minutes of service performed for 

each receiving account to the total minutes of service performed. Ancillary services performed 

in support of Special Programs (F) must be assigned to the proper F sub-account. (See section 

C2.6.) 

 C2.4.14.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of minutes of 

service performed for each shared work center to the total minutes of service performed. Cost 

pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 C2.4.14.8. Anesthesiology: DFA

 C2.4.14.8.1. Function. Anesthesiology determines, in consultation with 

the operating surgeon, the type of anesthetic to be used; administers anesthetics; maintains 

complete records of each anesthetic administered; provides consultative services and evaluations; 

maintains resuscitative equipment; provides training programs in resuscitation; supervises the 

oxygen therapy program; provides pre-operative and post-operative interviews; and supervises 

recovery of patients in the post-anesthesia care unit. 

 C2.4.14.8.2. Costs. The Anesthesiology work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Anesthesiology activities. Total expenses shall ultimately be assigned through an expense 

allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.14.8.3. Service Unit. Anesthesiology minutes of service. 

Anesthesiology minutes of service is defined as the elapsed time during any direct interaction 

with patients involving an anesthesiologist and/or anesthetist multiplied by the number of 

anesthesiologists and/or anesthetists, including residents and student nurse anesthetists (when 

replacing a person trained in anesthesia) participating in the procedure. Examples of direct 

interaction with patients can include patient interviews in the Preadmission Unit, acute pain 

management rounds for patients on a ward, emergency intubations (wards/ICU/emergency 

room), emergency room procedures (spinal taps), and I.V. access procedures (wards/ICU). Raw 

count is the number of patients. 

 C2.4.14.9. Surgical Suite: DFB

 C2.4.14.9.1. Function. Surgical Suite assists in pre-operative preparation 

of the patient and transportation of the patient to and from the surgical suite. Surgical Suite 

ensures maintenance, cleanliness, and care of the surgical suite; provides general assistance 

during all surgical procedures; and provides special instruments, devices, and equipment, as 

required by the surgical specialties and subspecialties. 
DoD 6010.13-M, April 7, 2008 

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 C2.4.14.9.2. Costs. The Surgical Suite work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of Surgical 

Suite activities. Total expenses shall ultimately be assigned through an expense allocation 

process to other ancillary services and to the final operating expense accounts. 

 

 C2.4.14.9.3. Service Unit. Surgical suite minutes of service. Raw count 

is the number of patients. 

 C2.4.14.10. Post-Anesthesia Care Unit: DFC

 C2.4.14.10.1. Function. The Post-Anesthesia Care Unit provides postanesthesia care to the patient, records unfavorable sequelae, advises and consults with the 

surgical staff, and monitors the patient until free from anesthetic sequelae. 

 C2.4.14.10.2. Costs. The Post-Anesthesia Care Unit work center shall be 

a sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Post-Anesthesia Care Unit activities. Total expenses shall ultimately be assigned through an 

expense allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.14.10.3. Service Unit. Post-anesthesia care unit minutes of service. 

Raw count is the number of patients. 

 C2.4.14.11. Cost Pool: DFX

 C2.4.14.11.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.14.11.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s) in Chapter 3. 

 C2.4.14.12. Surgical Services Not Elsewhere Classified: DFZ

 C2.4.14.12.1. Function. Surgical Services Not Elsewhere Classified 

includes the expenses of surgical services that satisfy the criteria for a work center and are not 

described in subparagraphs C2.4.14.8. through C2.4.14.11. 

 C2.4.14.12.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 

 C2.4.14.12.3. Service Unit. Minutes of service. 
DoD 6010.13-M, April 7, 2008 

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 C2.4.15. Ambulatory Nursing Services: DG

 C2.4.15.1. Function. Ambulatory Nursing Services include the functions 

organized under the designated work centers described in subparagraphs C2.4.15.8. through 

C2.4.15.14. Each work center sub-account shall be specifically charged with the expenses 

incurred in performing its particular functions and activities. 

 C2.4.15.2. Costs. The Ambulatory Nursing Services shall be a summary 

account that includes all expenses incurred in operating and maintaining the functions described 

in this subsection. 

 C2.4.15.3. Service Unit For Intermediate (Non-Cost Pool) Account 

Codes. See third-level FCC descriptions. 

 C2.4.15.4. Allocation Factor for Intermediate (Non-Cost Pool) Account 

Codes. Minutes of service. 

 C2.4.15.5. Allocation Factor for Cost Pools. Minutes of service. 

 C2.4.15.6. Assignment Procedure For Intermediate Non-Cost Pool 

Account Codes. Total expenses shall be assigned based on the ratio of minutes of service 

performed for each receiving account to the total minutes of service performed. 

 C2.4.15.7. Assignment Procedure for Cost Pools. Expenses and FTEs of 

shared performing work centers shall be reassigned during purification based on the ratio of 

minutes of service performed for each shared work center to the total minutes of service 

performed. Cost pools are purified in alphabetical order before the expense allocation process 

described in Chapter 3. 

 C2.4.15.8. Ambulatory Procedure Unit (APU): DGA

 C2.4.15.8.1. Function. The APU provides pre-procedure and 

post-procedure care, observation, and assistance for patients requiring short-term care of less 

than 24 hours. Same-day surgeries, also known as APVs, are performed in a specialized area 

such as an APU, surgical suite, or extended care area. (See Reference (e) for further guidance.) 

An APU is a location where the staff provides a centrally managed and coordinated program of 

nursing assessment and care planning, hospital or unit orientation, pre-procedure and discharge 

teaching, post-procedure monitoring, clinical and administrative interviews, initiation of 

procedural records and physician orders, and other functions as appropriate. Therapies and 

functions include nursing assessment, case management, pre-operative teaching, providing 

necessary written instructions to the patient by registered nurses, parenteral fluid support, 

administering pre-procedure and post-procedure medications, discharge teaching, obtaining 

ordered pre-operative laboratory tests and radiology results, and scheduling patients for arrival 

time for surgery. 
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 C2.4.15.8.2. Costs. The APU work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of APU 

activities. Total expenses shall ultimately be assigned through an expense allocation process to 

an A*** or B*** account associated with an Inpatient (A) or Ambulatory Care (B) final 

operating account. Physician expenses will be charged directly to the appropriate A*** or B*** 

account. 

 C2.4.15.8.3. Service Unit. Minutes of service. Raw count is the 

number of patients. Interface from source system. 

 C2.4.15.9. Hemodialysis: DGB

 C2.4.15.9.1. Function. Hemodialysis is the purification of the patient’s 

blood through use of an artificial kidney machine or similar device. Specially trained personnel 

operate, maintain, and monitor the hemodialysis equipment and other specialized support 

equipment for patients who are undergoing hemodialysis treatment in the unit. 

 C2.4.15.9.2. Costs. The Hemodialysis work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of 

Hemodialysis activities. Total expenses shall ultimately be assigned through an expense 

allocation process to other ancillary services and to the final operating expense accounts. 

 C2.4.15.9.3. Service Unit. Dialysis minutes of service. 

 C2.4.15.10. Inactive: DGC

 C2.4.15.11. Peritoneal Dialysis: DGD

 C2.4.15.11.1. Function. Peritoneal Dialysis is purification of the patient’s 

blood using the patient’s own peritoneal membrane, located in the abdomen, as the filter to 

remove excess water and toxins. Specially trained personnel teach all patients or family 

members through an intense training program how to perform these same functions in the home 

setting. After training is completed, patients are followed routinely and emergently for clinic 

visits, re-training, infections, and other medical problems. Based on the dialysis prescription by 

the nephrologist, certified nursing personnel working in this area operate, maintain, and monitor 

various specialized equipment depending on which type of peritoneal dialysis has been 

prescribed for each patient. 

 C2.4.15.11.2. Costs. The Peritoneal Dialysis work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Peritoneal Dialysis activities. Home patient peritoneal dialysis supplies are funded in accordance 

with Medicare laws and individual secondary insurance policies. Total expenses shall ultimately 
DoD 6010.13-M, April 7, 2008 

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be assigned through an expense allocation process to other ancillary services and to the final 

operating expense accounts. 

 C2.4.15.11.3. Service Unit. Dialysis minutes of service. 

 C2.4.15.12. Ambulatory Nursing Services: DGE 

 C2.4.15.12.1. Function. Ambulatory Nursing Services provides a 

centralized program of nursing assessment and care for outpatients. Therapies include teaching, 

short-term observation, medication and fluid administration (such as I.V. antibiotic 

administration for ambulatory clinics), treatment intervention (chemotherapy), and nursing 

assessment. Ambulatory Nursing Services also prepares necessary records to document care 

provided and coordinates with various clinics, services, designated wards, third-party 

reimbursement coordinators, and admissions and discharge staff for pre-admission and preprocedure processing. The Ambulatory Nursing Services work center may also designate beds 

for observation services that are necessary to evaluate an outpatient’s condition or determine the 

need for a possible admission to the hospital as an inpatient. When pre-procedure processing is 

not performed by the APU, the DGE work center shall provide the services and coordinate with 

the clinic or APU for processing. 

 C2.4.15.12.2. Costs. The Ambulatory Nursing Services work center shall 

be a sub-account that includes all expenses incurred in operating and maintaining the function, 

such as expenses for personnel, supplies, travel, and any other expenses identified directly in 

support of Ambulatory Nursing Services activities. When performing services in support of the 

APU, total expenses shall ultimately be assigned through an expense allocation process to a 

A*** or B*** account associated with an Inpatient (A) or Ambulatory Care (B) final operating 

account. Otherwise, total expenses shall ultimately be assigned through an expense allocation 

process to other ancillary services and to the final operating expense accounts. 

 C2.4.15.12.3. Service Unit. Minutes of service (NOT multiplied by the 

number of staff). Raw count is the number of patients. 

 C2.4.15.13. Cost Pool: DGX

 C2.4.15.13.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.15.13.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.15.14. Ambulatory Nursing Services Not Elsewhere Classified: DGZ

 C2.4.15.14.1. Function. Ambulatory Nursing Services Not Elsewhere 

Classified includes the expenses of ambulatory procedures that satisfy the criteria for a work 

center and are not described in paragraphs C2.4.15.8. through C2.4.15.13. 
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 C2.4.15.14.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. When 

performing services in support of an APU, APV, observation, and/or inpatient preadmission, the 

total expenses shall ultimately be assigned through an expense allocation process to a B*** 

account associated with an Ambulatory Care (B) final operating account or A*** associated with 

an Inpatient (A) final operating account. Otherwise, total expenses shall ultimately be assigned 

through an expense allocation process to other ancillary services and to the final operating 

expense accounts. 

 C2.4.15.14.3. Service Unit. Minutes of service. 

 C2.4.16. Rehabilitative Services: DH

 C2.4.16.1. Function. Rehabilitative Services include direct patient care, testing 

evaluation, consultation, counseling, supervision, teaching, administration, research, and 

community service for inpatients and outpatients. Professionally qualified personnel provide 

these services and report periodically on the patient’s evaluation and progress to the cognizant 

physician(s). 

 C2.4.16.2. Costs. The Rehabilitative Services shall be a summary account that 

includes all expenses incurred in operating and maintaining the functions described in this 

subsection. 

 C2.4.16.3. Service Unit For Intermediate (Non-Cost Pool) Account Codes. 

Respiratory therapy/pulmonary function weighted procedures. 

 C2.4.16.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Weighted procedure. Respiratory therapy, pulmonary function, and cardiovascular procedures 

use the weights of the AARC Uniform Reporting Manual for time standards. Respiratory 

therapy and cardiovascular weighted values are included in pulmonary functions. Users can 

print the table from EAS. 

 C2.4.16.5. Allocation Factor for Cost Pools. Weighted procedure. Respiratory 

therapy, pulmonary function, and cardiovascular procedures use the weights of the AARC 

Uniform Reporting Manual for time standards. Respiratory therapy and cardiovascular weighted 

values are included in pulmonary functions. Users can print the table from EAS. 

 C2.4.16.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of weighted procedures performed 

for each receiving account to the total weighted procedures performed. Ancillary procedures 

performed in support of Special Programs (F) must be assigned to the proper F sub-account. 

(See section C2.6.) 

 C2.4.16.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of weighted 
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procedures performed for each shared work center to the total weighted procedures performed. 

Cost pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 C2.4.16.8. Inhalation and Respiratory Therapy: DHA

 C2.4.16.8.1. Function. Inhalation and Respiratory Therapy administers 

oxygen, humidification, aerosol, and certain potent drugs through inhalation or positive pressure 

and provides other forms of rehabilitative therapy including initiating, monitoring, and 

evaluating patient performance and reactions to therapy and performing blood gas analysis. 

 C2.4.16.8.2. Costs. The Inhalation and Respiratory Therapy work center 

shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function, such as expenses for personnel, supplies, travel, and any other expenses identified 

directly in support of Inhalation and Respiratory Therapy activities. Total expenses shall 

ultimately be assigned through an expense allocation process to other ancillary services and to 

the final operating expense accounts. 

 C2.4.16.9. Cost Pool: DHX

 C2.4.16.9.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.16.9.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.16.10. Rehabilitative Services Not Elsewhere Classified: DHZ

 C2.4.16.10.1. Function. Rehabilitative Services Not Elsewhere Classified 

includes the expenses of rehabilitative services that satisfy the criteria for a work center and are 

not described in paragraphs C2.4.16.8. through C2.4.16.9. 

 C2.4.16.10.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to other ancillary 

services and to the final operating expense accounts. 

 C2.4.17. Nuclear Medicine: DI

 C2.4.17.1. Function. Nuclear Medicine services include interpreting nuclear 

medicine studies and performing treatment in conformance with licensure regulations. 

 C2.4.17.2. Costs. Nuclear Medicine shall be a summary account that includes all 

expenses incurred in operating and maintaining the functions described in this paragraph. 
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 C2.4.17.3. Service Unit For Intermediate (Non-Cost Pool) Account Codes. 

Nuclear medicine weighted procedures weighted values. (See the DoD MHS CPT table for 

weighted values on the host CHCS/AHLTA database.) 

 C2.4.17.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Nuclear medicine weighted procedures weighted values. (See the DoD MHS CPT table for 

weighted values.) 

 C2.4.17.5. Allocation Factor for Cost Pools. Nuclear medicine weighted 

procedures weighted values. (See the DoD MHS CPT table for weighted values.) 

 C2.4.17.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of weighted procedures performed 

for each receiving account to the total weighted procedures performed. Ancillary procedures 

performed in support of Special Programs (F) must be assigned to the proper F sub-account. 

(See section C2.6.) 

 C2.4.17.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of weighted 

procedures performed for each shared work center to the total weighted procedures performed. 

Cost pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 C2.4.17.8. Nuclear Medicine Clinic: DIA

 C2.4.17.8.1. Function. The Nuclear Medicine Clinic provides diagnostic 

nuclear medicine studies, interprets such studies, and performs therapeutic nuclear medicine 

treatment through the use of injectable or ingestible radioactive isotopes in conformance with 

licensure regulations. Functions and activities of the work center include, but are not limited to, 

performing clinical investigative studies, providing whole blood counting, evaluating patients 

suspected of being contaminated with gamma-emitting radio nuclides, consulting with patients 

and attending physicians, and maintaining radioactive waste disposal and storage of radioactive 

materials. 

 C2.4.17.8.2. Costs. The Nuclear Medicine Clinic work center shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Nuclear Medicine Clinic activities. Total expenses shall ultimately be assigned through an 

expense allocation process to the final operating expense accounts. 

 C2.4.17.9. Cost Pool: DIX

 C2.4.17.9.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 
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 C2.4.17.9.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.17.10. Nuclear Medicine Not Elsewhere Classified: DIZ

 C2.4.17.10.1. Function. Nuclear Medicine Not Elsewhere Classified 

includes the expenses of nuclear medicine services that satisfy the criteria for a work center and 

are not described in paragraphs C2.4.17.8. through C2.4.17.9. 

 C2.4.17.10.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to the final 

operating expense accounts. 

 C2.4.18. ICUs: DJ

 C2.4.18.1. Function. ICUs are staffed with specially trained personnel and 

contain monitoring equipment and other specialized support equipment for treating patients who 

require intensified, comprehensive observation and care because of shock, trauma, or other lifethreatening conditions. The organization of the ICUs function may vary according to patient 

load, staffing, and facilities. When subspecialty services are established, they shall provide the 

related specialized techniques and practices using all the available modern diagnostic procedures, 

studies, and therapies. If patient loads do not justify establishing any or all of the clinical 

subspecialties indicated, the function shall be located and reported in the Medical ICU (DJA) 

sub-account. The ICUs include the functions as described in subparagraphs C2.4.18.10. through 

C2.4.18.16. 

 C2.4.18.2. Costs. The Intensive Care shall be a summary account that includes 

all expenses incurred in operating and maintaining the functions described in this section. The 

attending physician’s time and expenses are charged directly to the referring clinical service. 

 C2.4.18.3. Service Unit for Intermediate (Non-Cost Pool) Account Codes. ICU 

hours of service. 

 C2.4.18.4. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

ICU hours of service. 

 C2.4.18.5. Allocation Factor for Cost Pools. Hours of service. 

 C2.4.18.6. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of hours of service performed for 

each receiving account to the total hours of service performed. Ancillary services performed in 

support of Special Programs (F) must be assigned to the proper F sub-account. (See section 

C2.6.) 
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 C2.4.18.7. Assignment Procedure for Cost Pools. Expenses and FTEs of shared 

performing work centers shall be reassigned during purification based on the ratio of hours of 

service performed for each shared work center to the total hours of service performed. Cost 

pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 C2.4.18.8. DJ MEPRS/CHCS/AHLTA A Level ICU Code Relationship. The DJ 

MEPRS codes are associated to “A” level ICU codes (not MEPRS codes) in CHCS/AHLTA. 

(See Table C2.T4.) The Worldwide Workload Report and the Standard Inpatient Data Record 

report admissions, dispositions, bed days, and live births by the “A” level codes. The MEPRS 

reports ICU hours of service by the referring MEPRS code. 

Table C2.T4. DJ MEPRS/CHCS/AHLTA A Level ICU Code Relationship

DJ** MEPRS Code A Level ICU Code

DJAA AAHA 

DJBA ABCA 

DJCA AACA 

DJDA ADCA 

DJEA ADEA 

 C2.4.18.9. Service Unit. Hours of service. 

 C2.4.18.10. Medical ICU: DJA

 C2.4.18.10.1. Function. The Medical ICU is staffed with specially 

trained personnel and contains monitoring equipment and other specialized support equipment 

for treating patients (not to include coronary care patients) who require intensified, 

comprehensive observation and care because of shock, acute, or other life-threatening medical 

conditions. The Medical ICU also performs those functions described in paragraph C2.1.9.1., 

“Medical Care,” as appropriate. 

 C2.4.18.10.2. Costs. The Medical ICU work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

ICU activities. Total expenses shall ultimately be assigned through an expense allocation 

process to the final operating expense accounts. 

 C2.4.18.11. Surgical ICU: DJB

 C2.4.18.11.1. Function. The Surgical ICU is staffed with specially 

trained personnel and contains monitoring and other specialized support equipment for treating 
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patients who require intensified, comprehensive observation and care because of a major surgical 

procedure, pre-operative or post-operative conditions, shock, trauma, or other life-threatening 

conditions. The Surgical ICU also performs those functions described in paragraph C2.1.10.1., 

as appropriate. 

 C2.4.18.11.2. Costs. The Surgical ICU work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Surgical ICU activities. Total expenses shall ultimately be assigned through an expense 

allocation process to the final operating expense accounts. 

 C2.4.18.12. Coronary Care Unit: DJC

 C2.4.18.12.1. Function. The Coronary Care Unit is staffed with specially 

trained personnel and equipped with specialized monitoring and support capabilities for treating 

patients during the acute stages of myocardial infarction and certain other clinical situations 

involving life-threatening cardiac arrhythmias or conduction disturbances. The primary 

objectives of coronary care are anticipation, early detection, and prompt progressive treatment of 

complications of coronary disease, including arrhythmias, cardiogenic shock, cardiac arrest, and 

cardiac decompensation. 

 C2.4.18.12.2. Costs. The Coronary Care Unit work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

coronary Care Unit activities. Total expenses shall ultimately be assigned through an expense 

allocation process to the final operating expense accounts. 

 C2.4.18.13. Neonatal Intensive Care Unit (NICU): DJD

 C2.4.18.13.1. Function. The NICU is staffed with specially trained 

personnel and contains specialized support equipment for treating newborn infants who require 

intensified, comprehensive observation and care. NICU provides specialized care, treatment, 

and coordinates healthcare delivery relative to the examination, diagnosis, treatment, and proper 

disposition of the newborn. 

 C2.4.18.13.2. Costs. The NICU work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of NICU 

activities. Total expenses shall ultimately be assigned through an expense allocation process to 

the final operating expense accounts. 

 C2.4.18.14. Pediatric ICU: DJE

 C2.4.18.14.1. Function. The Pediatric ICU is staffed with specially 

trained personnel and contains specialized support equipment for treating infants, children, and 

adolescent patients who require intensified, comprehensive observation and care. The Pediatric 
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ICU provides specialized care, treatment, and coordinates healthcare delivery relative to the 

examination, diagnosis, treatment, and proper disposition of pediatric patients. 

 C2.4.18.14.2. Costs. The Pediatric ICU work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Pediatric ICU activities. Total expenses shall ultimately be assigned through an expense 

allocation process to the final operating expense accounts. 

 C2.4.18.15. Cost Pool: DJX

 C2.4.18.15.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.4.18.15.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.4.18.16. Intensive Care Not Elsewhere Classified: DJZ

 C2.4.18.16.1. Function. Intensive Care Not Elsewhere Classified 

includes the expenses of ICUs that satisfy the criteria for a work center and are not described in 

subparagraphs C2.4.18.10. through C2.4.18.15. 

 C2.4.18.16.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Total 

expenses shall ultimately be assigned through an expense allocation process to the final 

operating expense accounts. 

C2.5. SUPPORT SERVICES: E

 C2.5.1. Function. The Support Services accounts collect expenses necessary to direct 

and support the missions assigned to the MTF. An account is included for prorating certain 

depreciable property expenses to each MTF. 

 C2.5.2. Costs. The Support Services functional account shall include all expenses in the 

following summary accounts: Depreciation; Command, Management and Administration; 

Support Services; Materiel Services; Housekeeping Service; Biomedical Equipment Repair; 

Laundry Service; Nutrition Management; Inpatient Care Administration; Ambulatory Care 

Patient Administration; and Managed Care Administration, as outlined in paragraphs C2.5.8. 

through C2.5.19. When a Support Service is received by the MTF, whether performed by the 

MTF or provided by installation support services or contract, the expense may be identified 

directly to the work center that benefited from or caused the expense. In such cases, the expense 

may either be assigned directly to the benefiting work center sub-account or initially charged to 

the MTF Support Service work center sub-account that performed the service. The Support 
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Service expenses are assigned according to the assignment procedures governing the Support 

Services intermediate accounts. When such expenses have been consistently and directly 

assigned, the remaining expenses can only be assigned to accounts that will be subsequently 

assigned in the expense allocation process to a final operating expense account. The order of 

accounts in this section is different from the order of expense allocation. (See Table C3.T3. for 

the alignment of intermediate operating expense accounts.) 

 C2.5.3. Service Unit For Intermediate (Non-Cost Pool) Account Codes. Not applicable, 

since this functional account exists only to identify and report the costs of the inclusive accounts. 

 C2.5.4. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. See 

second-level FCC descriptions. 

 C2.5.5. Allocation Factor For Cost Pools. Not applicable. 

 C2.5.6. Assignment Procedure For Intermediate Non-Cost Pool Account Codes. See 

second-level FCC descriptions. 

 C2.5.7. Assignment Procedure For Cost Pools. Not applicable. 

 C2.5.8. Depreciation: EA

 C2.5.8.1. Function. The Depreciation account summarizes the expenses 

associated with the investment costs incurred for depreciable properties in use. Depreciable 

properties will only include costs for modernization and replacement equipment. The purpose of 

this account is to facilitate assignment of the depreciable cost of property to accounting periods 

and to the final operating expense accounts within each period. This account will not collect 

costs during the fiscal year in which the investment equipment is expensed and does not collect 

expenses for equipment below the dollar level used in the definition of “investment equipment.” 

(See the definitions section of this Manual.) Acquisitions below the investment dollar threshold 

shall be charged to the receiving accounts as operating expenses. The equipment dollar 

threshold is established by the USD(C). The Military Service headquarters MEPRS 

representative can provide the current threshold amount. The investment equipment thresholds 

that apply as of fiscal year 1999 are $100,000 from fiscal years 1996 to present, $50,000 for 

fiscal year 1995, $25,000 for fiscal year 1994, and $15,000 for fiscal year 1993 and before. The 

Depreciation summary account includes the functions as described in subparagraphs C2.5.8.6. 

through C2.5.8.11. 

 C2.5.8.2. Costs. Depreciation shall be a summary account that includes only 

investment equipment depreciation expenses of the MTF that are for in-use replacement and 

modernization investment equipment. Specifically excluded are investment expenses associated 

with plant equipment necessary for new and expanded facilities, and real property installed 

equipment (such as environmental control units and elevators). Also excluded are support of any 

DoD PEC other than “Defense Medical Centers, Station Hospitals and Medical Clinics – 

CONUS;” “Defense Medical Centers, Station Hospitals and Medical Clinics Outside the 

Continental United States (OCONUS);” “Dental Care Activities – CONUS;” “Dental Care 
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Activities – OCONUS;” “Other Health Activities – CONUS;” and “Visual Information 

Activities – Healthcare.” 

 C2.5.8.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

See third-level FCC descriptions. 

 C2.5.8.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. See third-level FCC descriptions. 

 C2.5.8.5. Depreciation Methodology. The methodology reflects the depreciation 

expense of investment equipment acquisitions to MTF accounts. Each Military Service shall 

ensure that a set of records is established for each fixed MTF (medical or dental) under its 

control. Each MTF’s records must show the original dollar value of acquisitions of 

modernization and replacement investment equipment for each of the last 5 fiscal years. Each 

fiscal year’s acquisitions shall be classified into one of the four categories as follows. (1) All 

investment equipment (other than dental, special programs and readiness) in support of Inpatient 

Care (A), Ambulatory Care (B), Ancillary Services (D), and Support Services (E); (2) Dental 

Care (C); (3) Special Programs (F); and (4) Readiness (G). 

 C2.5.8.5.1. At the end of each fiscal year, the cost of the investment item 

acquisitions by the four categories for that year shall be added to the present category totals and 

the totals prior to the last 5 fiscal years, as well as the dollar value of any equipment transferred 

out (no longer owned by the MTF) or surveyed due to theft, disappearance, or destruction shall 

be subtracted. This subtraction may also pertain to equipment affected by operations that are no 

longer performed by the MTF. The new total for each category shall be divided by five for 

inclusion in the respective cost assignment methodology as the current fiscal year’s depreciation 

expense. To obtain a monthly figure, divide the fiscal year expense by 12. The cost assignment 

of inpatient and outpatient depreciation expenses is based on workload generated each month by 

the “A” and “B” final MEPRS accounts. (See Table C2T5.) The assignment for dental, special 

programs, and medical readiness is based on the dollar value of equipment to the “C,” “F,” and 

“G” accounts as described in subparagraphs C2.5.8.8. through C2.5.8.10. MTF shall use the 

percentages to distribute depreciation expenses between Inpatient Care (A) and Ambulatory Care 

(B) accounts as outlined in Table C2.T5. 

 C2.5.8.5.2. The following guidelines also apply when calculating 

depreciation. Equipment salvage value is zero. Post acquisition investment cost adjustments 

shall not be considered. Reciprocal acquisition cost adjustments will be made for transfer of 

equipment among MTFs or inpatient closures. 
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Table C2.T5. Depreciation Distribution Percentages

ADPL Inpatient / Ambulatory

Greater than 250 ADPL 60% 40% 

Between 50 and 250 ADPL 50% 50% 

Less than 50 ADPL 40% 60% 

Clinics 100% 

 C2.5.8.6. Inpatient Depreciation: EAA

 C2.5.8.6.1. Function. The Inpatient Depreciation includes the expenses 

associated with the investment costs incurred for depreciable properties used in supporting 

inpatient work centers. The purpose of this account is to facilitate assignment of the depreciable 

cost of property to accounting periods and to Inpatient Care (A) final operating expense accounts 

within each period. 

 C2.5.8.6.2. Cost. As computed from the cost Assignment Procedure 

described in paragraph C2.5.8.5.1. 

 C2.5.8.6.3. Allocation Factor. OBDs. 

 C2.5.8.6.4. Assignment Procedure. Assignment of the depreciation 

expense during the reporting period shall be based on the ratio of OBDs for each Inpatient Care 

(A) account to the total OBDs in the MTF. This will reflect the depreciation expense of 

investment equipment acquisitions to Inpatient Care (section C2.1.) final operating accounts of 

the MTF. 

 C2.5.8.7. Ambulatory Depreciation: EAB

 C2.5.8.7.1. Function. Ambulatory Depreciation includes the expenses 

associated with the investment costs incurred for depreciable properties used in supporting 

ambulatory work centers. The purpose of this account is to facilitate assignment of the 

depreciable cost of property to accounting periods and to Ambulatory Care (section C2.2.) final 

operating expense accounts within each period. 

 C2.5.8.7.2. Cost. As computed from the cost Assignment Procedure 

described in paragraph C2.5.8.5.1. 

 C2.5.8.7.3. Allocation Factor. Total visits. 

 C2.5.8.7.4. Assignment Procedure. Assignment of the depreciation 

expense during the reporting period shall be based on the ratio of each Ambulatory Care (section 

C2.2.) account’s total visits to the total number of visits (inpatient and outpatient) to the MTF. 
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This will reflect the depreciation expense of investment equipment acquisitions to Ambulatory 

Care (section C2.2.) final operating accounts of the MTF. 

 C2.5.8.8. Dental Depreciation: EAC

 C2.5.8.8.1. Function. Dental Depreciation includes the expenses 

associated with the investment costs incurred for depreciable properties used in supporting dental 

work centers. The purpose of this account is to facilitate assignment of the depreciable cost of 

property to accounting periods and to Dental Care (section C2.3.) final operating expense 

accounts within each period. 

 C2.5.8.8.2. Cost. As computed from the cost Assignment Procedure 

described in paragraph C2.5.8.5.1. 

 C2.5.8.8.3. Allocation Factor. Dental equipment cost. 

 C2.5.8.8.4. Assignment Procedure. Assignment of the depreciation 

expense during the reporting period shall be based on the ratio of dollar value of inventory of 

depreciable dental equipment for each Dental Care (section C2.3.) sub-account to the total value 

of dental depreciable equipment in the MTF. This will reflect the depreciation expense of 

investment equipment acquisitions to Dental Care (section C2.3.) final operating accounts of the 

MTF. 

 C2.5.8.9. Special Programs Depreciation: EAD

 C2.5.8.9.1. Function. Special Programs Depreciation includes the 

expenses associated with the investment costs incurred for depreciable properties used in 

supporting Special Programs work centers. The purpose of this account is to facilitate 

assignment of the depreciable cost of property to accounting periods and to Special Programs 

(section C2.6.) final operating expense accounts within each period. 

 C2.5.8.9.2. Cost. As computed from the cost Assignment Procedure 

described in paragraph C2.5.8.5.1. 

 C2.5.8.9.3. Allocation Factor. Special program equipment cost. 

 C2.5.8.9.4. Assignment Procedure. Assignment of the depreciation 

expense during the reporting period shall be based on the actual records of investment equipment 

used by the various Special Programs accounts. 

 C2.5.8.10. Readiness Depreciation: EAE 

 C2.5.8.10.1. Function. Readiness Depreciation includes the expenses 

associated with the investment costs incurred for depreciable properties used in supporting 

Medical Readiness work centers. The purpose of this account is to facilitate assignment of the 
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depreciable cost of property to accounting periods and to Medical Readiness (section C2.7.) final 

operating expense accounts within each period. 

 C2.5.8.10.2. Costs. As computed from the cost Assignment Procedure 

described in paragraph C2.5.8.5.1. 

 C2.5.8.10.3. Allocation Factor. Readiness equipment cost. 

 C2.5.8.10.4. Assignment Procedure. Assignment of the depreciation 

expenses during the reporting period shall be based on the actual records of investment 

equipment used by the various Medical Readiness accounts. 

 C2.5.8.11. Depreciation Not Elsewhere Classified: EAZ

 C2.5.8.11.1. Function. This account is provided to collect expenses 

associated with the investment costs incurred for depreciable properties used in supporting work 

centers other than those described in subparagraphs C2.5.8.6. through C2.5.8.10. The purpose of 

this account is to facilitate assignment of the depreciable cost of property to accounting periods 

and to the final operating expense accounts within each period. 

 C2.5.8.11.2. Costs. As totaled from the cost of investment equipment 

used by work centers under this account. 

 C2.5.8.11.3. Allocation Factor. Equipment cost. 

 C2.5.8.11.4. Assignment Procedure. Assignment of the depreciation 

expense during the reporting period shall be based on the actual records of investment equipment 

used by the various work centers under this account. 

 C2.5.9. Command, Management, and Administration: EB

 C2.5.9.1. Function. The Command, Management, and Administration account 

summarizes expenses incurred as a result of providing overall command, policy, management, 

and operation of the MTF. The summarized accounts are: Command; Special Staff; 

Administration; Clinical Management; GME/GDE Support; Education and Training Program 

Support; Third Party Collection Administration and Service IM/IT. 

 C2.5.9.2. Costs. The Command, Management, and Administration account shall 

be a summary account that includes all expenses incurred in operating and maintaining the 

functions described in subparagraphs C2.5.9.5. through C2.5.9.16. The total of expenses in the 

Command, Management, and Administration account shall be assigned through an expense 

allocation process to other support services, ancillary services, and the final operating expense 

accounts. 

 C2.5.9.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

See third-level FCC descriptions. 
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 C2.5.9.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. See third-level FCC descriptions. 

 C2.5.9.5. Command: EBA

 C2.5.9.5.1. Function. Command refers to the functional activities 

performed by the MTF Commander. The MTF Commander organizes, administers, and 

supervises all professional and administrative aspects of the facility; exercises command 

jurisdiction over all personnel assigned or attached to the facility; and determines medical 

capabilities related to available medical service officers, support staff, and facilities. The MTF 

Commander implements directed programs, and is responsible for the care, treatment, and 

welfare of all patients, in compliance with the requirements set by generally accepted standards 

of hospital operations as practiced in the United States. The commander delegates authority to 

the immediate staff to assist in performing these responsibilities. The functional elements by 

Military Service include the following. 

 C2.5.9.5.1.1. Army

 C2.5.9.5.1.1.1. Commander. 

 C2.5.9.5.1.1.2. Deputy Commander for Clinical Services. 

 C2.5.9.5.1.1.3. Deputy Commander for Administration. 

 C2.5.9.5.1.1.4. Deputy Commander for Nursing Services. 

 

 C2.5.9.5.1.1.5. Command Sergeant Major. 

 C2.5.9.5.1.1.6. The immediate secretarial and 

administrative staff of the above. 

 C2.5.9.5.1.1.7. Commanders, Army Health Clinics (when 

so designated, excluding United States Army Dental Activity Commanders). 

 C2.5.9.5.1.2. Navy

 C2.5.9.5.1.2.1. Commanding Officer. 

 C2.5.9.5.1.2.2. Executive Officer. 

 C2.5.9.5.1.2.3. Command Master Chief. 

 C2.5.9.5.1.2.4. The immediate secretarial and 

administrative staff of the above. 
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 C2.5.9.5.1.3. Air Force

 C2.5.9.5.1.3.1. Medical Wing or Group Commander. 

 C2.5.9.5.1.3.2. Deputy Commander (when authorized). 

 C2.5.9.5.1.3.3. The immediate secretarial and 

administrative staff of the above. 

 C2.5.9.5.2. Costs. The Command work center shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, equipment, travel, and any other expenses identified directly in support of 

Command activities. 

 C2.5.9.5.3. Allocation Factor. Available FTE work-months. 

 C2.5.9.5.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s available FTE work-months (excluding patients) to 

the total available FTE work-months in all receiving accounts. 

 C2.5.9.6. Special Staff: EBB

 C2.5.9.6.1. Function. Special Staff provides specialized staff services to 

command, command staff, assigned or attached personnel, and the patient population of the 

MTF. Establishment of discrete special staff work centers shall vary depending on scope, size, 

complexity, and the Military Service of the MTF. Examples of work centers to be included in 

this expense account include the following. 

 C2.5.9.6.1.1. Army

 C2.5.9.6.1.1.1. Infection Control. 

 C2.5.9.6.1.1.2. Inspector General. 

 C2.5.9.6.1.1.3. Internal Review. 

 C2.5.9.6.1.1.4. Legal Services. 

 C2.5.9.6.1.1.5. Public Affairs. 

 C2.5.9.6.1.1.6. Quality Assurance (QA) and Risk 

Management. 

 C2.5.9.6.1.1.7. Religious Activities. 

 C2.5.9.6.1.2. Navy
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 C2.5.9.6.1.2.1. Comptroller and Staff. 

 C2.5.9.6.1.2.2. Equal Employment Opportunity. 

 C2.5.9.6.1.2.3. Health Promotion Officer. 

 C2.5.9.6.1.2.4. Infection Control. 

 C2.5.9.6.1.2.5. Internal Review. 

 C2.5.9.6.1.2.6. Public Affairs Officer. 

 C2.5.9.6.1.2.7. QA Coordinator. 

 C2.5.9.6.1.2.8. Religious Activities. 

 C2.5.9.6.1.3. Air Force

 C2.5.9.6.1.3.1. Administrator. 

 C2.5.9.6.1.3.2. Chaplain Services (when authorized on the 

manning document). 

 C2.5.9.6.1.3.3. Chief of the Medical Staff. 

 C2.5.9.6.1.3.4. Dental Advisor and Biomedical Advisor 

(when functioning as Group Staff). 

 C2.5.9.6.1.3.5. Health Promotion Program. 

 C2.5.9.6.1.3.6. Infection Control. 

 C2.5.9.6.1.3.7. Medical Law Consultant (when authorized 

on the manning document). 

 C2.5.9.6.1.3.8. Nurse Executive. 

 C2.5.9.6.1.3.9. QA and Risk Management Programs. 

 C2.5.9.6.2. Costs. The Special Staff work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Special Staff activities. 

 C2.5.9.6.3. Allocation Factor. Available FTE work-months. 
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 C2.5.9.6.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s available FTE work-months (excluding patients) to 

the total available FTE work-months under each sub-account. 

 C2.5.9.7. Administration: EBC 

 C2.5.9.7.1. Function. Administration is responsible for financial 

management and treasurer office/cashier management (except Navy), personnel management, 

manpower management services, administration, and management of all MTF Patient 

Administration Division/Department personnel who support both the inpatient and ambulatory 

care mission, to include but not limited to the chief/head of patient administration, secretary, 

correspondence clerk, and transcription personnel. Includes personnel who prepare and submit 

biometric reports and who prepare correspondence to physicians, lawyers, hospitals, insurance 

companies, civilian health agencies, and public safety departments. Administration receives 

telephone calls and visitors and provides patient information for all inpatients and outpatients, 

prepares data for monthly committee meetings and data quality meetings, and prepares research 

study lists and compiles statistical data; operates dictating machines, transcribes medical data 

from dictated recordings and drafts for inpatients and outpatients, types summaries, maintains 

control system of documents received and completed, transcribes documents for members of the 

medical staff, prepares data for monthly committee meetings and other data, as required, and 

proofreads typed forms and documents. 

 C2.5.9.7.1.1. Establishment of discrete special work centers will 

vary depending on scope, size, and complexity of the MTF mission. For Air Force facilities, this 

sub-account includes Squadron Commanders accountable for operational performance and 

accomplishment of all aspects of their squadron’s mission when performing military command 

functions within their statutory authority according to Chapter 47 of Reference (g). 

 C2.5.9.7.1.2. For maintenance of death ledgers, correspondence 

for deceased patients, preparation of death certificates, furnishing death lists to the Vital 

Statistics Office, news media, Public Affairs Office, or Casualty Officer, see FDD, Decedents 

Affairs (except Air Force). For Third Party Collections Administration/UBO office, see EBH, 

Third Party Collection Administration. For medical and physical evaluation boards, to include 

participation in the medical board process and physician review of the medical records of 

Medical Hold patients, see FED, Military Patient Personnel Administration. For Treasurer 

Office/Cashier, see EBC, Administration. For Chief/Head of Patient Administration 

Division/Department, see EBC. For Inpatient Administration, see EJA. For Patient Ambulatory 

Care Administration, see EKA. 

 C2.5.9.7.2. Costs. The Administration work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and any other expenses identified directly in support 

of Administration activities. 

 C2.5.9.7.3. Allocation Factor. Available FTE work-months. 
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 C2.5.9.7.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s available FTE work-months (excluding patients) to 

the total available FTE work-months under each sub-account. 

 C2.5.9.8. Clinical Management: EBD

 C2.5.9.8.1. Function. A Clinical Management Department is responsible 

for planning, directing, and coordinating direct patient care for multiple clinical work centers. 

Establishment of discrete special work centers will vary depending on the scope, size, and 

complexity of the MTF mission, but a Clinical Management Department Head shall have 

oversight of several clinical work centers and report directly to a Deputy Commander or MTF 

Commander/Commanding Officer. A Clinical Management Department shall include secretarial 

and immediate administrative support personnel. The Clinic Chief/Head of a single clinical 

specialty/work center is not authorized to use this account. To prevent a distortion in the cost 

allocation process and patient care costing, this account excludes Chiefs of Departments for 

Ancillary Services such as Radiology and Operating Room. Clinical Management Department 

includes the following. 

 C2.5.9.8.1.1. Army 

 C2.5.9.8.1.1.1. Chief, Department of Behavioral 

Health/Mental Health. 

 C2.5.9.8.1.1.2. Chief, Department of Nursing. 

 C2.5.9.8.1.1.3. Chief, Department of Primary Care. 

 C2.5.9.8.1.1.4. Chief, Department of Surgery. 

 C2.5.9.8.1.1.5. Excludes all Ancillary (D) Departments 

and Special Program (F) Departments. 

 C2.5.9.8.1.2. Navy

 C2.5.9.8.1.2.1. Director, Nursing Services. 

 C2.5.9.8.1.2.2. Director, Medical Services. 

 C2.5.9.8.1.2.3. Director, Surgical Services. 

 C2.5.9.8.1.2.4. Heads of Departments (where more than 

one work center is managed). 

 C2.5.9.8.1.3. Air Force. Department Chairman and immediate 

support staff (when the FCC account is authorized). 
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 C2.5.9.8.2. Costs. The Clinical Management work center shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, equipment, and any other expenses identified directly in 

support of Clinical Management activities. 

 C2.5.9.8.3. Service Unit. Available FTEs. 

 C2.5.9.8.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s available FTEs to the total available FTEs under 

each sub-account. Clinical Management should only allocate to those clinical services within 

that respective department. 

 C2.5.9.9. GME Support Expenses – Physicians Only: EBE

 C2.5.9.9.1. Function. GME Support Expenses – Physicians Only includes 

expenses incurred to conduct and support the in-house, organized clinical GME physician 

programs currently authorized at the MTF. A GME program provides long-term physician 

training in a specialty. It comprises a series of graduated learning experiences designed to 

conform to the requirements of a particular specialty. MTFs designated as GME training sites 

for active duty trainees primarily sponsored this program. This sub-account specifically 

excludes salaries of trainees receiving GME physician training. (See the MEPRS FAM and FAO 

sub-accounts.) This function is normally supported by military and civilian personnel staff 

authorizations including program director, faculty staff, preceptors, secretary, and other members 

of administrative support organized into an office of the chief or director of training and 

education. 

 C2.5.9.9.2. Costs. GME Support Expenses – Physicians Only shall be a 

sub-account that includes all expenses incurred in operating and maintaining the organized 

training and educational functions defined by the controlling Military Service to be conducted at 

the MTF. These functions may include, but are not limited to, attending rounds, precepting 

residents in clinic (when the patients being attended are not patients of the preceptor), 

educational committee meetings, preparation and presentation of educational lectures, and 

counseling of residents. These expenses also include the military and civilian personnel costs of 

staff authorizations for conducting and directing clinical GME programs for physicians. 

However, training time and expenses associated with readiness or emergency operations must be 

charged to the applicable sub-account. In-service training conducted by work center personnel 

(within their primary work center) to maintain or expand individual professional standards shall 

be charged to the individual’s primary work center. Costs not associated with GME functional 

activities shall be reported under the corresponding work center. 

 C2.5.9.9.3. Allocation Factor. GME trainee available FTEs. 

 C2.5.9.9.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each GME benefiting work center sub-account’s available trainee FTEs to the 

total available GME FTEs. GME benefiting work centers are defined as clinical sub-accounts-
DoD 6010.13-M, April 7, 2008 

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specifically, Inpatient Care (section C2.1.), Ambulatory Care (section C2.2.), Dental Care 

(section C2.3.) and Ancillary Services (section C2.4.) supported by GME trainees, and Special 

Programs (section C2.6). 

 C2.5.9.10. Education and Training Program Support: EBF

 C2.5.9.10.1. Function. The Education and Training Program Support 

includes expenses incurred to conduct and support authorized in-house, organized training and 

education programs (other than GME or Graduate Dental Education (GDE)) assigned to the 

MTF. This sub-account specifically excludes salaries of trainees receiving the training. (See the 

sub-account FAK). Programs included are continuing training and education for physicians, 

dentists, veterinarians, nurses, medical specialists, allied health scientists, administrators, other 

enlisted direct-care paraprofessionals, and assigned non-medical personnel. Post-graduate 

training programs for nurses, allied health scientists, and administrators are also included (for the 

Navy, post-graduate training programs for nurses, allied health scientists, and administrators are 

centrally funded and are not utilized at the MTF level). The following lists are not all inclusive. 

 C2.5.9.10.1.1. Nursing

 C2.5.9.10.1.1.1. Anesthetic. 

 C2.5.9.10.1.1.2. Healthcare Administration. 

 C2.5.9.10.1.2. Biomedical Science, Allied Health Science, and 

Medical Service

 C2.5.9.10.1.2.1. Audiology. 

 C2.5.9.10.1.2.2. Biochemistry. 

 C2.5.9.10.1.2.3. Dietetics. 

 C2.5.9.10.1.2.4. Entomology. 

 C2.5.9.10.1.2.5. Environmental Health. 

 C2.5.9.10.1.2.6. Healthcare Administration. 

 C2.5.9.10.1.2.7. Industrial Hygiene. 

 C2.5.9.10.1.2.8. Medical Technology. 

 C2.5.9.10.1.2.9. Microbiology. 

 C2.5.9.10.1.2.10. Occupational Therapy. 
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 C2.5.9.10.1.2.11. Optometry. 

 C2.5.9.10.1.2.12. Pharmacy. 

 C2.5.9.10.1.2.13. Physical Therapy. 

 C2.5.9.10.1.2.14. Physiology Podiatry. 

 C2.5.9.10.1.2.15. Psychology. 

 C2.5.9.10.1.2.16. Radiation Health/Spec. 

 C2.5.9.10.1.2.17. Social Work. 

 C2.5.9.10.1.3. Enlisted Personnel Training and Education 

Programs. These include the Navy’s Class C schools and the Army and Air Force Phase II 

training of practitioners and technicians described below. The following lists are not allinclusive. 

 C2.5.9.10.1.3.1. Army

 C2.5.9.10.1.3.1.1. Phase II training. 

 C2.5.9.10.1.3.1.2. Cardiopulmonary Resuscitation 

(CPR) training (instructors only). 

 C2.5.9.10.1.3.1.3. Advanced Cardiac Life Support 

(ACLS) training. 

 C2.5.9.10.1.3.1.4. Advance Trauma Life Support 

(ATLS) training. 

 C2.5.9.10.1.3.2. Navy

 C2.5.9.10.1.3.2.1. CPR training (instructors only). 

 C2.5.9.10.1.3.2.2. ACLS training. 

 C2.5.9.10.1.3.2.3. ATLS training. 

 C2.5.9.10.1.3.3. Air Force

 C2.5.9.10.1.3.3.1. Phase II training. 

 C2.5.9.10.1.3.3.2. CPR training (instructors only). 
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 C2.5.9.10.1.3.3.3. ACLS training. 

 C2.5.9.10.1.3.3.4. ATLS training. 

 C2.5.9.10.2. Costs. Education and Training Program Support shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function of 

conducting the organized training and education programs (other than GME and GDE) at the 

MTF. These expenses include the military and civilian personnel costs of staff supporting the 

officer and enlisted training and educational programs; audio-visual services, to include medical 

illustration and medical photography; medical library costs; and other costs identified in support 

of approved training and education programs. Military and civilian personnel who are organized 

into an office of the chief or director of GME or GDE may assign a portion of their time to this 

sub-account, if they conduct or support the training programs under this sub-account. MTF 

personnel who are assigned to other work centers and conduct or support the training programs 

under this account may assign a portion of their time to this sub-account. Personnel attending inservice training conducted by their work centers shall report time to their respective work 

centers. However, individuals tasked to conduct in-service training for other than their assigned 

work center shall be charged to this sub-account. Training time and expenses associated with 

readiness or peacetime operations must be charged to the applicable sub-accounts. 

 C2.5.9.10.3. Allocation Factor. Available FTEs. 

 C2.5.9.10.4. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of each receiving account’s available work-hours to the total available workhours in all receiving accounts. 

 C2.5.9.11. Inactive: EBG

 C2.5.9.12. Third Party Collection Administration: EBH

 C2.5.9.12.1. Function. Third Party Collection Administration implements 

administrative procedures to maximize net recovery of healthcare delivery costs from third-party 

payers. It identifies DoD beneficiaries that have other health insurance, and reviews all aspects 

of accounts receivable management that includes the participation of many offices within the 

MTF, including admissions, medical records, utilization review, ancillary departments, data 

processing, and finance offices. Third Party Collection Administration also identifies Uniformed 

Services beneficiaries with third-party payer plan coverage and complies with third-party payer 

requirements; submits all claims to third-party payers; follows up to ensure that collections are 

made; and documents and reports collection activities. 

 C2.5.9.12.2. Costs. Third Party Collection Administration shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Third Party Collection Administration activities. The total of the expenses shall be assigned 

through an expense allocation process to inpatient, ambulatory, and ancillary accounts. 
DoD 6010.13-M, April 7, 2008 

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 C2.5.9.12.3. Allocation Factor. Total number of claims billed by work 

center. 

 C2.5.9.12.4. Assignment Procedure. Total expenses shall be assigned to 

inpatient, ambulatory, and ancillary accounts based on the ratio of claims billed by each account 

to the total claims billed. 

 C2.5.9.13. GDE Support Expenses – Dentists Only: EBI

 C2.5.9.13.1. Function. GDE Support Expenses – Dentists Only include 

expenses incurred to conduct and support the in-house, organized clinical GDE dental programs 

currently authorized at the MTF (medical or dental). A GDE program provides long-term dental 

specialty training. It comprises a series of graduated learning experiences designed to conform 

to the requirements of a particular specialty. MTFs designated as GDE training sites for active 

duty trainees primarily sponsor this program. This sub-account specifically excludes salaries of 

trainees receiving GDE training. (See Special Programs FAN and FAQ sub-accounts.) Military 

and civilian personnel staff authorizations organized into an office of the chief or director of 

training and education normally supports this function. 

 C2.5.9.13.2. Costs. GDE Support Expenses – Dentists Only shall be a 

sub-account that includes all expenses incurred in operating and maintaining the organized 

training and educational functions defined by the controlling Military Service to be conducted at 

the MTF. These functions may include, but are not limited to, attending rounds, precepting 

residents in clinic (when the patients being attended are not patients of the preceptor), 

educational committee meetings, preparation and presentation of educational lectures, and 

counseling of residents. These expenses also include the military and civilian personnel costs of 

staff authorizations for conducting and directing clinical GDE programs for dentists. However, 

training time and expenses associated with readiness or emergency operations must be charged 

to the applicable sub-account. In-service training conducted by work center personnel (within 

their primary work center) to maintain or expand individual professional standards shall be 

charged to the individual’s primary work center. Costs not associated with GDE functional 

activities shall be reported under the corresponding work center. 

 C2.5.9.13.3. Allocation Factor. GDE trainee available FTEs. 

 C2.5.9.13.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each GDE benefiting work center sub-account’s available trainee FTEs to the 

total available GDE FTEs. GDE benefiting work centers are defined as clinical (specifically, 

dental, and ancillary) sub-accounts supported by GDE trainees, and special programs. 

 C2.5.9.14. Service Medical IM/IT: EBJ

 C2.5.9.14.1. Function. This account includes Information Management 

(IM) and Information Technology (IT) functions performed and funded by the MTF/DTF to 

meet their local automation needs. It includes the operation of IM Departments that provide 

facility-wide information services; Internet/Intranet services provided to required customers and 
DoD 6010.13-M, April 7, 2008 

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locations database and knowledge management; Web development/maintenance; system 

administration; network administration; software/application maintenance and support services; 

end-user devices and peripheral support; information assurance to include firewall and intrusion 

detection systems; and system testing/training. 

 C2.5.9.14.2. Costs 

 C2.5.9.14.2.1. This MEPRS code will accumulate the associated 

costs to include labor, equipment purchase/rental (such as hardware or software, custom and 

commercial off-the-shelf software), leases and contractual services (such as technical service to 

implement commercial off-the-shelf software products and IT consulting services) incident to the 

management of automated information processing operations; procurement/lease of computers 

and peripheral equipment, purchase of supplies and materials peculiar to data processing (such as 

manuals, data storage media (CD-ROM, diskettes, digital tape), and toner cartridges for laser 

printers or fax machines. The complete guidance on what to report for IT costs is contained in 

Chapter 18 of Volume 2 B of Reference (h). 

 C2.5.9.14.2.2. This MEPRS Code excludes the costs of audio, 

visual, and video teleconferencing (VTC) services that are captured under Visual Information 

Services. It also excludes Base Communications costs that are captured under MEPRS code 

EDJ. Centrally managed/funded IM/IT items will not be included in this code as an encumbered 

cost. These costs will be reported as a direct cost by TMA under PEC 87793 “Central IM/IT.” 

 C2.5.9.14.3. Allocation Factor. Available FTE work-months. 

 C2.5.9.14.4. Assignment Procedure. Total expenses shall be assigned 

based on a ration of each receiving account’s available FTEs to the total available FTEs in all 

receiving accounts of the MTF/DTF. 

 C2.5.9.15. Inactive: EBX

 C2.5.9.16. Command, Management, and Administration Not Elsewhere 

Classified: EBZ

 C2.5.9.16.1. Function. This account includes the expenses of Command, 

Management, and Administration that satisfy the criteria for a work center and are not described 

in subparagraphs C2.5.9.5. through C2.5.9.14. 

 C2.5.9.16.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.5.9.16.3. Allocation Factor. Available FTE work-months. 

 C2.5.9.16.4. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of available FTE work-months of the receiving accounts to the total available 

FTE work-months of all receiving accounts. 
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 C2.5.10. Inactive: EC

 C2.5.10.1. Inactive: ECA

 C2.5.10.2. Inactive: ECB

 C2.5.10.3. Inactive: ECC

 C2.5.10.4. Inactive: ECD

 C2.5.10.5. Inactive: ECE

 C2.5.10.6. Inactive: ECF

 C2.5.10.7. Inactive: ECG

 C2.5.10.8. Inactive: ECH 

 C2.5.10.9. Inactive: ECI

 C2.5.10.10. Inactive: ECJ 

 C2.5.10.11. Inactive: ECK

 C2.5.10.12. Inactive: ECX

 C2.5.10.13. Inactive: ECZ

 C2.5.11. Support Services: ED 

 C2.5.11.1. Function. Support Services includes services provided to the MTF by 

the host installation on a reimbursable or non-reimbursable basis or through contracted services 

for base operations services, Sustainment of real property, restoration and modernization of real 

property, and facility operations. Base Operations may include personnel support services, 

communications, and transportation. The accounts described in subparagraphs C2.5.11.5. 

through C2.5.11.17. may be established depending on facility requirements. 

 C2.5.11.2. Costs 

 C2.5.11.2.1. Support Services shall be a sub-account that includes only 

those expenses that are chargeable to expense accounts of the MTF for services received in 

support of the medical mission as described on subparagraphs C2.5.11.5. through C2.5.11.17. 

Examples of expenses that are not chargeable to the MTF are those that are incurred to support 

clubs and messes, unaccompanied personnel housing, military family housing, exchanges, 

tactical units including tactical medical units, and commissaries. 
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 C2.5.11.2.2. When services are received as free receipts without direct 

expense to the MTF, an estimate of the MTF’s pro-rata share of the cost of services shall be 

made. 

 C2.5.11.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

See third-level FCC descriptions. 

 C2.5.11.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. See third-level FCC descriptions. 

 C2.5.11.5. Real Property Management: EDA

 C2.5.11.5.1. Function. Real Property Management includes the MTF 

Facility Management Branch and Administration and Installation Engineering Services. Facility 

Management includes public works management costs, contract management, material 

procurement, facility data management, and real estate management. Installation Engineering 

Services includes annual inspection of facilities, master planning, overhead of planning and 

design, overhead of construction management, and non-Sustainment and Restoration 

Modernization service calls. It includes all MTF Facility Management Branch FTEs, and all 

authorized and assigned FTEs who perform this function. It excludes installation personnel who 

provide services in the MTF/DTF, but are funded by a Base Operations agreement. Other 

examples of duties reported in this account are facility sustainment activities, design engineering, 

project management, and construction inspection. 

 C2.5.11.5.2. Costs. Real Property Management shall be a sub-account 

that includes expenses incurred by the MTF on a funded or reimbursable basis to provide Facility 

Management and administration and engineering services. 

 C2.5.11.5.3. Allocation Factor. Square footage. 

 C2.5.11.5.4. Assignment Procedure. Total expenses are assigned based 

on a ratio of each receiving account’s square footage to the total square footage in the MTF. 

 C2.5.11.6. Operation of Utilities: EDB

 C2.5.11.6.1. Function. Operation of Utilities includes operations of utility 

systems for the generation and distribution of all energy and source fuels, pneumatics, other 

gases, heated water, chilled water, potable and non-potable water, and ice. It includes purchase 

of all water, electricity, natural gas, sewage disposal, and other utilities (utility fuels, coal, coke, 

etc.). It also includes issues of motor fuel, diesel fuel, distillates, and residuals from installation 

fuel supplies for heating and power production for real property facilities equipment. 

 C2.5.11.6.2. Costs. Operation of Utilities shall be a sub-account that 

includes all of the MTF’s share of utility expenses incurred in operating the MTF facilities and 

utilities on a funded or reimbursable basis. Expenses for utilities provided to other base 
DoD 6010.13-M, April 7, 2008 

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organizations that are not reimbursed shall be charged to the Base Operations – Medical 

Installations (FDB) sub-account. 

 C2.5.11.6.3. Allocation Factor. Square footage. 

 C2.5.11.6.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s square footage to the total square footage in the 

MTF. Expenses for utilities provided to other base organizations that are not reimbursed shall be 

charged to the Base Operations – Medical Installations (FDB) sub-account. 

 C2.5.11.7. Facility Sustainment: EDC

 C2.5.11.7.1. Function. Sustainment provides resources specifically for 

the routine maintenance, minor repair, and major scheduled repair of category 500 and certain 

non-category 500 buildings to the five-foot line. This includes regularly scheduled adjustments 

and inspections, preventive maintenance tasks, and emergency response and service calls for 

minor repairs. It also includes major repairs or replacement of facility components (usually 

accomplished by contract) that are expected to occur periodically throughout the life cycle of 

facilities. It does not include repairing or replacing equipment in place: e.g., small refrigerators 

or X-ray machines, furniture, building components that typically last more than 50 years (such as 

foundation and structural members), or housekeeping contracts. 

 C2.5.11.7.2. Costs. Sustainment shall be a sub-account that includes only 

those expenses applicable to the MTF that are financed from DoD PECs, “Sustainment CONUS 

– and Sustainment CONUS – Healthcare.” Sustainment excludes installation personnel who 

provide services in the MTF/DTF but are funded by a Base Operations agreement. 

 C2.5.11.7.3. Allocation Factor. Square footage. 

 C2.5.11.7.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s square footage to the total square footage in the 

MTF. 

 C2.5.11.8. Facility Restoration and Modernization: EDD

 C2.5.11.8.1. Function. Restoration and Modernization provide resources 

for improving facilities. Restoration includes repair and replacement work to restore facilities 

damaged by excessive age, natural disaster, fire, accident, or other causes. Modernization 

includes alteration of facilities solely to implement new or higher standards (including regulatory 

changes), to accommodate new functions, or to replace building components that typically last 

more than 50 years (such as foundations and structural members). 

 C2.5.11.8.2. Costs. Restoration and Modernization shall be a sub-account 

that includes only those expenses applicable to the MTF that are financed from the operations 

and maintenance appropriation. This does not include expenses of sub-account Urgent Minor 

Construction (FDF). 
DoD 6010.13-M, April 7, 2008 

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 C2.5.11.8.3. Allocation Factor. Square footage. 

 C2.5.11.8.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s square footage to the total square footage in the 

MTF. 

 C2.5.11.9. Other Facility Operations Support: EDE

 C2.5.11.9.1. Function. Other Facility Operations Support includes the 

other miscellaneous engineering support furnished on a funded, reimbursable basis. They are 

collection of trash, refuse and garbage; grass cutting; tree and shrub services; insect and rodent 

control; and snow, sand, and ice removal. 

 C2.5.11.9.2. Costs. Other Facility Operations Support shall be a subaccount that includes all expenses for the furnished services described above on a funded or 

reimbursable basis. 

 C2.5.11.9.3. Allocation Factor. Square footage. 

 C2.5.11.9.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s square footage to the total square footage in the 

MTF. 

 C2.5.11.10. Leases of Real Property: EDF

 C2.5.11.10.1. Function. Leases of Real Property includes lease and rental 

services obtained on a funded, or reimbursable. 

 C2.5.11.10.2. Costs. Leases of Real Property shall be a sub-account that 

includes lease and rental charges incurred to provide additional facilities for routine services to 

the MTF on a funded, reimbursable basis. It excludes rental of equipment and rental or lease of 

facilities in emergency or contingency operations. 

 C2.5.11.10.3. Allocation Factor. Square footage. 

 C2.5.11.10.4. Assignment Procedure. Total expenses shall be assigned to 

the accounts receiving the benefit and shall be based on the ratio of each receiving account’s 

square footage used to the total square footage leased or rented by the MTF. 

 C2.5.11.11. Transportation: EDG

 C2.5.11.11.1. Function. Transportation includes all the expenses incurred 

for automotive operation and maintenance and the administration of garage and dispatching 

activities in support of the medical mission on a funded, reimbursable, or free receipt basis. 
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 C2.5.11.11.2. Costs. Transportation shall be a sub-account that includes 

personnel expenses of drivers assigned to this function; maintenance of vehicles (including 

contracts); petroleum, oils, and lubricants; vehicle rental and leases; and bridge, tunnel, and 

highway tolls incurred by the MTF on funded, reimbursable or free receipt basis. 

 C2.5.11.11.3. Allocation Factor. Number of Miles Driven. 

 C2.5.11.11.4. Assignment Procedure. Transportation expenses, except 

those for emergency medical vehicles, ambulances, and patient transportation and shuttle 

vehicles, shall be assigned based on a ratio of miles driven in vehicles serving each receiving 

account to the total miles driven in all vehicles serving the MTF on a funded, reimbursable, or 

free receipt basis. An exception would be where the expenses can be specifically identified to an 

account such as a full time use of a vehicle or vehicles by only one account. In that instance, 

cost of maintenance and operation of those vehicles is assigned to the accounts responsible for 

the vehicles. 

 C2.5.11.12. Fire Protection: EDH

 C2.5.11.12.1. Function. Fire Protection is responsible for the services of 

inspection and testing of fire alarm and suppression devices in the MTF; telecommunications 

connecting the MTF with fire fighters; procurement, testing and servicing fire extinguishers; and 

conducting fire drills in the MTF on a funded or reimbursable basis. 

 C2.5.11.12.2. Costs. Fire Protection shall be a sub-account that includes 

all expenses incurred in operating and maintaining the function on a funded or reimbursable 

basis. It excludes the cost of standby fire-fighting capability (personnel, facilities, and vehicles). 

Those expenses that are not appropriately charged to patient care shall be charged to the Base 

Operations – Medical Installations (FDB) sub-account or to other Special Programs (section 

C2.6.) accounts. The functional elements, from whatever source, are those mentioned in this 

paragraph and other personnel and services necessary to support the military and civilian 

personnel of the military command, such as those in DoD PECs, “Base Operations – CONUS – 

Healthcare;” “Base Operations – OCONUS – Healthcare;” “Real Property Services – CONUS – 

Healthcare;” and “Real Property Services – OCONUS – Healthcare.” 

 C2.5.11.12.3. Allocation Factor. Square footage. 

 C2.5.11.12.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s square footage to the total square footage of the 

MTF. 

 C2.5.11.13. Police Protection: EDI

 C2.5.11.13.1. Function. Police Protection is responsible for the safety 

and well being of hospital patients, visitors, and personnel (while at the hospital), and protects 

the MTF’s buildings and other facilities on a funded, reimbursable, or free receipt basis. It 

includes physical security of parking lots, surrounding grounds, and interiors of the MTF. 
DoD 6010.13-M, April 7, 2008 

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 C2.5.11.13.2. Costs. Police Protection shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function on a funded, 

reimbursable, or free receipt basis. Exclude the costs of all law enforcement activities, other than 

those described in the function statement. The total expenses shall be assigned through an 

expense allocation process to other support services, ancillary services, and to the final operating 

expense accounts. When services are received as free receipts without direct expense to the 

MTF, an estimate of the MTF’s pro-rata share of the cost of services shall be made. 

 C2.5.11.13.3. Allocation Factor. Square footage. 

 C2.5.11.13.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s square footage to the total square footage of the 

MTF. 

 C2.5.11.14. Communications: EDJ

 C2.5.11.14.1. Function. Communications includes all expenses for 

communications service provided on a funded, reimbursabl, or free receipt basis. 

 C2.5.11.14.2. Costs. Communications shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function on a funded, 

reimbursable, or free receipt basis. When services are received as free receipts without direct 

expense to the MTF, an estimate of the MTF’s pro-rata share of the cost of services shall be 

made. This specifically excludes Service IM/IT programs. 

 C2.5.11.14.3. Allocation Factor. Available FTE work-months. 

 C2.5.11.14.4. Assignment Procedure. Total expenses shall be assigned 

based on a ratio of each receiving account’s available FTE work-months (excluding patients) to 

the total available FTE work-months in all receiving accounts of the MTF. 

 C2.5.11.15. Other Base Support Services: EDK

 C2.5.11.15.1. Function. Other Base Support Services includes all 

expenses for other base support activities, such as personnel support services (civilian and 

military personnel offices) provided on a funded, reimbursable or free receipt basis. 

 C2.5.11.15.2. Costs. Other Base Support Services shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function on a funded, 

reimbursable or free receipt basis. Include that portion of the expense of providing such services 

that is attributable to the MTF and its primary mission of healthcare delivery. Therefore, charges 

to this sub-account must be carefully reviewed to determine the expense assignable to the MTF. 

In turn, these expenses must again be screened to determine patient care and non-patient care 

expenses. The patient care expenses shall be assigned to Inpatient Care (section C2.1.), 

Ambulatory Care (section C2.2.), Dental Care (section C2.3.), Ancillary Services (section C2.4.), 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 129

and Support Services (section C2.5.) accounts. All expenses that are not appropriate charges to 

the MTF are charged to Special Programs accounts. If a complex public works organization 

exists, use the Base Operations – Medical Installations (FDB) sub-account. When services are 

received as free receipts without direct expense to the MTF, an estimate of the MTF’s pro-rata 

share of the cost of services shall be made. 

 C2.5.11.15.3. Allocation Factor. Available FTE work-months. 

 C2.5.11.15.4. Assignment Procedure. Total expenses are assigned based 

on a ratio of each receiving account’s available FTE work-months (excluding patients) to the 

total available FTE work-months in all receiving accounts of the MTF. 

 C2.5.11.16. Inactive: EDX

 C2.5.11.17. Support Services: EDZ

 C2.5.11.17.1. Function. Includes the expenses of Support Services that 

satisfy the criteria for a work center and are not described in subparagraph C2.5.11.5. through 

C2.5.11.15. 

 C2.5.11.17.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.5.11.17.3. Allocation Factor. Square footage or available FTE workmonths. 

 C2.5.11.17.4. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of each receiving account’s square footage to the total square footage in the 

MTF, or based on a ratio of each receiving account’s available FTE work-months (excluding 

patients) to the total available FTE work-months in all receiving accounts of the MTF. 

 C2.5.12. Materiel Services: EE

 C2.5.12.1. Function. Materiel Services provides or arranges for the supplies, 

equipment, and certain services necessary to support the mission of the MTF and management of 

the installation medical War Readiness Materiel (WRM) program. Also, this function acts as a 

chargeable account for overhead charges from the base operations accounts for the general 

support stock fund and subsistence stock fund management functions. The accounts described in 

subparagraphs C2.5.12.5. through C2.5.12.7. may be established depending on facility. 

 C2.5.12.2. Costs. Materiel Services shall be a summary account that includes all 

expenses incurred in operating and maintaining the materiel services function. Total expenses 

shall ultimately be assigned through an expense allocation process to other support services, 

ancillary services, and to the final operating expense accounts. 
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 C2.5.12.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

Cost of supplies (except subsistence) and minor plant equipment issued. 

 C2.5.12.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. Expenses not directly charged shall be assigned based on a ratio of each receiving 

account’s combined expenses for supplies issued (except subsistence) and minor plant equipment 

issued to the total combined expenses for supplies (except subsistence) and minor plant 

equipment issued from Materiel Management Services. 

 C2.5.12.5. Materiel Management Services: EEA

 C2.5.12.5.1. Function. Materiel Management Services provides or 

arranges for the supplies, equipment, and certain services necessary to support the mission of the 

MTF. Basic responsibilities include procurement, inventory control, receipt, storage, quality 

assurance, issue, turn in, disposition, property accounting, and reporting actions for designated 

medical and non-medical supplies and equipment required in support of the medical mission. 

They also include installation management of the medical stock fund; management and control 

of medical organization in-use property through authorization, property accounting, reporting 

and budgetary procedures; and planning, pre-positioning, and managing the installation medical 

WRM program. Also, this function acts as a chargeable account for the general support stock 

fund and subsistence stock fund management functions. 

 C2.5.12.5.2. Costs. Materiel Management Services shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of Materiel 

Management activities. Total expenses shall be assigned through the expense allocation process 

to other support services, ancillary services, and to the final operating expense accounts, except 

contract (or installation provided) maintenance of equipment expenses, which shall be charged to 

the benefiting work center sub-account responsible for the repairable equipment. Expenses 

incurred in direct support of the WRM and pre-positioned war reserve programs and TOE 

Medical Units shall be identified and reported to the appropriate Readiness (section C2.7.) 

account. Also, expenses incurred in support of regional and area medical and non-medical 

activities shall be identified and reported to the appropriate Readiness (section C2.7.) account. 

The exception is contract (or installation provided) maintenance of equipment expenses, which 

shall be charged to the benefiting work center sub-account responsible for the repairable 

equipment. 

 C2.5.12.6. Inactive: EEX

 C2.5.12.7. Materiel Services Not Elsewhere Classified: EEZ

 C2.5.12.7.1. Function. Includes the expenses of Materiel Services that 

satisfy the criteria for a work center and are not described in subparagraph C2.5.12.5. 

 C2.5.12.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. The 
DoD 6010.13-M, April 7, 2008 

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exception is contract (or installation provided) maintenance of equipment expenses, which shall 

be charged to the benefiting work center sub-account responsible for the reparable equipment. 

 C2.5.13. Housekeeping Service: EF

 C2.5.13.1. Function. The Housekeeping Service is responsible for maintaining 

the interior of the MTF at the highest level of cleanliness and sanitation achievable. Also, the 

service is responsible for snow and debris removal from entrances and walks adjacent to 

buildings and trash removal from buildings. The accounts described in subparagraphs C2.5.13.5. 

through C2.5.13.8. may be established depending on facility. 

 C2.5.13.2. Costs. The Housekeeping Service shall be a summary that includes all 

expenses incurred in operating and maintaining the function. Total expenses shall be assigned 

through the expense allocation process to other support services, ancillary services, and to the 

final operating expense accounts. These expenses include those for personnel and materiel for 

providing custodial and janitorial services to the MTF, either by contract or by in-house 

personnel who are authorized and assigned to this function as a primary duty. It excludes any 

personnel or materiel expenses incurred in support of unaccompanied personnel housing or 

family housing or any other non-medical organizations or functions. 

 C2.5.13.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

Square footage cleaned. 

 C2.5.13.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. Expenses not directly charged shall be assigned based on the ratio of each receiving 

account’s square footage cleaned to the total square footage cleaned in the MTF. 

 C2.5.13.5. Housekeeping Service: EFA

 C2.5.13.5.1. Function. The Housekeeping Service is responsible for 

maintaining the interior of the MTF at the highest level of cleanliness and sanitation achievable 

by in-house and contract services. Also, the service is responsible for snow and debris removal 

from entrances and walks adjacent to buildings and trash removal from buildings. 

 C2.5.13.5.2. Costs. The Housekeeping Service shall be sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, services, and any other expenses identified directly in support of 

Housekeeping activities. Total expenses shall be assigned through the expense allocation 

process to other support services, ancillary services, and to the final operating expense accounts. 

The assignable expenses include those for personnel and materiel for providing custodial and 

janitorial services to the MTF personnel who are authorized and assigned to this function as a 

primary duty as well as contracted personnel. It excludes any personnel or materiel expenses 

incurred in support of unaccompanied personnel housing or family housing or any other nonmedical organizations or functions. 

 C2.5.13.6. Inactive: EFB
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 C2.5.13.7. Inactive: EFX

 C2.5.13.8. Housekeeping Not Elsewhere Classified: EFZ

 C2.5.13.8.1. Function. Housekeeping Not Elsewhere Classified includes 

the expenses of Housekeeping that satisfy the criteria for a work center and are not described in 

subparagraph C2.5.13.5. 

 C2.5.13.8.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.5.14. Biomedical Equipment Repair: EG

 C2.5.14.1. Function. Biomedical Equipment Repair provides preventive 

maintenance, inspection, and repair of medical and dental equipment. It conducts a systematic 

inspection of equipment to determine operational status, and assigns serviceability condition 

codes to equipment; and performs scheduled preventive maintenance of medical and dental 

equipment. It also repairs or replaces worn or broken parts; rebuilds and fabricates equipment or 

components; modifies equipment and installs new equipment; inspects and tests contractorinstalled equipment; disassembles, packs, receives, and inspects equipment; maintains audio and 

video equipment; tests the ground contact alarm of the surgical suite electrical service and the 

conductivity of surgical suite floors; tests and performs preventive maintenance on WRM and 

pre-positioned war reserve; and monitors contract maintenance. The accounts described in 

subparagraphs C2.5.14.5. through C2.5.14.8. may be established depending on facility. 

 C2.5.14.2. Costs. Biomedical Equipment Repair shall be a summary account that 

includes all expenses incurred in operating and maintaining the function. Excluded are directly 

identifiable medical and non-medical equipment maintenance and repair services or contracts, 

which shall be charged directly to the account receiving the benefit of the services or contract. 

Total expenses shall be assigned through an expense allocation process to other support services, 

ancillary services, and to the final operating expense accounts. Expenses incurred in regional 

and area support to other medical and non-medical activities shall be identified and reported to 

the appropriate Special Programs (section C2.6.) account. 

 C2.5.14.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

Biomedical equipment hours of service. 

 C2.5.14.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. Personnel and overhead costs (bench stock, equipment, assigned costs from others) not 

directly charged shall be assigned based on a ratio of hours of service rendered to each receiving 

account to the total hours of service rendered to the MTF. 

 C2.5.14.5. Biomedical Equipment Repair: EGA
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 C2.5.14.5.1. Function. Biomedical Equipment Repair provides 

preventive maintenance, inspection, and repair of medical and dental equipment. It conducts a 

systematic inspection of equipment to determine operational status, and assigns service ability 

condition codes to equipment; performs scheduled preventive maintenance of medical and dental 

equipment; repairs or replaces worn or broken parts; rebuilds and fabricates equipment or 

components; and modifies equipment and installs new equipment. It also inspects and tests 

contractor-installed equipment; disassembles, packs, receives, and inspects equipment; maintains 

audio and video equipment; tests the ground contact alarm of the surgical suite electrical service 

and the conductivity of surgical suite floors; tests and performs preventive maintenance on 

WRM and pre-positioned war reserve; and monitors contract maintenance. 

 C2.5.14.5.2. Costs. Biomedical Equipment Repair shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of 

Biomedical Equipment Repair activities. Expenses should include any incurred due to contract 

services as well. Exclude directly identifiable medical and non-medical equipment maintenance 

and repair expenses, which shall be charged directly to the account receiving the benefit of the 

services. Total expenses shall be assigned through an expense allocation process to other 

support services, and to the final operating expense accounts. Expenses incurred in regional and 

area support to other medical and non-medical activities shall be identified and reported to the 

appropriate Special Programs (section C2.6.) account. Costs of parts not maintained as bench 

stock shall be directly assigned to the receiving account responsible for the end item of 

equipment in which the supplies were used. 

 C2.5.14.6. Inactive: EGB

 C2.5.14.7. Inactive: EGX

 C2.5.14.8. Biomedical Equipment Repair Not Elsewhere Classified: EGZ

 C2.5.14.8.1. Function. Includes the expenses of Biomedical Equipment 

Repair that satisfy the criteria for a work center and are not described in subparagraph C2.5.14.5. 

 C2.5.14.8.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. Costs of 

parts not maintained as bench stock shall be directly assigned to the receiving account 

responsible for the end item of equipment in which the supplies were used. 

 C2.5.15. Laundry Service: EH

 C2.5.15.1. Function. Laundry Service is responsible for picking up, sorting, 

issuing, distributing, mending, washing, and processing in-service linens including uniforms and 

special linens. Dry cleaning services are also included. The accounts described in 

subparagraphs C2.5.15.5. through C2.5.15.8. may be established depending on facility. 
DoD 6010.13-M, April 7, 2008 

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 C2.5.15.2. Costs. Laundry Service shall be a summary account that includes all 

expenses incurred in operating and maintaining the function. Total expenses shall be assigned 

through an expense allocation process to other support services, ancillary services, and to the 

final operating expense accounts. Those expenses associated with the support of unaccompanied 

personnel housing or other non-medical organizations or functions are charged to base operations 

accounts. (See the Base Operations – Medical Installations (FDB) sub-account, and the DoD 

PECs, “Base Operations – CONUS – Healthcare” and “Base Operations – OCONUS – 

Healthcare.”) The expenses to be assigned include all linen, laundry, and dry cleaning expenses 

associated with a contract or a Government-operated facility, including personnel costs required 

for the storage, issue, and repair of textiles used in the MTF and costs of initial and replacement 

hospital linen items and personal retention clothing items. Personal retention clothing items 

include white trousers and shirts for technicians and food service personnel, nurses’ uniforms, 

dentists’ smocks, and physicians’ coats. 

 C2.5.15.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

Pounds of laundry processed. 

 C2.5.15.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. Expenses not directly charged shall be assigned based on a ratio of pounds of dry 

laundry processed for each receiving account to the total pounds of dry laundry processed for the 

MTF. Pieces of laundry may be used as an alternate performance factor and assignment basis 

only if to convert to pounds of laundry processed is not feasible. Pounds of laundry processed 

are the preferred measure and should be used whenever possible. 

 C2.5.15.5. Laundry Service: EHA

 C2.5.15.5.1. Function. Laundry Service is responsible for picking up, 

sorting, issuing, distributing, mending, washing, and processing in-service linens including 

uniforms and special linens. Dry cleaning services are also included. This includes contract 

services. 

 C2.5.15.5.2. Costs. Laundry Service shall be a sub-account that includes 

all expenses incurred in operating and maintaining the function, such as expenses for personnel, 

supplies, travel, and any other expenses identified directly in support of Laundry Service 

activities. Total expenses shall be assigned through an expense allocation process to other 

support services, ancillary services, and to the final operating expense accounts. Those expenses 

associated with the support of unaccompanied personnel housing or other non-medical 

organizations or functions are charged to base operations accounts. (See the Base Operations – 

Medical Installations (FDB) sub-account, and the DoD PECs “Base Operations – CONUS – 

Healthcare” and “Base Operations – OCONUS – Healthcare.”) The expenses to be assigned 

include all linen, laundry, and dry cleaning expenses associated with a Government-operated 

facility, including personnel costs required for the storage, issue, and repair of textiles used in the 

MTF and costs of initial and replacement hospital linen items and personal retention clothing 

items. Personal retention clothing items include white trousers and shirts for technicians and 

food service personnel, nurses’ uniforms, dentists’ smocks, and physicians’ coats. 
DoD 6010.13-M, April 7, 2008 

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 C2.5.15.6. Inactive: EHB

 C2.5.15.7. Inactive: EHX

 C2.5.15.8. Laundry Service Not Elsewhere Classified: EHZ

 C2.5.15.8.1. Function. Includes the expenses of Laundry Service that 

satisfy the criteria for a work center and are not described in subparagraph C2.5.15.5. 

 C2.5.15.8.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.5.16. Nutrition Management: EI

 C2.5.16.1. Function. Nutrition Management provides services for patients and 

staff. Services provided include operation and management of food production and service 

activities; preparation and service of food; clinical nutrition management services; nutrition 

education; subsistence management; cost accounting; sanitation; and QA/Quality Improvement 

(QI) and QC. Nutrition management shall include the work centers as described in 

subparagraphs C2.5.16.5. through C.2.5.16.9. Each of the work centers shall be specifically 

charged with the expenses incurred in the performance of its individual functions and activities. 

 C2.5.16.2. Costs. The Nutrition Management shall be a summary account that 

includes all expenses incurred in operating and maintaining this function. It excludes the 

expense of nursing service personnel who assist in the serving of food to patients. The total of 

expenses in the Nutrition Management account shall be assigned through an expense allocation 

process. 

 C2.5.16.2.1. The expenses incurred to operate a Nutrition Care Clinic 

shall be assigned to BAL (Nutrition Care Clinic). Expenses related to the Dining Facility for 

Non-Patient Meal Service shall be assigned to FDC (Dining Facility – Non-Patient Food 

Operations). Expenses incurred in the Nutrition Care Food Operations that cannot be directly 

attributed to the Dining Facility will be charged to EIB (Combined Food Operations). 

 C2.5.16.2.2. There are two types of meal service: Traditional Meal 

Service where diners pay a flat rate without regard to the menu items taken, and A la carte Meal 

Service where diners pay for only the selected food items. Workload comparisons should not be 

done between the two types of meal service. 

 C2.5.16.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

See third-level FCC descriptions. 

 C2.5.16.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. See third-level FCC descriptions. 

 C2.5.16.5. Patient Food Operations: EIA
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 C2.5.16.5.1. Function. Patient Food Operations is an output measure for 

the meal service provided to patients. This includes providing meal service to inpatients, 

outpatients, transient patients, etc. Since EIA is an output measurement, and is not a physical 

work center within the Nutrition Care Food Operations, no personnel should be assigned to this 

account. No square footage, no work hours, and no expenses of any type should be charged to 

this output measurement since it is not a physical location. 

 C2.5.16.5.2. Costs. Patient Food Operations should exclude the expense 

of nursing service personnel who assist in the serving of food to patients. EIA should not have 

any direct costs. The expense related to the Nutrition Care Clinic will be assigned to BAL. The 

direct cost of operating the Dining Facility – Non-Patient Food Operation will be assigned to 

FDC. The remaining Nutrition Care Food Operations which cannot be identified as dedicated 

Dining Facility – Non-Patient Food Operations will be assigned to EIB, Nutrition Care 

Combined Food Operations. The direct cost of operating the Nutrition Care Combined Food 

Operations will be assigned to EIB, and EIA and FDC will receive an allocation from EIB based 

on the Raw – Number of Meals Served. 

 C2.5.16.5.3. Service Unit. Number of Meals Served. 

 C2.5.16.5.3.1. Number of Meals Served includes all meals served 

to outpatients, APVs, inpatients, observation patients, transient patients, Cooked Therapeutic Inflight Meals (CTIM), etc. Transient Number of Meals Served are those served to transient 

patients, either on inpatient units or in the dining room, as reported in the FEC account in Special 

Programs, plus CTIMs as reported in the FEF account. 

 C2.5.16.5.3.2. There are two types of meal service: Traditional 

Meal Service where diners pay a flat rate without regard to the menu items taken, and A la carte

Meal Service where diners pay for the only selected food items. Workload comparisons should 

not be done between the two types of meal service. 

 C2.5.16.5.4. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of the Number of Meals Served to each receiving account to the total Number 

of Meals Served by the Nutrition Care Food Operation. 

 C2.5.16.6. Combined Food Operations: EIB

 C2.5.16.6.1. Function. The Nutrition Care Combined Food Operations is 

a physical location and work center that includes all direct costs for the Nutrition Care Combined 

Food Operations for subsistence, food preparation, personnel, overhead, department 

management, etc. that cannot be directly attributed to the Dining Facility – Non-Patient Food 

Operations in FDC. Examples may include the meal tray operation; services that are used for 

inpatients, outpatients, APVs, observation patients, and transient patients; menu and recipe 

development for regular menu items; sanitation of combined areas (e.g., cooking island, and pots 

and pans); related QA/QI and QC; and subsistence accounting. 
DoD 6010.13-M, April 7, 2008 

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 C2.5.16.6.2. Costs. Only costs, square footage, personnel, etc., that are 

not “dedicated” to the Dining Facility – Non-Patient Food Operations should be charged to EIB, 

Combined Food Operations work center. The Combined Food Operations account of EIB shall 

be a sub-accountthat includes all in-house expenses incurred in purchasing and maintaining 

subsistence and operating and maintaining the meal preparation and service function that 

provides meals used for inpatient tray assembly, outpatients, or transient patients. Activities 

performed may include, but are not limited to, routine inpatient rounds/screenings to determine 

food acceptability, menu slip preparation, therapeutic menu development, patient tray assembly, 

and nourishment preparation and service. They also include CTIM preparation, therapeutic diet 

cooking, related QA/QI and QC activities, sanitation of tray carts, patient tray assembly areas, 

patient tray components, food preparation area, kitchen, dishwashing area, and any tasks that 

support both the patient and non-patient feeding. 

 C2.5.16.6.2.1. The Combined Patient Food Operations should 

exclude the expense of nursing service personnel who assist in the serving of food to patients. 

The expense related to the Nutrition Care Clinic will be assigned to BAL. The direct cost of 

operating the Dining Facility Non-Patient Food Operation will be assigned to FDC. The 

remaining Nutrition Care Food Operations which cannot be identified as dedicated Dining 

Facility – Non-Patient Food Operations will be assigned to EIB, Nutrition Care Combined Food 

Operations. The direct cost of operating the Nutrition Care Combined Food Operations will be 

assigned to EIB, and EIA and FDC will receive an allocation from EIB based on Raw – Number 

of Meals Served. 

 C2.5.16.6.2.2. There are two types of meal service. Traditional 

Meal Service where diners pay a flat rate without regard to the menu items taken and A la carte

Meal Service, where diners pay for the only selected food items. Workload comparisons should 

not be done between the two types of meal service. 

 C2.5.16.6.3. Service Unit. Number of Meals Served. Should include the 

total count for EIA, Patient Number of Meals Served and FDC, Dining Facility – Non-Patient 

Number of Meals Served. 

 C2.5.16.6.4. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of patient number of meals served (EIA) and non-patient number of meals 

served (FDC) in each receiving account to the total Number of Meals Served (EIB) in the MTF. 

The square footage reported for EIB will generate an allocation from the ED** FCC overhead 

accounts to EIB, based on the pro rata share of the MTF square footage. Square footage and 

direct costs reported in EIB, Combined Food Operations will then be distributed to either EIA or 

FDC based on pro rata share of the number of meals served. Square footage and direct costs 

reported in FDC, Dining Facility – Non-Patient Food Operations will not generate an allocation 

to either EIA or EIB. 

 C2.5.16.7. In-patient Clinical Nutrition Management: EIC

 C2.5.16.7.1. Function. Inpatient Clinical Nutrition Management and 

comprehensive nutritional care for inpatients. Activities include coordination of change in diet 
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 CHAPTER 2 138

requirements; dietary kardex maintenance; developing nutrition care plans; nutritional 

assessment and reassessment; diet and nutrient calculations; providing basic nutrition care 

recommendations and documentation; interdisciplinary healthcare activities; nutrition counseling 

for inpatients; discharge planning; QA/QI and QC activities; and management of clinical 

nutrition management activities. 

 C2.5.16.7.2. Costs. Inpatient Clinical Nutrition Management shall be a 

sub-account that includes all expenses incurred for providing inpatient clinical nutrition care. 

The expense of nutrition management personnel will be included in Patient Food Operations 

(EIA) when distributing and collecting menus, preparing menu slips, tallies, and conducting 

routine inpatient rounds to determine patient satisfaction and food preference. 

 C2.5.16.7.3. Service Unit. Weighted patient nutrition procedure. (See 

Table C2.T6.) 

 C2.5.16.7.4. Assignment Procedure. Total expenses shall be assigned 

based on the ratio of weighted inpatient nutrition procedures performed in each receiving 

account to the total weighted inpatient nutrition procedures performed in the MTF. Weighted 

inpatient nutrition procedures shall include all nutrition care activities documented by dietary 

progress notes and consultations in inpatient medical records within the scope of practice 

whether or not a specific request was initiated to dietary. 

 C2.5.16.8. Inactive: EIX
DoD 6010.13-M, April 7, 2008 

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Table C2.T6. Inpatient Clinical Nutrition Weighted Procedures

Weighted Patient Nutrition Procedures are based on weighted factors, which reflect the resource intensity 

of the various procedures rendered to inpatients under Clinical Nutrition Management (EIC). Different 

weights are assigned when the procedure is completed by a dietitian or by an enlisted technician. Specific 

examples of medical record documentation that support each type of procedure are available from the 

Military Service headquarters MEPRS representative. The following are the basic guidelines. 

1. Basic Nutrition Procedure. A medical record entry for a basic nutrition procedure includes references 

to services such as basic screening (height, weight, age, percent desirable body weight, percent usual body 

weight); diagnosis; initial sample notification of NPO/CL or inadequate intake more than 3 – 5 days; basic 

nutrition care follow-up and consultation to assess patient’s progress on current nutrition therapy with basic 

recommendation (modification of diet order), brief re-evaluation, or limited assessments; basic discharge 

planning (including weekly rounds and simple medical record entries documenting discharge diet); basic 

diet-drug interaction counseling for antibiotics and gastrointestinal preparations. 

Dietitian Weighted Value = 0.25 

Technician Weighted Value = 0.20 (only tasks for which they are trained and authorized) 

2. Intermediate Nutrition Procedure. A medical record entry for an intermediate nutrition procedure 

includes references to services such as notification of NPO/CL or inadequate intake with recommendation 

for oral nutrition support; expanded nutrition screening involving medical record review and items such as 

anthropometric measurement, laboratory values of nutritional significance, over-the-counter and 

prescription drugs, vitamin and mineral supplements, and hand grip strength; nutrition assessments that 

result in establishment of nutrition goals for disease management and prevention for patients at moderate 

nutritional risk or receiving intermediate diets; intermediate diet-drug interaction counseling for oral 

hypoglycemics, insulin, monoamine oxidase inhibitors, antalapemics, and psychotrophic drugs; follow-up 

evaluation for medically stable patients receiving tube feeding and parenteral nutrition; and discharge 

summary and coordination with other agencies and specialties (e.g., Meals-On-Wheels, social services, and 

instructions on glucometers). 

Intermediate diet examples are mechanical soft, mineral-restricted, single-nutrient restriction, no added salt 

(4 Gm Sodium (Na)), consistency modifications, gastric-stimulant restriction, and high-fiber. 

Dietitian Weighted Value = 0.65 

Technician Weighted Value = 0.45 (only tasks for which they are trained and authorized) 

3. Complex Nutrition Procedure. A medical record entry documenting complex nutrition procedures 

include reference to services such as nutrition assessment evaluation consultation; re-evaluation for highrisk patients with multiple nutrition-related disease states; malnutrition diagnosis or multiple nutrient or 

complex nutrient alterations; pediatric nutritional assessments; initial nutritional work-up for tube feeding 

and enteral supplement or parenteral nutrition; follow-up for medically unstable patients receiving tube 

feeding or parenteral nutrition; calculation of individualized menu patterns and nourishment requirements 

for complex diets. 

Examples of complex diets are vegetarian, special diets for cancer patients, diabetic, reactive 

hypoglycemia, weight-reduction, behavior-modification, prenatal weight control, galactose-restricted, 

renal, protein-restricted, gluten-restricted, leucine-restricted, Phenylketonuria, fat-controlled and 

cholesterol-restricted, ketogenic, less than 2 Gm Na, combined diets (two or more, e.g., 2 Gm Na and 1800 

Cal), mineral-restriction (copper, calcium, phosphorus), vertical-banded gastroplasty, elimination diets, 

HIV diets, and calorie-counts diets. 

Dietitian Weighted Value = 1.30 

Technician Weighted Value = 0.75 (only tasks for which they are trained and authorized) 

4. Extensive Nutrition Procedures. Extensive nutrition procedures include highly specialized nutritional 

care that requires extensive literature research, in-depth nutritional assessment of numerous clinical and 

biomedical findings, multi-disciplinary meetings or rounds (nutrition support team) to discuss patient care 

for patients with metabolic complications. 

Dietitian Weighted Value = 2.50 (No technician at this level) 
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 C2.5.16.9. Nutrition Management Not Elsewhere Classified: EIZ

 C2.5.16.9.1. Function. Nutrition Management Not Elsewhere Classified 

includes the expenses of nutrition management that satisfy the criteria for a work center and are 

not described in subparagraphs C2.5.16.5. through C2.5.16.7. 

 C2.5.16.9.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.5.16.9.3. Service Unit. Number of Meals Served or weighted 

inpatient nutrition procedures. 

 C2.5.16.9.4. Assignment Procedure. Assignment Procedure shall be 

based on the performance factor used. (See EIA through EIC.) 

 C2.5.17. Inpatient Care Administration: EJ

 C2.5.17.1. Function. The Patient Administration Division/Department for 

Inpatient Care reviews and codes inpatient clinical records, exercises administrative control of 

inpatients and inpatient beds, and ensures inpatient clinical records are prepared and maintained. 

Initiates proper clearance of outgoing/discharged inpatients. 

 C2.5.17.2. Costs. Inpatient Care Administration shall be a summary account that 

includes all expenses incurred in operating and maintaining the functions described in 

subparagraphs C2.5.17.5. through C2.5.17.7. 

 C2.5.17.3. Allocation Factor For Intermediate (Non-Cost Pool) Account Codes. 

Dispositions. 

 C2.5.17.4. Assignment Procedure For Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned to Inpatient Care (section C2.1.) accounts based on a 

ratio of dispositions in each receiving account to the total number of inpatient dispositions in the 

MTF. 

 C2.5.17.5. Inpatient Care Administration: EJA 

 C2.5.17.5.1. Function

 C2.5.17.5.1.1. The Patient Administration Division/Department 

for Inpatient Care reviews and codes inpatient clinical records for completeness and accuracy, 

exercises administrative control of inpatients and inpatient beds, and ensures adequate clinical 

records are prepared and maintained for inpatients. Maintains inpatient control files, inpatient 

suspense files, and inpatient bed-status availability worksheet. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 141

 C2.5.17.5.1.2. Inpatient Care Administration reviews inpatient 

clinical records for completeness and conformity with military directives and standards of 

recognized accrediting agencies, places completed clinical inpatient records in permanent 

folders, provides administrative support for clinical inpatient records, prepares a checklist for 

missing elements or incomplete inpatient records and refers to responsible physician or ward for 

correction, types and processes inpatient clinical record cover sheets and maintains clinical 

inpatient record files and cross-reference cards, locates and files previous inpatient admission 

records in current folder for patients readmitted, maintains permanent indexes on inpatients, 

ensures adequate security of inpatient record data and files, and retires inpatient records and files 

in accordance with current directives. 

 C2.5.17.5.1.3. Inpatient Care Administration withdraws records 

from files for physicians, research studies, and committees; prepares the “Seriously Ill” and 

“Very Seriously Ill” inpatient lists; prepares documentation required for the inpatient admissions 

and disposition sheet; maintains inpatients’ clothing and baggage; advises appropriate 

organizations of inpatients admitted from duty, leave, liberty, pass, and permanent change of 

station (PCS) or absent without leave (AWOL); and ensures proper clearance of 

outgoing/discharged inpatients. For Air Force only, initiates third party actions for inpatients. 

 C2.5.17.5.1.4. For maintenance of death ledgers, correspondence 

for deceased patients, preparation of death certificates, furnishing death lists to the Vital 

Statistics Office, news media, Public Affairs Office, or Casualty Officer, see FDD, Decedents 

Affairs (except Air Force). For Third Party Collections Administration/UBO office, see EBH, 

Third Party Collection Administration. For medical and physical evaluation boards, to include 

participation in the medical board process and physician review of the medical records of 

Medical Hold patients, see FED, Military Patient Personnel Administration. For Treasurer 

Office/Cashier, see EBC, Administration. For Chief/Head of Patient Administration 

Division/Department, see EBC. For Patient Ambulatory Care Administration, see EKA. 

 C2.5.17.5.2. Costs. Inpatient Care Administration shall be a sub-account 

that includes all expenses incurred in operating and maintaining the inpatient function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Inpatient Care Administration activities. Total expenses shall be assigned through an expense 

allocation process to the final operating expense accounts. 

 C2.5.17.6. Inactive: EJX

 C2.5.17.7. Inpatient Care Administration Not Elsewhere Classified: EJZ

 C2.5.17.7.1. Function. Includes the expenses of Inpatient Care 

Administration that satisfy the criteria for a work center and are not described in subparagraph 

C2.5.17.5. 

 C2.5.17.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 
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 C2.5.18. Ambulatory Care Patient Administration: EK

 C2.5.18.1. Function 

 C2.5.18.1.1. Patient Administration Division/Department for Ambulatory 

Care develops and implements administrative procedures used throughout the ambulatory care 

function, performs a variety of clerical duties pertaining to outpatients and outpatient records, 

and conducts technical review of requests for procurement of equipment for components of the 

ambulatory care function. 

 C2.5.18.1.2. For maintenance of death ledgers, correspondence for 

deceased patients, preparation of death certificates, furnishing death lists to the Vital Statistics 

Office, news media, Public Affairs Office, or Casualty Officer, see FDD, Decedents Affairs 

(except Air Force). For Third Party Collections Administration/UBO office, see EBH, Third 

Party Collection Administration. For medical and physical evaluation boards, to include 

participation in the medical board process and physician review of the medical records of 

Medical Hold patients, see FED, Military Patient Personnel Administration. For Treasurer 

Office/Cashier, see EBC, Administration. For Chief/Head of Patient Administration 

Division/Department, see EBC. For Inpatient Care Administration, see EJA. For Central 

Appointments, see ELA. 

 C2.5.18.2. Costs. Ambulatory Care Patient Administration shall be a summary 

account that includes all expenses incurred in operating and maintaining the functions as 

described in subparagraphs C2.5.18.6. through C2.5.18.8. Total expenses shall be assigned 

through an expense allocation process to all Ambulatory Care (section C2.2.) accounts. 

 C2.5.18.3. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Total visits. 

 C2.5.18.4. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned to Ambulatory Care (section C2.2.) accounts based on 

the ratio of outpatient visits to each receiving account to the total outpatient visits reported by the 

MTF. 

 C2.5.18.5. Ambulatory Care Patient Administration: EKA

 C2.5.18.5.1. Function 

 C2.5.18.5.1.1. Patient Administration Division/Department for 

Ambulatory Care develops and implements administrative procedures used throughout the 

ambulatory care function, performs a variety of clerical duties pertaining to outpatients and 

outpatient records and conducts technical review of the ambulatory care function, establishes a 

new terminal digit outpatient treatment record on patients who have not previously received 

outpatient care, prepares outpatient recording cards as required, and maintains the locator media 

for outpatient records. Maintains the terminal digit filing system for outpatient treatment 

records; files dictated outpatient treatment notes, special request forms (laboratory, X-ray, etc.), 
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and related materials in the proper record jacket; reviews outpatient treatment records to ensure 

completeness and conformity with military directives and standards of recognized accrediting 

agencies; ensures the daily issue of outpatient treatment records to clinics in advance of 

scheduled appointments; and receives, transfers, and retires all outpatient records as required. 

For Air Force only, initiates third party actions for outpatients. 

 C2.5.18.5.1.2. EKA should only be used by personnel who are 

dedicated to the ambulatory care/outpatient care mission in the Patient Care Administration 

Division/Department. Since this account allocates to all Ambulatory “B” work centers based on 

total visits, all Ambulatory Care coders should be reported in this account, regardless of location. 

This includes Ambulatory Care coders who may be dedicated to specific clinics. 

 C2.5.18.5.2. Costs. Ambulatory Care Patient Administration shall be a 

sub-account that includes all expenses incurred in operating and maintaining the function, such 

as expenses for personnel, supplies, travel, and any other expenses identified directly in support 

of Ambulatory Care Patient Administration. Total expenses shall be assigned through an 

expense allocation process to all ambulatory accounts. 

 C2.5.18.6. Inactive: EKX

 C2.5.18.7. Ambulatory Care Patient Administration Not Elsewhere Classified: 

EKZ

 C2.5.18.7.1. Function. Includes the expenses of Ambulatory Care Patient 

Administration that satisfy the criteria for a work center and are not described in subparagraph 

C2.5.18.5. 

 C2.5.18.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.5.19. Managed Care Administration: EL

 C2.5.19.1. Function. Managed Care Administration includes multiple functions 

and is titled differently among the Services and at the MTF level, such as Healthcare Operations 

Directorate/Division. This administrative division/department accomplishes a variety of services 

that support the medical group’s healthcare operation. 

 C2.5.19.2. Costs 

 C2.5.19.2.1. Managed Care Administration shall be a sub-account that 

includes all expenses incurred in operating and maintaining the functions as described in 

subparagraphs C2.5.19.4. through C2.5.19.6. 

 C2.5.19.2.2. The TRICARE Regional Office (TRO) and the Tricare 

Contractor activities in support of Managed Care Administration should not be captured in 

MEPRS. 
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 C2.5.19.3. Allocation Factor for Intermediate (Non-Cost Pool) Account Codes. 

Available FTE work-months. 

 C2.5.19.4. Assignment Procedure for Intermediate Non-Cost Pool Account 

Codes. Total expenses shall be assigned based on the ratio of each receiving account’s available 

FTE work-months to the total available FTE work-months in all receiving accounts. 

 C2.5.19.5. Managed Care Administration: ELA

 C2.5.19.5.1. Function. Managed Care Administration includes multiple 

functions and is titled differently among the Services and at the MTF level, such as Healthcare 

Operations Directorate/Division. This administrative division/department accomplishes a variety 

of services that support the medical group healthcare operation. This function provides a range 

of services to support DoD beneficiaries to include health benefits counseling, plan enrollment, 

marketing and education, appointments outside the MTF, referrals (including aeromedical 

evacuation), utilization management and review, medical management, clinical support, central 

appointment service, patient appointment supervision, credentialing, case management, and 

clinic liaisons. It supports both internal and external providers to include network development, 

and prepares non-availability statements when appropriate. It also provides administrative 

support necessary for the movement of patients from one treatment facility to another. 

 C2.5.19.5.2. Costs. Managed Care Administration shall be a sub-account 

that includes all expenses incurred in operating and maintaining the functions as described in 

subparagraphs C2.5.19.6. through C2.5.19.8. Costs in ELA should only allocate to Inpatient “A” 

and Outpatient “B” accounts. 

 C2.5.19.6. Inactive: ELX

 C2.5.19.7. Managed Care Administration Not Elsewhere Classified: ELZ

 C2.5.19.7.1. Function. Managed Care Administration Not Elsewhere 

Classified includes the expenses of Managed Care Administration that satisfy the criteria for a 

work center and are not described in subparagraph C2.5.19.6. 

 C2.5.19.7.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

C2.6. SPECIAL PROGRAMS: F

 C2.6.1. Function. The Special Programs functional account summarizes the expenses 

incurred by an MTF resulting from performing those portions of its military mission other than 

direct patient care. This account is necessary to prevent these expenses from aggregating into a 

non-descriptive “other” account and then being charged to the facility’s direct patient care 

accounts. The summary accounts included are Specified Health-Related Programs, Public 
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Health Services, Healthcare Services Support, Military-Unique Medical Activities, and Patient 

Movement and Military Patient Administration. 

 C2.6.2. Costs. The Special Programs functional account shall include all expenses 

recorded by the summary accounts as described in paragraphs C2.6.9. through C2.6.13. 

 C2.6.3. Service Unit(s) for Special Programs Final Account Codes. Not applicable. 

(Exception: See C2.6.10.15. for FBN.) 

 C2.6.4. Service Unit(s) for Cost Pools. Not applicable. 

 C2.6.5. Allocation Factor For Special Programs Final Account Codes. Not applicable. 

 C2.6.6. Allocation Factor for Cost Pools. To be determined by the nature of the 

functions assigned and the expenses incurred (likely to be available FTE work-months). 

 C2.6.7. Assignment Procedure for Special Programs Final Account Codes. Not 

applicable for final account Special Programs. These final operating expense accounts shall not 

be reassigned during the expense allocation process described in Chapter 3. 

 C2.6.8. Assignment Procedure for Cost Pools. Expenses and FTEs of shared performing 

work centers are distributed to requesting work centers based on like performance factors. Cost 

pools are purified in alphabetical order before the expense allocation process described in 

Chapter 3. 

 C2.6.9. Specified Health-Related Programs: FA

 C2.6.9.1. Function. The Specified Health-Related Programs summary account 

includes the expenses incurred by the MTF resulting from performing services prescribed or 

approved by the Department of Defense or the Military Services. The functions of the accounts 

are not established primarily for conduct of patient care, even though patient care may be 

necessary in the performance of the functions. 

 C2.6.9.2. Costs. The Specified Health-Related Programs account shall be a subaccount that includes all expenses incurred in operating and maintaining the functions as 

described in subparagraphs C2.6.9.3. through C2.6.9.21. 

 C2.6.9.3. Area Reference Laboratories: FAA

 C2.6.9.3.1. Function. Area Reference Laboratories provide all types of 

clinical laboratory and forensic toxicology procedures and tests, as well as examination of meat, 

dairy products, and other foods for activities of the Military Services. (Excludes routine 

laboratory procedures and tests performed for the MTF of which it is an integral part.) Area 

Reference Laboratories are at the following locations. 
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 C2.6.9.3.1.1. Brooke Army Medical Center, Fort Sam Houston, 

TX 78234. 

 C2.6.9.3.1.2. Dwight David Eisenhower Army Medical Center, 

Fort Gordon, GA 30905. 

 C2.6.9.3.1.3. Fitzsimons Army Medical Center, Denver, CO 

80240. 

 C2.6.9.3.1.4. Madigan Army Medical Center, Tacoma, WA 

98431. 

 C2.6.9.3.1.5. Tripler Army Medical Center, APO San Francisco, 

CA 96438. 

 C2.6.9.3.1.6. Walter Reed Army Medical Center, Washington, DC 

20012. 

 C2.6.9.3.1.7. William Beaumont Army Medical Center, El Paso, 

TX 79920. 

 C2.6.9.3.1.8. National Naval Medical Center, Bethesda, MD 

20814-5011. 

 C2.6.9.3.1.9. USA Hospital, Landstuhl, APO New York 09180. 

 C2.6.9.3.2. Costs. The Area Reference Laboratories shall be a subaccount that includes all expenses incurred in operating and maintaining this function. When 

services are requested by another supported facility that requires travel by personnel assigned to 

this function, the incurred expenses shall be charged to the MTF requesting the service. 

 C2.6.9.4. Area Dental Prosthetic Laboratory (Type 1): FAB

 C2.6.9.4.1. Function. The Area Dental Prosthetic Laboratory (Type 1) 

facility is an entity designated specifically to support other dental facilities on a regional basis. 

The capabilities of the Area Dental Prosthetic Laboratory (Type 1) facility include the 

assignment of a full time, board-certified, board-eligible, or trained prosthodontist; consultation 

for Uniformed Services dental officers; conducting CE programs for dental personnel; preparing 

and processing education bulletins; conducting user tests of new prosthetic materials and 

refinement of techniques; providing fixed prosthodontic capability; providing removable 

prosthodontic capability; providing all metal casting capability; and providing unique services, as 

required, such as orthodontic support and appliances, surgical implant appliances, maxillofacial 

appliances, teaching models, and aids. 

 C2.6.9.4.2. Costs. The Area Dental Prosthetic Laboratory (Type 1) shall 

be a sub-account that includes all expenses incurred in operating and maintaining the area dental 
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prosthetic laboratory funded under DoD PECs, “Dental Care Activities – CONUS;” “Dental 

Care Activities – OCONUS;” “Defense Medical Centers, Station Hospitals and Medical Clinics 

– CONUS;” and “Defense Medical Centers, Station Hospitals and Medical Clinics – OCONUS.” 

 C2.6.9.5. Ophthalmic Fabrication and Repair: FAC

 C2.6.9.5.1. Function. Ophthalmic Fabrication and Repair includes the 

fabrication and reparation of single and multi-vision spectacles for authorized DoD beneficiaries 

and other designated Federal beneficiaries. 

 C2.6.9.5.2. Costs. The Ophthalmic Fabrication and Repair shall be a subaccount that includes all expenses incurred in operating and maintaining military ophthalmic 

laboratories and units funded under DoD PECs, “Defense Medical Centers, Station Hospitals and 

Medical Clinics – CONUS” and “Defense Medical Centers, Station Hospitals and Medical 

Clinics – OCONUS.” Contract purchases by direct patient care accounts for items such as 

contact lenses, hearing aid spectacles, and safety spectacles shall be directly assigned to the 

receiving account. 

 C2.6.9.6. DoD Military Blood Program: FAD 

 C2.6.9.6.1. Function. An MTF may be required to perform certain tasks 

in support of the DoD Military Blood Program that do not contribute, or only partially 

contribute, to the patient care within the facility. These tasks may include collection, processing, 

storage, and distribution of whole blood and its fractions. (See your Service blood program 

guidance.) 

 C2.6.9.6.2. Costs. The DoD Military Blood Program shall be a subaccount that includes all expenses incurred by the MTF in the performance of specific tasks to 

support the DoD Military Blood Program. 

 C2.6.9.7. Inactive: FAE

 C2.6.9.8. Screening and Testing Program: FAF

 C2.6.9.8.1. Function. The Screening and Testing Program is a DoDsponsored program, implemented by the Military Services requiring systematic screening and 

testing of certain categories of military and civilian personnel. Such programs include, but are 

not limited to, the Drug Abuse Testing Program and the Acquired Immune Deficiency Syndrome 

Testing Program. 

 C2.6.9.8.2. Costs. The Screening and Testing Program shall be a subaccount that includes all expenses incurred in operating and maintaining the function. 

 C2.6.9.9. Inactive: FAG

 C2.6.9.10. Clinical Investigation Program: FAH
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 C2.6.9.10.1. Function. The Clinical Investigation Program encompasses 

those formally approved programs and activities of all MTFs that enhance teaching and the 

organized inquiry into clinical health problems, and promotes optimal healthcare delivery to the 

total military community. Exceptions are those research protocols that are unique to the 

operational missions of the individual services and are included within the respective service 

research and development programs. The specific objectives of the Clinical Investigation 

Program are to achieve continuous improvement in the quality of patient care; create and 

maintain a continuing atmosphere of inquiry into better healthcare delivery techniques, systems, 

and procedures; provide experience and new knowledge in healthcare delivery through organized 

clinical investigation; and contribute to maintaining high professional standing and accreditation 

of advanced healthcare, educational, and training programs. 

 C2.6.9.10.2. Costs. The Clinical Investigation Program shall be a subaccount that includes all expenses incurred in the direction and execution of the function. The 

incidental use of supplies and medical equipment that are routinely stocked or maintained for the 

primary purpose of supporting patient care functions and that have an insignificant total cost in a 

clinical investigation project may be excluded. Conversely, any special equipment or supplies 

purchased or procured primarily for the essential conduct of a clinical investigation project shall 

be included in the costs. 

 C2.6.9.11. Physiological Training and Support Program: FAI

 C2.6.9.11.1. Function. The Physiological Training and Support Program 

teach flying personnel the stress of modern military aviation and space flight and prepare them to 

meet these stresses. The program includes operation of low-pressure chambers, operation of 

ejection seat trainers, and the management of all pressure suit activities. The program is also 

responsible for the operation of compression chambers used in HBO therapy. 

 C2.6.9.11.2. Costs. The Physiological Training and Support Program 

shall be a sub-account that includes all expenses incurred in operating and maintaining the 

function funded under DoD PECs, “Defense Medical Centers, Station Hospitals and Medical 

Clinics – CONUS” and “Defense Medical Centers, Station Hospitals and Medical Clinics – 

OCONUS.” 

 C2.6.9.12. Inactive: FAJ

 C2.6.9.13. Trainee Expenses – Other Than GME or GDE Program: FAK

 C2.6.9.13.1. Function. The Trainee Expenses – Other Than GME or 

GDE Program includes the portion of trainee salary expenses and work-hours represented by the 

time the trainee is in a pure learner role (classroom, work center training, etc.) under programs 

defined in the MEPRS EBF sub-account. This sub-account excludes trainees in the GME and 

GDE programs as outlined in the MEPRS EBE and EBF sub-accounts. Trainee salary expenses 

related to time directly contributing to work center output must be charged to the receiving work 

center, as specified under costs. 
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 C2.6.9.13.2. Costs. The Trainee Expenses – Other Than GME or GDE 

Program shall be a sub-account that includes all trainee salaries computed for the time the trainee 

is in a pure learner role in a training program other than GME or GDE. Labor distribution of 

trainee salaries are determined as follows. 

 C2.6.9.13.2.1. If the trainee’s curricula require mainly classroom 

training and patient care or support is incidental, the labor shall be 50 percent chargeable to this 

sub-account and 50 percent chargeable to the work center(s) the trainee supports. 

 C2.6.9.13.2.2. If the trainee mainly performs clinical tasks that 

would normally be performed by permanently assigned personnel, the labor shall be 30 percent 

chargeable to this sub-account and 70 percent chargeable to the work center(s) the trainee 

supports. 

 C2.6.9.13.2.3. If the trainee’s curricula are entirely classroom 

training, 100 percent of the trainee’s time is chargeable to this sub-account. The local 

administrative office should assist in creating site-specific, work-hour templates or schedules to 

ensure accurate and timely reporting in MEPRS EAS. 

 C2.6.9.14. Continuing Education (CE): FAL

 C2.6.9.14.1. Function. The CE Program includes the time and expenses 

incurred by the MTF in support of continuing health education requirements. It includes all 

continuing health education programs, regardless of location or source of instruction. 

 C2.6.9.14.2. Costs. The CE Program shall be a sub-account that includes 

all expenses incurred in support of continuing health education requirements. Costs may include 

tuition, Temporary Additional Duty (TAD) or Temporary Duty (TDY) expenses, salaries, fees, 

and contractual expenses. 

 C2.6.9.15. GME Intern and Resident Expenses – Physicians Program: FAM

 C2.6.9.15.1. Function. The GME Intern and Resident Expenses – 

Physicians Program includes the portion of trainee salary expenses and work-hours represented 

by the time the physician participating in a GME program is in a pure learner role (classroom, 

work center training, etc.). GME programs are defined in the MEPRS EBE account. GME 

trainee salary expenses related to time spent directly contributing to work center output must be 

charged to the receiving work center. 

 C2.6.9.15.2. Costs. The GME Intern and Resident Expenses Program 

shall be a sub-account that includes GME trainee salary expenses computed for the time the 

trainee is in a pure learner role in a GME program. During the first year of GME, labor 

distribution of the trainee’s monthly salary shall be 50 percent chargeable to this sub-account and 

50 percent chargeable to the work center(s) the trainee supports. For the trainee who has 

completed the first year, labor distribution during the second and later years of GME (in which 
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the curricula require mainly performance of clinical tasks), shall be 30 percent chargeable to this 

sub-account and 70 percent chargeable to the work center(s) the trainee supports. The 

recommended procedure to capture this workload is using work-hour templates or schedules. 

The local GME administrative office should assist in creating site-specific templates or schedules 

to ensure accurate and timely reporting in MEPRS EAS. 

 C2.6.9.16. GDE Intern and Resident Expenses – Dentists Program: FAN

 C2.6.9.16.1. Function. The GDE Intern and Resident Expenses – Dentists 

Program includes the portion of trainee salary expenses and work-hours represented by the time 

the trainee participating in a GDE program is in a pure learner role (classroom, work center 

training, etc.). GDE programs are defined in the MEPRS EBI sub-account. GDE trainee salary 

expenses related to time directly contributing to work center output must be charged to the 

receiving work center. 

 C2.6.9.16.2. Costs. The GDE Intern and Resident Expenses – Dentists 

Program shall be a sub-account that includes GDE trainee salary expenses computed for the time 

the trainee is in a pure learner role in a GDE program. During the first year of GDE, labor 

distribution of the trainee’s monthly salary shall be 50 percent chargeable to this sub-account and 

50 percent chargeable to the work center(s) the trainee supports. For the trainee who has 

completed the first year, labor distribution during the second and later years of GDE (in which 

the curricula require mainly performance of clinical tasks), shall be 30 percent chargeable to this 

sub-account and 70 percent chargeable to the work center(s) the trainee supports. The 

recommended procedure to capture this workload is using work-hour templates or schedules. 

The local GDE administrative office should assist in creating site-specific templates or schedules 

to ensure accurate and timely reporting in MEPRS EAS. 

 C2.6.9.17. GME Fellowship and Resident Expenses – Full-Time Research 

Program: FAO

 C2.6.9.17.1. Function. The GME Fellowship and Resident Expenses – 

Full-Time Research Program includes the portion of trainee salary expenses and work-hours for 

fellows and residents performing full-time research and no patient care. GME programs are 

defined in the EBE sub-account. The period of time for which the fellow or resident is 

performing full-time research shall be charged to this sub-account. 

 C2.6.9.17.2. Costs. The GME Fellowship and Resident Expenses – FullTime Research Program shall be a sub-account that includes fellow and resident trainee salary 

expenses when they are performing full-time research under the GME program. Fellow and 

resident trainees’ monthly labor expenses shall be charged to this sub-account for the period they 

are performing full-time research, as specified by the GME program. The recommended 

procedure to capture this workload is work-hour templates or schedules. The local GME 

administrative office should assist in creating site-specific templates or schedules to ensure 

accurate and timely reporting in MEPRS. 

 C2.6.9.18. GME Fellowship Expenses Program: FAP
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 C2.6.9.18.1. Function. The GME Fellowship Expenses Program includes 

the portion of fellowship trainee salary expenses and work-hours represented by the time the 

physician is in a GME fellowship program. GME programs are defined in the EBE account. 

Fellow trainee salary expenses related to time directly contributing to work center output must be 

charged to the receiving work center. 

 C2.6.9.18.2. Costs. The GME Fellowship Expenses Program shall be a 

sub-account that includes fellow trainee salary expenses for the time the physician is in a pure 

learner role in a GME fellowship program. Labor distribution of the fellow trainee shall be 10 

percent chargeable to this account and 90 percent chargeable to the work center(s) the trainee 

supports. The recommended procedure to capture this workload is work-hour templates or 

schedules. The local GME administrative office should assist in creating site-specific templates 

or schedules to ensure accurate and timely reporting in MEPRS. 

 C2.6.9.19. GDE Fellowship Expenses Program: FAQ

 C2.6.9.19.1. Function. The GDE Fellowship Expenses Program includes 

the portion of fellowship trainee salary expenses and work-hours represented by the time the 

dentist is in a GDE fellowship program. GDE programs are defined in the MEPRS EBI account. 

Fellow trainee salary expenses related to time directly contributing to work center output must be 

charged to the receiving work center. 

 C2.6.9.19.2. Costs. The GDE Fellowship Expenses Program shall be a 

sub-account that includes fellow trainee salary expenses for the time the physician is in a pure 

learner role in a GDE fellowship program. Labor distribution of the fellow trainee shall be 10 

percent chargeable to this account and 90 percent chargeable to the work center(s) the trainee 

supports. The recommended procedure to capture this workload is work-hour templates or 

schedules. The local GDE administrative office should assist in creating site specific templates 

or schedules to ensure accurate and timely reporting in MEPRS. 

 C2.6.9.20. Inactive: FAX

 C2.6.9.21. Specified Health-Related Programs Not Elsewhere Classified: FAZ

 C2.6.9.21.1. Function. Includes the expenses of those Specified HealthRelated Programs that satisfy the criteria for a work center and are not described in 

subparagraphs C2.6.9.3. through C2.6.9.19. 

 C2.6.9.21.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.6.10. Public Health Services: FB

 C2.6.10.1. Function. The Public Health Services account summarizes the 

expenses of an MTF that are incurred as the result of performing health services necessary to the 
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Military Service environment. The summarized accounts are. Preventive Medicine; Industrial 

Hygiene Program; Radiation Health Program; Environmental Health Program; Epidemiology 

Program; and Immunizations. 

 C2.6.10.2. Costs. The Public Health Services shall be a summary account that 

includes all expenses recorded by the accounts as outlined in subparagraphs C2.6.10.4. through 

C2.6.10.17. 

 C2.6.10.3. Inactive: FBA

 C2.6.10.4. Preventive Medicine: FBB

 C2.6.10.4.1. Function. Various terms are used by the Services to describe 

those functions constituting a program of medical service surveillance over human beings and 

their living and working environments, to ensure that potential hazards to individual and 

community health are identified, evaluated, eliminated, or controlled. Primary functions 

associated with this special program include monitoring activities that affect the community 

environment. These include monitoring of potable water sources, surveillance of public 

swimming areas, and verifying compliance with environmental pollution laws; evaluating 

workplace environment for such things as exposure to physical, chemical, or biological health 

risks; checking solid and liquid waste disposal operations; implementing and monitoring 

programs to protect against adverse effects of potentially toxic chemicals and harmful physical 

agents such as ionizing or non-ionizing radiation, noise, and extremes of heat, cold, and altitude; 

and limiting the acute community health and environmental effects of disasters. This account 

shall be used only when the functions described in the Industrial Hygiene Program (FBC) and in 

the Radiation Health Program (FBD) are not separately established. 

 C2.6.10.4.2. Costs. The Preventive Medicine shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of Preventive 

Medicine activities. 

 C2.6.10.5. Industrial Hygiene Program: FBC

 C2.6.10.5.1. Function. The Industrial Hygiene Program conducts surveys 

and inspections of workplaces to identify, evaluate, and recommend control of those health 

hazards arising in or from the workplace that may cause sickness, impaired health and wellbeing, or significant discomfort among civilian and military personnel. 

 C2.6.10.5.2. Costs. The Industrial Hygiene shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of Industrial 

Hygiene activities. 

 C2.6.10.6. Radiation Health Program: FBD
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 C2.6.10.6.1. Function. The Radiation Health Program supports ionizing 

and non-ionizing radiation surveys, radiation medical examinations, personnel monitoring, 

recording and reporting of radiation exposure, and training in radiation health. This program is 

associated with nuclear propulsion; nuclear weapons; and industrial, medical, and dental 

radiation sources. 

 C2.6.10.6.2. Costs. The Radiation Health Program shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of Radiation 

Health Program activities. 

 C2.6.10.7. Environmental Health Program: FBE

 C2.6.10.7.1. Function. The Environmental Health Program assesses and 

reduces incidence of diseases and their effects on base operations and on neighboring 

communities; evaluates and maintains the occupational health of military and civilian personnel; 

protects the health of personnel by preventing food-borne procurement activities; and supports 

preventive medicine and occupational health programs and maintains liaison with other Agencies 

and communities. It also identifies disease vector populations; evaluates sanitation of food 

operating activities and public facilities such as gymnasiums, barber and beauty shops, and day 

care centers; and responds to disasters by controlling food-borne supplies and participating in 

Nuclear, Biological, and Chemical (NBC) decontamination procedures. The Environmental 

Health Program account includes those functions described in the Epidemiology Program (FBF) 

when not separately established. 

 C2.6.10.7.2. Costs. The Environmental Health Program shall be a subaccount that includes all expenses incurred in operating and maintaining the function, such as 

expenses for personnel, supplies, travel, and any other expenses identified directly in support of 

Environment Health Program activities. 

 C2.6.10.8. Epidemiology Program: FBF

 C2.6.10.8.1. Function. The Epidemiology Program implements programs 

and provides consultation and training on the prevention and necessary control measures for 

communicable diseases. The program administers troop pre-deployment and post-deployment 

disease surveillance programs; performs epidemiological investigations, evaluations, and 

provides reports; compiles routine data to monitor trends for disease (including heat and cold 

injuries) of significance to military populations; and compiles necessary morbidity on diseases 

not requiring hospitalization when such data are required for proper disease control. The 

Program administers sexually transmittable Disease Control Program and the Medical Wellness 

Program; ensures compliance with local, State, and DoD Directives and Instructions about the 

reporting of reportable diseases, and provides professional consultation about immunization 

requirements. It provides consultation about prevention and control measures for chronic 

diseases of significance to military populations (e.g., cancer detection, hypertension screening, 

glaucoma, diabetes, and heart disease). The program establishes heat and cold injury prevention 
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program, provides training, disseminates education materials, and provides information on the 

use of Wet Bulb Globe Temperature, Wet Globe Thermometer, and wind chill indices. 

 C2.6.10.8.2. Costs. The Epidemiology Program shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, travel, and any other expenses identified directly in support of 

Epidemiology Program activities. 

 C2.6.10.9. Inactive: FBG

 C2.6.10.10. Inactive: FBH

 C2.6.10.11. Immunizations: FBI

 C2.6.10.11.1. Function. Immunizations administer routine immunizations 

and parenteral medications to individuals and groups. It observes patients for untoward reactions 

to immunological agents and medications, and initiates emergency measures, as required. It also 

initiates, records, and maintains immunization records and reports, and gives post-immunization 

instructions about expected or possible adverse reactions and instructions for proper care of 

smallpox vaccinations. 

 C2.6.10.11.2. Costs. Immunizations work center shall be a sub-account 

that includes all expenses incurred in operating and maintaining the function, such as expenses 

for personnel, supplies, equipment, travel, and other expenses identified directly in support of 

Immunizations activities. The costs of immunizations given by direct-care functions (e.g., 

pediatric care and emergency medical care) shall not be included in this account. 

 C2.6.10.12. Early Intervention Services (EIS): FBJ

 C2.6.10.12.1. Function. EIS are provided to infants and toddlers (from 

birth through 2 years of age) with disabilities, and their families, in accordance with section 1400 

of title 20 United States Code (Reference (n)). These are developmental services that are 

provided by a multi-disciplinary team and include, but not limited to, the following services: 

family training, counseling, and home visits; special instruction; speech pathology and 

audiology; occupational therapy; physical therapy; psychological services; case management 

(service coordination); medical services for diagnostic or evaluation purposes; early 

identification, screening, and assessment services; health services; vision services; social work 

services; and assistive technology services. These services are provided to infants and toddlers 

who, but for their age, would be eligible to attend DoD Domestic Dependents Elementary and 

Secondary School arrangements located stateside or in U.S. territories or possessions or in DoD 

Dependents Schools (DoDDS) overseas. Services may be delivered in the infant’s or toddler’s 

home, childcare center, family childcare home, school facility, or the multi-disciplinary team 

designated location. Evaluations, assessments, or treatments provided by caregivers other than 

the multi-disciplinary team are captured under the clinical specialty providing the service. 
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 C2.6.10.12.2. Costs. EIS shall be a sub-account that includes all expenses 

incurred in operating and maintaining the function, such as expenses for personnel, supplies, 

travel, and any other expenses identified directly in support of EIS activities. 

 C2.6.10.13. Medically Related Services (MRS): FBK

 C2.6.10.13.1. Function. MRS are provided in accordance with 

(Reference (i)). Children served are those 3 to 21 years of age with educational disabilities who 

are eligible to receive or are receiving special education overseas. These services include direct 

and indirect services that are required by a DoDDS Case Study Committee (CSC) to determine a 

student’s eligibility for special education and, if eligible, the provision of MRS described on the 

child’s IEP. These services are provided under professional medical supervision and may 

include medical services for diagnostic and evaluative purposes; social work; community health 

nursing; dietary; occupational therapy; physical therapy; audiology; ophthalmology; and 

psychological testing and therapy. These services are provided in the school facility, the multidisciplinary team-designated location, or in other locations specified in the IEP by the CSC. 

Evaluations, assessments or treatments provided by other than the multi-disciplinary team are 

captured under the clinical specialty providing the service. 

 C2.6.10.13.2. Costs. MRS shall be a sub-account that includes all 

expenses incurred in operating and maintaining the function, such as expenses for personnel, 

supplies, travel, and any other expenses identified directly in support of MRS activities. 

 C2.6.10.14. Multi-Disciplinary Team Services (MTS): FBL

 C2.6.10.14.1. Function. MTS includes assessments, evaluations and 

treatments provided by a multi-disciplinary team simultaneously or sequentially. These are 

general medical care services provided to children from birth to 21 years of age, who are not 

receiving these services under (Reference (i)). Pediatricians, occupational and physical 

therapists, speech-language pathologists, social workers, nurses, audiologists, psychologists, and 

psychiatrists perform the assessments and evaluations. The results of these evaluations or 

assessments are used to obtain consensus among the multi-disciplinary team, to produce reports 

(oral and written) for families as to the child’s diagnosis; make recommendations as to the 

appropriate program or therapy for the child and, if necessary, to make referrals for further 

educational or medical evaluations. The site of service delivery is the multi-disciplinary, teamdesignated location. Evaluations, assessments or treatments provided by other than the multidisciplinary team are captured under the clinical specialty providing the service. These services 

are provided on a space-available basis. 

 C2.6.10.14.2. Costs. MTS shall be a sub-account that includes all 

expenses incurred in operating and maintaining the function such as expenses for personnel, 

supplies, travel, and any other expenses identified directly in support of MTS activities. 

 C2.6.10.15. Hearing Conservation Program (HCP): FBN

 C2.6.10.15.1. Function 
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 C2.6.10.15.1.1. The HCP provides hearing conservation 

surveillance for military and civilian personnel routinely exposed to hazardous noise. The 

program conducts routine and follow-up audiometric monitoring using the Defense Occupational 

Environmental Health Readiness System – Hearing Conservation in both fixed and mobile 

facilities (e.g., the Military Occupational Health Vehicle). It also conducts audiometric 

monitoring consisting of baseline (reference), periodic (annual, termination, or other), and all 

follow-up testing required to identify, confirm, and document hearing threshold shifts resulting 

from noise exposure. 

 C2.6.10.15.1.2. The program performs diagnostic audiology 

services including hearing loss evaluations for worker’s compensation, hearing fitness for duty 

evaluations, hearing profile evaluations for readiness, significant hearing threshold-shift 

evaluations, and evaluations for acoustic trauma injuries and for difficult-to-test patients (i.e., 

non-organic behavior or response). 

 C2.6.10.15.1.3. The HCP performs annual Hearing Protection 

Evaluation and Fittings for military and civilian personnel routinely exposed to hazardous noise, 

determines the appropriate selection of hearing protection style and earplug size based on user 

needs, performs otoscopic examination to rule out any contradiction for wearing earplugs, and 

performs ear mold impressions for custom-fitted earplugs. It conducts training classes on the 

effects of noise on hearing; the purpose, advantages, disadvantages, and attenuation of various 

hearing protectors; selection, fitting, care, and use of hearing protectors; and the purpose and 

procedures of audiometric monitoring. The program annually examines hearing protective 

devices during monitoring audiometry to ensure proper fit and condition, and monitors the 

proper wear and use of hearing protection during work site visits. 

 C2.6.10.15.1.4. The HCP Manager manages the program by 

providing supervision to hearing conservation technicians, reviewing audiometric monitoring 

tests, and conducting technician hearing conservation certification courses. The Manager 

ensures all monitoring audiometry tests meet all Federal, DoD, and Service-specific record 

keeping requirements and are maintained as a medical legal document in the noise-exposed 

individual’s medical record. 

 C2.6.10.15.2. Costs. The HCP shall be a sub-account that includes all 

operating expenses incurred in performing and maintaining this program. 

 C2.6.10.15.3. Service Unit

 C2.6.10.15.3.1. Total Visits Without Ancillaries. 

 C2.6.10.15.3.2. Total Visits With Ancillaries. 

 C2.6.10.15.3.3. Ambulatory weighted procedures. 
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 C2.6.10.15.4. Criteria to Define Hearing Conservation Visit. The criteria 

includes all active duty and those civilians who are enrolled in the HCP who present for their 

annual monitoring testing, significant threshold shift (STS) follow-up, and audiology diagnostic 

referrals excluding remediation and rehabilitation. 

 C2.6.10.16. Cost Pool: FBX

 C2.6.10.16.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.6.10.16.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.6.10.17. Public Health Services Not Elsewhere Classified: FBZ

 C2.6.10.17.1. Function. Includes the expenses of those Public Health 

Services that satisfy the criteria for a work center and are not described in paragraphs C2.6.10.4. 

through C2.6.10.16. 

 C2.6.10.17.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.6.11. Healthcare Services Support: FC

 C2.6.11.1. Function. The Healthcare Services Support account summarizes the 

expenses of the MTF that are incurred as the result of performing services that are supportive of 

healthcare delivery rendered by another Federal treatment facility or Agency or by a civilian 

practitioner, as in the case of beneficiary support provided by the Civilian Health and Medical 

Program of the Uniformed Services (CHAMPUS). Also included are the total expenses incurred 

to purchase necessary supplemental materiel and professional and personal services from civilian 

sources. The summary accounts are: Purchased/Referred Care (previously Supplemental Care); 

Guest Lecturer and Consultant Program; Ancillary Support to non-DoD External Providers 

(previously CHAMPUS Beneficiary Support); Support to Other Military Activities; Support to 

Other Federal Agencies; Support to Non-Federal Activities; and Support to Non-MEPRS 

Reporting Activities; and Emergency and Active Duty Remote Area Care. 

 C2.6.11.2. Costs. The Healthcare Services Support account shall be a summary 

account that includes all expenses incurred in operating and maintaining the functions as outlined 

in subparagraphs C2.6.11.3. through C2.6.11.11. 

 C2.6.11.3. Purchased/Referred Care (previously Supplemental Care): FCA

 C2.6.11.3.1. Function. The Purchased/Referred Care sub-account is 

provided to accumulate expenses incurred by a military MTF/DTF that procures from civilian 

sources the necessary materiel and professional and personal services required for the proper 
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care and treatment of MTF-enrolled patients when such services are not available at the 

MTF/DTF, and the patient has been referred by the MTF/DTF. When services are not available 

in the MTF/DTF, enrolled patients may be sent to civilian facilities for specific treatment or 

services, provided they remain enrolled to the MTF during the entire period and clinical 

management responsibility of these patients’ remains with the MTF/DTF. This includes all 

civilian care and ancillary services received by MTF-enrolled patients (active duty and 

CHAMPUS eligible) whether the bill is actually paid by the MTF or not. This also includes care 

purchased under the auspices of a Federal-sharing agreement and the Emergency and Active 

Duty Remote Area Care Program (OCONUS only). This excludes non-MTF referred care (e.g., 

emergency care for CONUS only, elective care) and Resource Sharing Agreement/Support costs. 

 C2.6.11.3.2. Costs. This sub-account shall be charged with all actual and 

free receipt expenses incurred in purchasing materiel and professional and personal services from 

civilian sources for the MTF enrollees to include purchased services rendered to MTF inpatients 

regardless of enrollment status. Contrary to previous supplemental care instructions, costs will 

not be expensed to the requesting work center. This excludes non-MTF referred care (e.g., 

emergency) and TRICARE Prime Remote. Also, note the change to inpatient coverage—nonenrolled members who are inpatients or outpatients in the MTF and require civilian ancillary or 

inpatient services will be responsible for deductibles and cost sharing in accordance with 

CHAMPUS policy. 

 C2.6.11.4. Guest Lecturer and Consultant Program: FCB

 C2.6.11.4.1. Function. The Guest Lecturer and Consultant Program may 

include didactic lectures, bedside teaching, ward rounds, and demonstration of procedures and 

techniques to encourage and enhance academic and scientific stimulation, and to monitor 

standards of professional practice. The overall program is an integration of essentially two 

entities. 

 C2.6.11.4.1.1. Guest Lecturer and Consultant Program (Civilian). 

Persons certified and appointed under this phase of the program are normally diplomats of an 

American Specialty Board (for medicine or dentistry), recognized as outstanding specialists in 

their respective scientific disciplines (medicine, dentistry, veterinary medicine, and other 

healthcare fields), or recognized as noted scholars who enjoy high professional status in an 

accredited medical school or equivalent institution (visiting professor program). Such 

consultants assist in the maintenance of high standards of professional practice, further the 

educational program of the medical department, and provide liaison with leaders in related 

professions. Consultants provide advice on professional subjects and on new developments in 

prophylaxis, diagnosis, treatment, and teaching procedures. They also stimulate interest in 

professional problems and aid in their investigation, give research and development and 

educational and training programs, and encourage participation in programs such as clinical and 

pathological conferences, ward rounds, and journal clubs. 

 C2.6.11.4.1.2. In-Service Consultant and Lecturer Program 

(Military). Persons appointed as consultants or lecturers within the purview of this program are 

normally senior career specialists and mature clinicians that are board-certified, have broad 
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experience in their specialty, and are fully knowledgeable about the organization and 

management of their respective medical department. Persons appointed may include, but are not 

limited to, medical and dental consultants, nurse consultants, biomedical sciences consultants, 

and forensic medicine consultants. This phase of the program may be further divided into three 

discrete aspects. 

 C2.6.11.4.1.2.1. Visits by expert professional military 

personnel (e.g., a visiting Chief of Service) in support of medical department research and 

development and education and training programs in the same capacity as those functions 

enumerated in the Civilian Lecturer and Consultant Program. 

 C2.6.11.4.1.2.2. Visits by assigned consultants from all 

corps of the medical departments who serve as advisors to the Surgeons General and other senior 

staff and operational commanders. Program objectives are to advise on major subjects and broad 

problems connected with policy and practice in the prevention of diseases, and the care of 

patients, health, and environmental activities. Other objectives include evaluation and maximum 

utilization of specialized personnel, medical research and development programs, GME, CE 

programs, and other important professional matters. The program also aims to provide onsite 

observations by experienced professional observers and to aid in the monitoring of the standards 

of professional practice in MTFs and activities; to provide consultation, advice, academic 

stimulation, and scientific presentation to professional colleagues; and to provide career 

assistance and motivational counseling to officers of the medical departments. 

 C2.6.11.4.1.2.3. Visits by inactive reserve medical 

department officers in inactive duty training status (drill) as consultants without pay. Eligible 

officers may, with their consent, be ordered on training and support duty orders without pay 

status to serve as consultants and to participate in staff conferences, clinical lectures, journal club 

meetings, clinical pathology conferences, formal ward rounds as clinical consultants to Chief of 

Service or Heads of Departments in unusual cases, and as consultant or lecturer to assist in 

educational and training programs. 

 C2.6.11.4.2. Costs. The Guest Lecturer and Consultant Program shall be 

a sub-account that includes all expenses incurred through participating in operating and 

maintaining the program. Distinction must be made between the expenses of this program and 

those to be charged to the Training and Educational Programs account. The principal point of 

distinction is the purpose of the visit. If it is teaching in one of the approved training and 

educational programs, then the Training and Educational Programs account shall be charged. If 

not, then the charge to this account is appropriate. 

 C2.6.11.5. Support to Non-Federal External Providers (previously CHAMPUS 

Beneficiary Support): FCC

 C2.6.11.5.1. Function. The Support to non-Federal External Providers 

account is provided to accumulate expenses incurred by a military MTF in providing inpatient 

and ambulatory care and ancillary services support to all eligible beneficiaries, regardless of 

enrollment status, at the request of civilian providers external to the MTF. Such services would 
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include augmentation for patient care support; training opportunities; external partnerships; 

emergency services; radiology, pathology, pharmacy, special procedures services, and nuclear 

medicine procedures; rehabilitative services visits; and central sterile supply and/or materiel 

service issues, provided none of the ambulatory care functions receives credit for a visit as the 

result of the patient’s contact with the facility to receive the requested service. Ancillary and 

other support to the Department of Veterans Affairs (VA) providers will be included in FCE, 

Support to Other Federal Agencies. 

 C2.6.11.5.2. Costs. Support to Non-Federal External Providers shall be a 

sub-account that includes all expenses incurred in providing services to non-Federal activities 

and for the expenses associated with time away from the reporting MTF. 

 C2.6.11.6. Support to Other Military Medical Activities: FCD

 C2.6.11.6.1. Function. The Support to Other Military Medical Activities 

includes the expenses incurred by an MTF in providing inpatient, ambulatory, and dental care 

support at other MTFs and performing regional and area ancillary or administrative services to 

other MTFs. Such services include augmentation for patient care support, regional and area 

medical materiel and biomedical equipment repair, pathology (other than that done by Area 

Reference Laboratories (FAA)), radiology, and pharmacy. This account will not collect any 

expenses generated as the result of visits to the reporting facility’s ambulatory care functions or 

generated as the result of any patient who contributes an OBD to the reporting facility’s 

workload. 

 C2.6.11.6.2. Costs. Support to Other Military Medical Activities shall be 

a sub-account that includes all expenses incurred in providing regional and area ancillary and 

administrative services to other military activities, and for the expenses associated with TDY or 

TAD temporary time away from the reporting MTF to provide inpatient and ambulatory care or 

services to other MTFs. A fixed MTF receiving “loaned” personnel support will record the 

“borrowed” labor in the appropriate work center sub-account. 

 C2.6.11.7. Support to Other Federal Agencies: FCE

 C2.6.11.7.1. Function. Support to Other Federal Agencies includes the 

expenses incurred by an MTF in providing inpatient, ambulatory, and dental care support to 

other Federal Agencies and performing ancillary or administrative services to other Federal 

Agencies. Such services include augmentation for patient care support, medical materiel and 

biomedical equipment repair, pathology (other than that done by Area Reference Laboratories 

(sub-account FAA)), radiology, and pharmacy. This account shall not collect any expenses 

generated as the result of visits to the reporting facility’s ambulatory care functions or generated 

as the result of any patient who contributes an OBD to the reporting facility’s workload. 

 C2.6.11.7.2. Costs. Support to Other Federal Agencies shall be a subaccount that includes all expenses incurred in providing ancillary and administrative services to 

Federal Agencies other than military, and for the expenses associated with TDY or TAD or 

temporary time away from the reporting MTF to provide inpatient and ambulatory care or 
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services to other Federal medical activities. This sub-account excludes purchased care from the 

VA under the auspices of a VA/DoD Sharing Agreement. (See sub-account FCA, paragraph 

C2.6.11.3.1.) 

 C2.6.11.8. Inactive: FCF

 C2.6.11.9. Support to Non-MEPRS Reporting Activities: FCG

 C2.6.11.9.1. Function. The Support to Non-MEPRS Reporting Activities 

includes the time and expenses incurred by a fixed MTF, when performing medical or nonmedical-related services for, or loaning personnel to, non-MEPRS reporting activities. This 

includes time and expenses incurred in support of headquarters, regional, and base activities. 

This account shall not collect time or expense generated as a result of support to other MEPRS 

reporting MTFs. Such time and expense should be charged to FCD – Support to Other Military 

Medical Activities account. 

 C2.6.11.9.2. Costs. The Support to Non-MEPRS Reporting Activities 

shall be a sub-account that includes all expenses attributable to support non-MEPRS reporting 

medical activities. 

 C2.6.11.10. Inactive: FCH

 C2.6.11.11. Healthcare Services Support Not Elsewhere Classified: FCZ

 C2.6.11.11.1. Function. Healthcare Services Support Not Elsewhere 

Classified includes the expenses of those healthcare services support functions that satisfy the 

criteria for a work center and are not described in subparagraphs C2.6.11.3. through C2.6.11.9. 

 C2.6.11.11.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 

 C2.6.12. Military-Unique Medical Activities: FD

 C2.6.12.1. Function. The Military-Unique Medical Activities summary account 

includes all expenses of an MTF incurred because of its military mission. This is not to imply 

that certain other Special Programs accounts’ functions would be found in a civilian hospital, but 

only that the accounts summarized to this account have little, if anything, to do with patient care 

or health services. Therefore, the expenses are necessary to meet “defense needs” or to comply 

with governmental systems’ requirements. The accounts summarized are: Base OperationsMedical Installations; Non-patient Food Operations; Decedent Affairs; Initial Outfitting; Urgent 

Minor Construction; PCS/ETS Related Functions; Military-Funded Emergency Leave; In-place 

Consecutive Overseas Tour Leave; and Military-Unique Medical Activities Not Elsewhere 

Classified. 
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 C2.6.12.2. Costs. The Military Unique Medical Activities shall be a summary 

account that includes all expenses incurred in operating and maintaining the functions described 

in subparagraphs C2.6.12.4. through C2.6.12.13. 

 C2.6.12.3. Inactive: FDA

 C2.6.12.4. Base Operations – Medical Installations: FDB

 C2.6.12.4.1. Function 

 C2.6.12.4.1.1. The Base Operation – Medical Installations 

includes expenses incurred by the MTF in providing services other than health services to 

military personnel and other authorized beneficiaries. The provided services may include, but 

are not limited to, a portion of the installation supply operations, installation transportation 

activities, laundry services, recreation services, operation of utilities, maintenance and repair of 

real property, minor construction, other engineering support, standby fire-fighting capability, 

installation headquarters administration, installation data processing activities, all of the 

unaccompanied personnel housing operations and furnishings, and military family housing 

operations and furnishings. These services may be provided for the benefit of both the effective 

operation of the MTF and the personnel support facilities located within, and occasionally even 

outside, the medical installation. 

 C2.6.12.4.1.2. The budgeting and expense accounting for these 

base operations services is necessarily found in Defense Health Program (DHP) because the 

services provided directly support the medical mission. However, to provide comparability 

among the MTFs within a Service as well as among those of the other Services, that portion of 

the cost of these services that does not contribute to the provision of care of patients or 

maintenance of MTF should be excluded from inpatient, ambulatory, and dental accounts. By 

using this method of shredding out the costs, an MTF that must rely on an installation 

commander to provide these services, whose base operations costs are contained in DoD 

appropriations other than the DHP, shall be comparable to a medical installations that must 

program all base operations costs in Major Force Program VIII Medical. (See Support Services 

accounts (section C2.5.) for an explanation of which base operations costs are considered 

appropriate charges to the Inpatient Care (section C2.1.), Ambulatory Care (section C2.2.), and 

Dental Care (section C2.3.) accounts. Also see the DoD PECs “Base Operations – CONUS – 

Healthcare” and “Base Operations – OCONUS – Healthcare.”) 

 C2.6.12.4.2. Costs. The Base Operations – Medical Installations shall be 

a sub-account that includes all expenses incurred in providing personnel support to activities that 

are not directly related to MTF patient care operations. 

 C2.6.12.5. Dining Facility – Non-Patient Food Operations: FDC

 C2.6.12.5.1. Function. The Dining Facility – Non-Patient Food 

Operations is a physical location and work center. This account includes subsistence, food 

preparation, personnel, overhead, department management, square footage, and square footage 
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cleaned that can be directly attributed to the Dining Facility – Non-Patient Food Operations in 

FDC. This account includes the dining room, cashiers, serving line, and any other area or 

expense directly attributed to the Dining Facility – Non-Patient Food Operations in support of 

staff and visitors, and is unrelated to Patient care. 

 C2.6.12.5.2. Costs 

 C2.6.12.5.2.1. The Dining Facility – Non-Patient Food Operations 

shall be a sub-account that includes all expenses of maintaining and operating the Dining Facility 

Non-Patient Food Operations in the dining room. This includes the personnel, square footage, 

and subsistence that can be directly attributed to the operation of the Dining Facility – NonPatient Food Operations. That portion of the nutrition management account that is directly 

attributable to staff and visitors shall be assigned to this account. 

 C2.6.12.5.2.2. There are two types of meal service: traditional 

Meal Service where diners pay a flat rate without regard to the menu items taken and A la carte 

Meal Service where diners pay for the only selected food items. Workload comparisons should 

not be done between the two types of meal service. 

 C2.6.12.6. Decedent Affairs: FDD

 C2.6.12.6.1. Function. The Decedent Affairs Program (normally 

performed under the supervision of the patient affairs officer) prepares official notification in 

accordance with current directives for transmission or delivery to the next of kin for all deaths 

occurring on the installation; makes necessary arrangements for disposition of remains of 

deceased personnel; carries out administrative procedures incident to administration of the 

Decedent Affairs Program and the annual care-of-the-dead contract; prepares documents and 

reports required by civil and military authorities; terminates and makes final disposition of 

personnel records of deceased military personnel; and ensures proper disposition of personal 

effects of all deceased persons. 

 C2.6.12.6.2. Costs. The Decedent Affairs Program shall be a sub-account 

that includes all local expenses incurred in operating and maintaining the function. 

 C2.6.12.7. Initial Outfitting: FDE

 C2.6.12.7.1. Function. The Initial Outfitting includes expenses incurred 

for minor plant equipment and supplies needed to initially outfit newly constructed MTFs. 

 C2.6.12.7.2. Costs. The Initial Outfitting shall be a sub-account that 

includes all expenses of the equipment and supplies as well as storage, installation, and 

transportation costs incurred to initially outfit a newly constructed (to include expansion, 

extension, addition, and conversion) MTF. 

 C2.6.12.8. Urgent Minor Construction: FDF
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 C2.6.12.8.1. Function. Urgent Minor Construction includes the expenses 

incurred by an MTF to construct urgently needed permanent or temporary public works or public 

works that have been determined to result in savings in maintenance and operating costs in 

excess of the cost of the project within 3 years after completion. This applies to projects 

authorized under the provisions of section 2803 of Reference (f). (See “construction” in the 

definitions section of this Manual.) 

 C2.6.12.8.2. Costs. The Urgent Minor Construction shall be a subaccount that includes all expenses as accrued of urgent and 3-year amortized minor construction 

projects. 

 C2.6.12.9. PCS/Estimated Termination of Service (ETS) Related Functions: 

FDG

 C2.6.12.9.1. Function. Work hours and/or financial expenses related to 

an individual who has permanently departed an MTF can be coded to this account. This includes 

work hours and costs incurred for the “losing” facility where the individual has permanently 

departed, and for work hours and costs incurred by the “gaining” MTF prior to the individual 

reporting to the gaining facility. Examples of work hours and costs that shall be coded to this 

account are TDY/TAD en route to PCS, civilian PCS costs, terminal leave for civilians and 

military, Unauthorized Absence (UA), assigned military and civilians who are sentenced to 

confinement or suspension (regardless of length of time), and AWOL for 1 to 30 days for 

assigned military only (assumption is made that if an assigned Military individual is AWOL 

beyond 30 days, it will result in confinement and suspension). 

 C2.6.12.9.2. Costs. This account is to be used for assigned personnel who 

have permanently departed the MTF, but have not been removed from the local manning 

documents. AWOL, or LWOP for civilians, will not be charged to this account since this does 

not result in a disciplinary action or termination. Military Personnel only report AWOL, and do 

not report time to LWOP. 

 C2.6.12.10. Military Funded Emergency Leave: FDH

 C2.6.12.10.1. Function. The Military Funded Emergency Leave includes 

the travel expenses of military personnel in an emergency leave status where portions of the 

travel are funded by the activity. 

 C2.6.12.10.2. Costs. The Military Funded Emergency Leave is a subaccount that includes all expense with the travel expense borne by the activity for military 

personnel placed in an emergency leave status. 

 C2.6.12.11. In-Place Consecutive Overseas Tour Leave: FDI

 C2.6.12.11.1. Function. The In-Place Consecutive Overseas Tour Leave 

includes the leave travel expenses in an overseas theater when military members and their 
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immediate families are authorized funded leave in conjunction with an in-place consecutive 

overseas tour and the travel is funded by the activity. 

 C2.6.12.11.2. Costs. The In-Place Consecutive Overseas Tour Leave 

shall be a sub-account that includes all expenses with the leave travel expense borne by the 

activity for the military member and immediate family. 

 C2.6.12.12. Cost Pool: FDX

 C2.6.12.12.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.6.12.12.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.6.12.13. Military-Unique Medical Activities Not Elsewhere Classified: FDZ

 C2.6.12.13.1. Function. Includes the expenses of those Military-Unique 

Medical Activities that satisfy the criteria for a work center and are not described in paragraphs 

C2.6.12.4. through C2.6.12.12. 

 C2.6.12.13.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.6.13. Patient Movement and Military Patient Administration: FE

 C2.6.13.1. Function. The Patient Movement and Military Patient Administration 

account summarizes the expenses of an MTF that are incurred in moving patients to and between 

MTFs, providing minimum care and services while en route, and performing those personnel 

administrative functions for patients who are on active duty. The accounts summarized are. 

Patient Transportation; Patient Movement Expenses; Transient Patient Care; Military Patient 

Personnel Administration; Military Patients (Salaries); and Aeromedical Staging Facilities. 

 C2.6.13.2. Costs. The Patient Movement and Military Patient Administration 

shall be a summary account that includes all expenses incurred in operating and maintaining the 

functions described in subparagraphs C2.6.13.3. through C2.6.13.10. 

 C2.6.13.3. Ambulance Services: FEA

 C2.6.13.3.1. Function. Ambulance Services operates and maintains 

emergency medical vehicles (ambulances) and their associated equipment in accordance with 

higher headquarters, State, national, and local policies. It provides rescue, basic and advanced 

life support at the accident site and en route to the MTF, and emergency services off the military 

installation at the discretion of the MTF Commander. Ambulance Services supports training 

missions such as firing range coverage, authorized community support activities such as Boy and 
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Girl Scout jamborees, and base sporting events. It supports disaster and emergency preparedness 

plans such as the National Disaster Medical System (NDMS) and natural disasters, loads and 

unloads patients on vehicles, and checks, maintains, and stocks emergency equipment and 

supplies. 

 C2.6.13.3.2. Costs. Ambulance Services shall be a sub-account that 

includes all expenses incurred in operating and maintaining the function, such as expenses for 

personnel, supplies, travel, and any other expenses identified directly in support of Patient 

Transportation activities. 

 C2.6.13.3.3. Workload Unit. Hours of service. (This is the total hours 

the vehicle is logged out.) 

 C2.6.13.4. Patient Movement: FEB

 C2.6.13.4.1. Function. The Patient Movement includes the expenses 

incurred in moving patients to and between MTFs necessary to provide optimum care or 

determine fitness for active duty. Current regulations authorize transportation and per diem to 

patients and attendants in certain circumstances. Patient Movement operates and maintains 

Patient Transport Vehicles (PTVs) and passenger vans and buses for the movement of nonemergency patients or mass casualties and attendants to, from, and between MTFs. 

 C2.6.13.4.2. Costs. The Patient Movement shall be a sub-account that 

includes all expenses incurred by the MTF to move inpatients, outpatients, and attendants 

between MTFs to provide optimum care, or appear before medical and physical evaluation 

boards, and to support patients involved in education and research programs. Expenses in the 

movement of patients cover items such as litters, restraints, and blankets. 

 C2.6.13.5. Transient Patient Care: FEC

 C2.6.13.5.1. Function. Transient Patient Care includes all expenses 

incurred by certain MTFs that have designated transient patient beds to provide care to transient 

patients. These facilities are usually located on air routes used by the aeromedical evacuation 

system, but do not generate or receive sufficient numbers of patients to necessitate establishment 

of an aeromedical staging facility. 

 C2.6.13.5.2. Costs. The Transient Patient Care shall be a sub-account that 

includes all expenses incurred by MTFs to operate and maintain designated transient patient 

beds. 

 C2.6.13.6. Military Patient Personnel Administration: FED

 C2.6.13.6.1. Function. Military Patient Personnel Administration 

prepares and processes correspondence pertaining to military patients and prepares special orders 

for patients’ TDY or reassignment to other MTFs for consultation, treatment, or disposition. It 

assists patients in shipment of personal effects; maintains military records and related documents 
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for patients; assists patients on personal matters; and performs duties connected with evacuation 

and transfer of patients. Military Patient Personnel Administration requests reassignment 

instructions for patients through personnel channels; performs duties connected with personnel 

described on Temporary Disabled Retired List; and provides patients with statements of 

hospitalization. This includes time when supporting medical board processes and attendance at 

medical boards at the MTF. For the Army and the Navy, this function is titled “Medical Holding 

Company.” For the Air Force, it is “Patient Squadron Section.” The functional elements of this 

account are usually collocated with and supervised by the Chief, Personnel Division (Army); 

Head, Patient Administration Department (Navy); and the Medical Support Squadron 

Commander (Air Force). In small hospitals functional elements are usually performed as 

collateral or additional duties of personnel assigned to other functional areas under the supervisor 

mentioned. 

 C2.6.13.6.2. Costs. The Military Patient Personnel Administration shall 

be a sub-account that includes the salary expenses of military and civilian personnel assigned to 

authorizations specifically designated to support this function. No other personnel salary 

expenses shall be charged, such as those performing as collateral or additional duty. The account 

shall be charged with all other expenses incurred in operating and maintaining the function. 

 C2.6.13.7. Inactive: FEE

 C2.6.13.8. Aeromedical Staging Facility: FEF

 C2.6.13.8.1. Function. An Aeromedical Staging Facility is a medical unit 

that operates transient patient beds located on, or in the vicinity of an enplaning and deplaning 

air base or airstrip. It provides for the reception, administration processing, ground 

transportation, feeding and limited medical care for patients entering, en route, or leaving an 

aeromedical system. 

 C2.6.13.8.2. Costs. The Aeromedical Staging Facility shall be a subaccount that includes all expenses incurred by aeromedical staging facilities to operate and 

maintain designated transient patient beds. 

 C2.6.13.9. Cost Pool: FEX

 C2.6.13.9.1. Function. Use the cost pool in situations where time and 

expenses cannot be assigned to any one specific work center sub-account because two or more 

work centers share physical space, personnel, or supplies. 

 C2.6.13.9.2. Costs. The cost pool sub-account shall be charged with all 

expenses incurred in operating and maintaining the function(s). 

 C2.6.13.10. Patient Movement and Military Patient Administration Not 

Elsewhere Classified: FEZ
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 C2.6.13.10.1. Function. Patient Movement and Military Patient 

Administration Not Elsewhere Classified includes the expenses of Patient Movement and 

Military Patient Administration that satisfy the criteria for a work center and are not described in 

subparagraphs C2.6.13.3. through C2.6.13.9. 

 C2.6.13.10.2. Costs. Any work center sub-account established hereunder 

shall be charged with all expenses incurred in operating and maintaining the function. 

 C2.6.14. Inactive: FF

 C2.6.14.1. Inactive: FFA

 C2.6.14.2. Inactive: FFB

 C2.6.14.3. Inactive: FFC

 C2.6.14.4. Inactive: FFD

 C2.6.14.5. Inactive: FFE

 C2.6.14.6. Inactive: FFF

 C2.6.14.7. Inactive: FFG

 C2.6.14.8. Inactive: FFH

 C2.6.14.9. Inactive: FFX

 C2.6.14.10. Inactive: FFZ

C2.7. READINESS: G

 C2.7.1. Function. The Readiness account summarizes the expenses of an MTF that are 

incurred as a result of performing the readiness portion of its military mission rather than direct 

patient care. This section is necessary to prevent these expenses from being charged to the 

facility’s direct-patient care accounts without aggregating them into a non-descriptive “other” 

account. 

 C2.7.2. Costs. The Readiness functional account shall include all expenses in the 

following summary accounts: Readiness Planning and Administration, Readiness Exercises, 

Readiness Training, Unit or Personnel Deployments, Readiness Logistics Management, 

Readiness Physical Training, Peacetime Disaster Preparedness Response, and NDMS, as 

outlined in paragraphs C2.7.9. through C2.7.15. 
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 C2.7.3. Service Unit(s) Readiness Final Account Codes. Not applicable since this 

account exists only to summarize and report costs of the inclusive accounts. 

 C2.7.4. Service Unit(s) For Cost Pools. Not applicable. 

 C2.7.5. Allocation Factor For Readiness Final Account Codes. Not applicable. 

 C2.7.6. Allocation Factor For Cost Pools. Not applicable. 

 C2.7.7. Assignment Procedure For Readiness Final Account Codes. Not applicable for 

final account Special Programs. These final operating expense accounts shall not be reassigned 

during the expense allocation process described in Chapter 3. 

 C2.7.8. Assignment Procedure For Cost Pools. Not applicable. 

 C2.7.9. Readiness Planning and Administration: GA

 C2.7.9.1. Function. The Readiness Planning and Administration summary 

account is provided to collect time and expenses involved with the planning and administrative 

requirements of implementing medical readiness activities at fixed MTFs. Included in this 

account are the time and expense involved with the planning and administration of unit and 

individual deployment requirements. These include security clearances; immunizations; 

preparation of orders; coordination with personnel transportation offices; deployment briefings; 

Identification (ID) tags; Geneva ID cards; DD Form 489, “Geneva Conventions Identity Card for 

Civilians Who Accompany the Armed Forces,” and DD Form 1934, “Geneva Conventions 

Identity Card for Medical and Religious Personnel Who Serve In or Accompany the Armed 

Forces”; special clothing, equipment issue or field gear required for readiness or deployment, 

which is funded by the MTF; port calls; passport preparation; verifying personnel deployment 

checklists; medical records review; and power of attorney and will preparation. The account 

further includes such activities as scheduling, preparing and coordinating medical readiness 

exercises including their planning, evaluations, critiques and readiness and, alert status reporting. 

Included in this account are the planning and administrative activities associated with Reserve 

Forces integration and Host-Nation Support Program agreements. 

 C2.7.9.1.1. Army. Host-Nation Support Program. 

 C2.7.9.1.2. Navy 

 C2.7.9.1.2.1. Fleet Liaison. 

 C2.7.9.1.2.2. Medical Mobilization Planner. 

 C2.7.9.1.2.3. Reserve Liaison. 

 C2.7.9.1.3. Air Force. Host-Nation Support Program. 
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 C2.7.9.2. Costs. Costs associated with the functional activities described are to 

be collected under this account. 

 C2.7.9.3. Deployment Planning and Administration: GAA

 C2.7.9.3.1. Function. Deployment Planning and Administration is 

provided to collect the time and expenses involved in the planning and administration of 

individual or unit deployment requirements, such as security clearances, immunizations, 

preparation of orders, equipment issue, and port calls. 

 C2.7.9.3.2. Costs. Costs associated with the functional activities 

described are to be reported under this account. 

 C2.7.9.4. Other Readiness Planning and Administration: GAB

 C2.7.9.4.1. Function. Other Readiness Planning and Administration is 

provided to collect time and expenses involved in the planning and administration requirements 

of implementing medical readiness activities other than those related to individual or unit 

deployment. Included in this account are the planning and administrative activities associated 

with Reserve Forces integration and Host-Nation Support Program agreements. 

 C2.7.9.4.2. Costs. Costs associated with the functional activities 

described are to be reported under this account. 

 C2.7.9.5. Inactive: GAX

 C2.7.9.6. Inactive: GAZ

 C2.7.10. Readiness Peacetime/Wartime/Disaster Preparedness Training/Exercises : GB

 C2.7.10.1. Function. Readiness Training/Exercises summary account is provided 

to collect time and expenses incurred by fixed MTFs while participating in training individuals 

or units for their wartime and peacetime roles. This account includes all exercises and activities 

that practice or rehearse peacetime disaster and wartime operations. Included in this account are 

recall and alert exercises, mobilization exercises, and contingency operation plan exercises. This 

account includes both classroom and field training of active duty and Reserve Component units 

or personnel assigned to the MTF, and the time and expenses associated with lectures, 

audiovisual aids, publications, transportation, and other material. This account also includes 

such activities as classes and training in wartime operations, combat medical training, wartime 

biological warfare, military skills classes and training, and readiness skill evaluation and testing. 

It includes expenses incidental to military personnel maintaining military operational proficiency 

(e.g., pay and allowances of personnel on flying status while maintaining proficiency to support 

operational mission). This account includes activities such as disaster casualty control, alternate 

medical facility, peacetime recall exercises, shelter management, major accident responses, and 

flight line response to potential or real emergencies. Planning and administration requirements 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 171

associated with any of these activities shall also be reported in this account. This account 

includes such Service activities as: 

 C2.7.10.1.1. Army

 C2.7.10.1.1.1. Army Training and Evaluation Program. 

 C2.7.10.1.1.2. Mobilization Exercises. 

 C2.7.10.1.1.3. Emergency Deployment Readiness Exercises. 

 C2.7.10.1.1.4. Recall Exercises. 

 C2.7.10.1.1.5. Table of Organization and Equipment and 

Temporary Duty Assignment Merge Exercises. 

 C2.7.10.1.1.6. Reserve Integration Exercises. 

 C2.7.10.1.1.7. Subversion and Espionage Directed Against the 

U.S. Army. 

 C2.7.10.1.1.8. Code of Conduct Survival, Evasion, Resistance and 

Escape Training Qualification and Instructional Firing with Weapons and Weapons Systems. 

 C2.7.10.1.1.9. Training in First Aid and Emergency Medical 

Treatment. 

 C2.7.10.1.1.10. Army Individual Training Evaluation Program. 

 C2.7.10.1.1.11. Common Task Testing. 

 C2.7.10.1.1.12. Skill Qualification Test. 

 C2.7.10.1.1.13. Training for NBC defense. 

 C2.7.10.1.1.14 Geneva and Hague Convention Training. 

 C2.7.10.1.1.15 Combat Environmental Transition Training. 

 C2.7.10.1.1.16. Combat Casualty Care Course (C4). 

 C2.7.10.1.1.17. Preventive Medicine Classes. 

 C2.7.10.1.1.18. Expert Field Medical Badge. 

 C2.7.10.1.1.19. Readiness Briefings and Classes. 
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 C2.7.10.1.2. Navy

 C2.7.10.1.2.1. Mobilization Exercises. 

 C2.7.10.1.2.2. Recall Exercises. 

 C2.7.10.1.2.3. Wartime Recall Exercises. 

 C2.7.10.1.2.4. Amphibious Landing Exercises as Part of 

Amphibious Task Forces. 

 C2.7.10.1.2.5. Augmentation Exercises for Fleet Marine Force 

(FMF) Elements, Afloat. 

 C2.7.10.1.2.6. Elements, Fleet Hospitals and Hospital Ships. 

 C2.7.10.1.2.7. Training in First Aid and Emergency Medicine. 

 C2.7.10.1.2.8. Training for NBC Defense. 

 C2.7.10.1.2.9. C4. 

 C2.7.10.1.2.10. Medicine in the Tropics Course. 

 C2.7.10.1.2.11. Medical Regulating Course. 

 C2.7.10.1.2.12. Cold Weather Medicine Course. 

 C2.7.10.1.2.13. Casualty Treatment for Dental Officers. 

 C2.7.10.1.2.14. Strategic Medical Readiness and Contingency 

Course. 

 C2.7.10.1.2.15. Medical Management of Clinical Casualties. 

 C2.7.10.1.2.16. FMF School for Officers and Enlisted (if funded 

by the local MTF). 

 C2.7.10.1.2.17. Operational Entomology. 

 C2.7.10.1.2.18. Radiation Health Indoctrination. 

 C2.7.10.1.2.19. Local Mobile Medical Augmentation Readiness 

Team (MMART) Training. 
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 C2.7.10.1.2.20. Orientation Visits to FMF and Fleet Units. 

 C2.7.10.1.2.21. Shipboard Pest Management (if funded by the 

local MTF). 

 C2.7.10.1.2.22. Shipboard Fire Fighting (if funded by the local 

MTF). 

 C2.7.10.1.2.23. Shipboard Damage (if funded by the local MTF). 

 C2.7.10.1.2.24. 3M Course (if funded by the local activity). 

 C2.7.10.1.2.25. Rapidly Deployable Medical Facility (RDMF) 

Course. 

 C2.7.10.1.2.26. Fleet Hospital Training Course. 

 C2.7.10.1.2.27. Surface Medicine. 

 C2.7.10.1.2.28. Local Operational and Field Exercise Training. 

 C2.7.10.1.2.29. Operational Readiness Training. 

 C2.7.10.1.2.30. Hospital Ship Training Course. 

 C2.7.10.1.2.31. Medical Mobilization Planner Course. 

 C2.7.10.1.3. Air Force 

 C2.7.10.1.3.1. Attack Response. 

 C2.7.10.1.3.2. Exercises Contingency Support Plan (CSP) 

Exercises. 

 C2.7.10.1.3.3. Recall Plan Exercises. 

 C2.7.10.1.3.4. Alternate Medical Facility Exercises. 

 C2.7.10.1.3.5. Disaster Casualty Control Plan Exercises. 

 C2.7.10.1.3.6. Medical Contingency Response Plan Exercises. 

 C2.7.10.1.3.7. Major Accident Response Exercises. 

 C2.7.10.1.3.8. Natural Disaster Response Exercises. 
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 C2.7.10.1.3.9. Mobility Exercises. 

 C2.7.10.1.3.10. Operational Readiness Inspection Exercises. 

 C2.7.10.1.3.11. Unit Effectiveness Inspection Exercises. 

 C2.7.10.1.3.12. Major Command Directed Exercises. 

 C2.7.10.1.3.13. Chairman of the Joint Chiefs of Staff Exercises. 

 C2.7.10.1.3.14. Training in First Aid and Emergency Medicine. 

 C2.7.10.1.3.15. CSP Team Briefing. 

 C2.7.10.1.3.16. Continuing Medical Readiness Training. 

 C2.7.10.1.3.17. NBC Medical Defense. 

 C2.7.10.1.3.18. Chemical Warfare Defense. 

 C2.7.10.1.3.19. Combat Medicine. 

 C2.7.10.1.3.20. Dental Corps Readiness. 

 C2.7.10.1.3.21. Nurse Corps Readiness. 

 C2.7.10.1.3.22. Biomedical Sciences Corps Readiness. 

 C2.7.10.1.3.23. Medical Service Corps Readiness. 

 C2.7.10.1.3.24. Chemical/Biological Warfare Defense 

Qualification Training. 

 C2.7.10.1.3.25. Combat Arms. 

 C2.7.10.1.3.26. Executive Management Team Readiness. 

 C2.7.10.1.3.27. Mobility Training. 

 C2.7.10.1.3.28. Formal TDY Readiness Courses. 

 C2.7.10.1.3.29. Wartime Medical. 

 C2.7.10.1.3.30. Armed Forces Staff College Skills Training. 
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 C2.7.10.2. Costs. Costs associated with the functional activities described are to 

be summarized under this account. 

 C2.7.10.3. Readiness Peacetime/Wartime/Disaster Preparedness Training: GBA

 C2.7.10.3.1. Function. Readiness Peacetime/Wartime/Disaster 

Preparedness Training is provided to collect time and expenses incurred by the fixed MTFs while 

participating in exercises that practice or rehearse peacetime readiness or disaster training and 

operations. Such operations include training or exercises on medical readiness in the field or 

with the fleet, conducting local operational or field exercises or training carried out by the MTF 

to include Professional Military Education. 

 C2.7.10.3.2. Costs. Readiness Peacetime/Wartime/Disaster Preparedness 

Training shall be a sub-account that includes all expenses associated with the functional 

activities described under this account. 

 C2.7.10.4. Inactive: GBB

 C2.7.10.5. Inactive: GBX

 C2.7.10.6. Inactive: GBZ

 C2.7.11. Inactive: GC

 C2.7.11.1. Inactive: GCA

 C2.7.11.2. Inactive: GCB

 C2.7.11.3. Inactive: GCX

 C2.7.11.4. Inactive: GCZ

 C2.7.12. Unit or Personnel Deployments: GD

 C2.7.12.1. Function. The Unit or Personnel Deployments summary account shall 

collect time and expenses incurred by the deployment of individuals or units from fixed MTFs 

when in support of military operations or disaster responses for which TDY or TAD orders are 

issued. It is specifically directed for accounting for the lost manpower resulting from personnel 

deployments and includes Service activities such as: 

 C2.7.12.1.1. Army

 C2.7.12.1.1.1. Army Medical Department Professional Filler 

System. 

 C2.7.12.1.1.2. Proposed Operational Requirement Qualification. 
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 C2.7.12.1.1.3. Designated Rapid Deployment Personnel. 

 C2.7.12.1.1.4. Special Missions Personnel. 

 C2.7.12.1.1.5. Combat Support Hospital. 

 C2.7.12.1.2. Navy

 C2.7.12.1.2.1. Support of Fleet Hospital Ships. 

 C2.7.12.1.2.2. Augment of FMF. 

 C2.7.12.1.2.3. Augment of Afloat Forces. 

 C2.7.12.1.2.4. Support of Fleet Hospital. 

 C2.7.12.1.2.5. Augmentation of Hospital Ships. 

 C2.7.12.1.2.6. Surgical Teams. 

 C2.7.12.1.2.7. Surgical Support Teams. 

 C2.7.12.1.2.8. Augment of OCONUS MTFs. 

 C2.7.12.1.2.9. Spirit Teams. 

 C2.7.12.1.2.10. Neurosurgical Teams. 

 C2.7.12.1.2.11. Surgical Platoon Cadres. 

 C2.7.12.1.2.12. Medical Regulation Teams. 

 C2.7.12.1.2.13. OCONUS Disaster Relief and Humanitarian 

Relief. 

 C2.7.12.1.3. Air Force

 C2.7.12.1.3.1. Transportable Clinic/Squadron Medical Element. 

 C2.7.12.1.3.2. Transportable Hospitals. 

 C2.7.12.1.3.3. Contingency Hospitals. 

 C2.7.12.1.3.4. Second Echelon Units. 
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 C2.7.12.1.3.5. Aeromedical Evacuation Units. 

 C2.7.12.1.3.6. Hospital Surgery Expansion Units. 

 C2.7.12.2. Costs. Costs associated with the functional activities described are to 

be summarized under this account. 

 C2.7.12.3. Unit or Personnel Deployments: GDA

 C2.7.12.3.1. Function. Unit or Personnel Deployments is provided to 

collect the time and the expense incurred by the deployment of individuals or units from fixed 

MTFs when in support of military operations or disaster responses for which TDY or TAD 

orders are issued. This account is specifically directed at accounting for the lost manpower 

resulting from personnel deployments. 

 C2.7.12.3.2. Costs. Costs associated with the functional activities 

described are to be reported under this account. 

 C2.7.12.4. Inactive: GDX

 C2.7.12.5. Inactive: GDZ

 C2.7.13. Readiness Logistics Management: GE

 C2.7.13.1. Function. Readiness Logistics Management is provided to collect 

costs incurred in storing, maintaining, inventorying, sterilizing, rotating stock, packing, 

assembling, and positioning materiel for required WRM programs. Also included are expenses 

of maintaining wards, clinics, and other patient care areas within the medical installation that are 

required to be maintained in a readiness (standby) status only in support of contingency 

requirements. This account includes support to such Service WRM projects as: 

 C2.7.13.1.1. Army

 C2.7.13.1.1.1. Pre-Designated Medical Contingency Stores. 

 C2.7.13.1.1.2. Contingency Equipment System. 

 C2.7.13.1.2. Navy

 C2.7.13.1.2.1. Pre-Positioned War Reserves. 

 C2.7.13.1.2.2. Fixed MTF Readiness Maintenance. 

 C2.7.13.1.2.3. Maintenance and Refurbishment of Team and 

MMART Supply Block. 
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 C2.7.13.1.2.4. RDMF and Fleet Hospital Maintenance Costs 

Incurred by the local MTF. 

 C2.7.13.1.3. Air Force

 C2.7.13.1.3.1. WRM and Mobility Assets Assigned to the MTF 

for Maintenance. 

 C2.7.13.1.3.2. WRM Assemblages. 

 C2.7.13.2. Costs. Costs associated with the functional activities described are to 

be summarized in this account. Costs paid for by the appropriate Service Stock Fund are NOT to 

be included. 

 C2.7.13.3. Pre-Positioned War Reserve: GEA

 C2.7.13.3.1. Function. Pre-positioned war reserve is for the collection of 

time and expenses incurred in storing, maintaining, inventorying, sterilizing, rotating of stock, 

packing, and assembling and positioning of pre-positioned WRM when such costs are not 

absorbed by the Service’s stock fund. 

 C2.7.13.3.2. Costs. Costs associated with the functional activities 

described are to be reported under this account. 

 C2.7.13.4. Contingency Patient Care Areas: GEB

 C2.7.13.4.1. Function. Contingency Patient Care Areas is provided to 

collect the time and expenses incurred in maintaining wards, clinics, and other patient care areas 

and furnishings within the medical installation that are required to be maintained in a readiness 

(standby) status. Costs shall be assigned to this account ONLY when maintenance of the areas 

and furnishings are required to support contingency requirements. 

 C2.7.13.4.2. Costs. Costs associated with the functional activities 

described are to be reported under this account. 

 C2.7.13.5. Contingency Blocks: GEC

 C2.7.13.5.1. Function. Contingency Blocks is provided to collect the 

time and expenses incurred in storing, maintaining, inventorying, sterilizing, rotating stock, 

packing, assembling, and positioning of surgical supply and re-supply blocks, disaster 

augmentation blocks, and other contingency supply blocks. 

 C2.7.13.5.2. Costs. Costs associated with the functional activities 

described are to be reported under this account. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 179

 C2.7.13.6. Inactive: GEX

 C2.7.13.7. Inactive: GEZ

 C2.7.14. Readiness Physical Training: GF

 C2.7.14.1. Function. Readiness Physical Training is provided to collect time and 

expenses incurred at fixed MTFs for the physical training of personnel or subordinate units. 

Such training should be organized, scheduled, and carried out during normal duty hours when 

such training takes personnel away from their normal work center duties. This account includes 

the regulated testing and evaluation of unit or individual physical fitness, to include participant 

time and the time spent in organizing and supervising such testing. 

 C2.7.14.2. Costs. Costs associated with the functional activities described are to 

be summarized under this account, including the time, salary, and incidental expenses associated 

with this activity. 

 C2.7.14.3. Readiness Physical Training: GFA

 C2.7.14.3.1. Function. Readiness Physical Training is provided to collect 

time and expenses incurred at fixed MTFs for the physical training of personnel or subordinate 

units. Such training should be organized, scheduled, and carried out during normal duty hours 

when such training takes personnel away from their normal work center duties. This account 

includes the regulated testing and evaluation of unit or individual physical fitness, to include 

participant time and the time spent in organizing and supervising such testing. 

 C2.7.14.3.2. Costs. Costs associated with the functional activities 

described are to be reported under this account, including the time, salary, and incidental 

expenses associated with this activity. 

 C2.7.14.4. Inactive: GFX

 C2.7.14.5. Inactive: GFZ

 C2.7.15. Peacetime Disaster Preparedness Response and NDMS: GG

 C2.7.15.1. Function 

 C2.7.15.1.1. Peacetime Disaster Preparedness and Response account 

includes expenses incurred by fixed MTFs while participating in any peacetime disaster exercise, 

related training, or actual disaster. Disaster preparedness is concerned with natural disasters such 

as tornadoes, hurricanes, and floods, and with disasters such as chemical spills, fires, mass 

casualties, and responses to flight line emergencies. 

 C2.7.15.1.2. This account includes activities such as disaster casualty 

control, alternate medical facility, peacetime recall exercises, shelter management, major 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 180

accident responses, and flight line response to potential or real emergencies. Planning and 

administrative requirements associated with any of these activities shall also be reported in this 

account. NDMS is provided to collect time and expenses involved in the planning and 

administration requirements of implementing the NDMS. NDMS is the backbone of the DoD 

CONUS healthcare facility base. NDMS is comprised of 72 designated areas enrolling more 

than 100,000 civilian beds throughout the United States. Of the 72 designated areas, 42 are 

managed by the Department of Defense. Included in this account are time and expenses 

involved with the development and maintenance of joint Federal operations plans; recruitment, 

establishment, and maintenance of memorandums of understanding with local hospitals for 

participation in NDMS; maintenance of liaison activities with civilian agencies; design, 

development, and maintenance of Military Patient Administration Teams; coordination of area 

NDMS CE modules; assisting in the development of Disaster Medical Assistance Teams; and 

preparation, coordination, and implementation of at least one NDMS area exercise annually. 

 C2.7.15.2. Costs. The Peacetime Disaster Preparedness Response and NDMS 

shall be a summary account that includes all expenses incurred in operating and maintaining the 

function. 

 C2.7.15.3. Peacetime Disaster Preparedness Response and NDMS: GGA

 C2.7.15.3.1. Function. Disaster preparedness is concerned with natural 

disasters such as tornadoes, hurricanes, and floods, and with disasters such as chemical spills, 

fires, mass casualties, and responses to flight line emergencies. Disaster preparedness is 

concerned with natural disasters, such as tornadoes, hurricanes, floods, as well as chemical spills, 

fires, mass casualties, responses to flight line emergencies. This account includes activities such 

as disaster casualty control, alternate medical facility, peacetime recall exercises, shelter 

management, major accident responses, and flight line response to potential or real emergencies. 

NDMS Planning and Administration is provided to collect time and expenses involved in the 

planning and administration of the NDMS program at the DoD-managed NDMS designated 

areas, such as the development and maintenance of joint Federal operations plans; recruitment, 

establishment, and maintenance of memorandums of understanding with local hospitals for 

participation in NDMS; maintenance of liaison activities with civilian agencies; design, 

development, and maintenance of Military Patient Administration Teams; coordination of area 

NDMS CE modules; assistance in the development and Disaster Medical Assistance Teams; and 

all other duties associated with NDMS, other than those directly associated with preparation, 

coordination, and implementation of NDMS exercises. 

 C2.7.15.3.2. Costs. Peacetime Disaster Preparedness and Response and 

the NDMS Planning and Administration shall be a sub-account that includes all expenses 

incurred in operating and maintaining the function. Medical readiness activities shall not be 

reported in this account. The GA, GB, GC, GD, GE, and GF accounts have been established to 

collect work-hours and expenses related to medical readiness activities for wartime scenarios. 

 C2.7.15.4. Inactive: GGB

 C2.7.15.5. Inactive: GGX
DoD 6010.13-M, April 7, 2008 

 CHAPTER 2 181

 C2.7.15.6. Inactive: GGZ
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 182

C3. CHAPTER 3 

MEPRS GUIDELINES AND REPORTING REQUIREMENTS

C3.1. PURPOSE 

This chapter describes the MEPRS guidelines and reporting requirements. 

C3.2. EXPENSE ALLOCATION METHODOLOGY 

Stepdown expense assignment is the cost allocation methodology used to determine total 

operating costs for each final account. The stepdown ensures that the full cost of providing a 

service is appropriately captured and reported. This method of cost assignment uses direct 

expenses, direct labor hours, and workload data to allocate indirect costs from intermediary 

accounts in determining the final operating cost for a specific work center/cost center. A work 

center is a discrete functional or organizational subdivision of an MTF for which provision is 

made to collect and measure its expenses and determine its workload performance. (See 

“workload” in the definitions section of this Manual.) The total operating cost of the MEPRS 

final account or average cost per output should be compared with previous processing periods to 

determine trends and validate anomalies. Identified cost variances should be investigated and 

documented. 

 C3.2.1. Labor Hour Reporting Methodology 

 

 C3.2.1.1. Accurate and timely collection and processing of labor hour data is 

essential to developing and evaluating manpower staffing, analyzing productivity, and making 

labor resource decisions at all management levels. In addition, many overhead accounts allocate 

expenses based upon available labor hours. Therefore, work center/cost center personnel, 

supervisors, and managers must understand and comply with the rules and principles of 

collecting and reporting labor-hour data contained in this Manual. 

 C3.2.1.2. MTF personnel, including military, civilian, contractor, and volunteer, must 

ensure their labor hours are distributed to the appropriate work center/cost center. Labor hours 

includes both available and non-available time. (See the definitions section of this Manual.) 

Non-available hours are reported for assigned military and civilian staff only. Possible sources 

of available time are assigned, attached (including students), detailed, borrowed, contracted, and 

volunteer personnel. 

 C3.2.1.3. Personnel categories (officer, enlisted, civilian, contractor, and volunteer) and 

skill types shall be used to report available and non-available time. (See Appendix 3 and Tables 

C3.T1. and C3.T.2.) 

 C3.2.1.4. Labor hours shall be reported as FTEs in MEPRS. (See Table C1.T2. and the 

definitions section of this Manual.) 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 183

Table C3.T1. Skill Types

SKILL 

TYPE 

(ST) 

DESCRIPTION ST/SUFFIX SUBCATEGORY 

DESCRIPTION 

1 Clinician 

Includes physicians, dentists, and veterinarians 

1P 

1D 

1N 

1F 

1R 

1S 

1T 

1U 

1V 

Physician 

Dentist 

Intern – Medical 

Fellow – Medical 

Resident – Medical 

Intern – Dental 

Fellow – Dental 

Resident – Dental 

Veterinarians 

2 Direct Care Professional 

Individual licensed or certified, privileged providers 

other than a clinician, who consults with other 

healthcare professionals to assess, plan, and 

implement an effective treatment program. This 

personnel category includes physical and 

occupational therapists, podiatrists, psychologists, 

social workers, physician assistants, independent 

duty corpsmen, and advanced practice nurses. 

2Z 

2P 

2N 

2M 

2A 

2C 

2H 

2S 

2W* 

All Others in ST 2 

Physician Assistant 

Nurse Practitioner 

Nurse Midwife 

Nurse Anesthetist 

Community Health 

 Nurse 

Occupational Health 

 Nurse 

Clinical Nurse 

 Specialist 

Student-Non GME/GDE 

3 Registered Nurse 

Includes all registered nurses (except those utilized 

as advanced nurses, such as practitioners, nurse 

anesthetists, and nurse midwives, who are classified 

as Direct Care Professionals). 

3Z 

3R 

3W* 

All Others in ST 3 

Registered Nurse 

Student-Non GME/GDE 

4 Direct Care Paraprofessional 

Skilled individuals who provide technical assistance 

or follow-up to direct patient care. Includes LPN and 

LVN, medical specialists, medical technicians, X-ray 

specialists, dental lab specialists, and dental 

hygienists. 

4Z 

4L 

4A 

4W* 

All Others in ST 4 

LPV or LVN 

Nursing Assistant 

Student-Non GME/GDE 

5 Administrative, Logistics, or Clerical 

All other personnel utilized at the facility who are 

not involved in direct patient care. 

5Z 

5A 

5L 

5C 

5W* 

All Others in ST 5 

Administrators 

Logisticians 

Clerical 

Student-Non GME/GDE 

* For Defense Medical Human Resources System Internet (DMHRSi) configured sites only. Suffix “W” reporting 

will begin in FY 2008. 

Table C3.T2. FTEs

ASSIGNED FTEs Military & Civilian Calculated by dividing the number of assigned days by the number 

of days in the month for those individuals counted as part of the 

MTF assigned strength. 

AVAILABLE 

FTEs 

Calculated by dividing the total number of available hours by 168. 

NON-AVAILABLE 

FTEs 

Appendix 3 provides 

guidelines for 

differentiating 

between available 

and non-available 

time. 

Calculated by dividing the total number of non-available hours by 

168. Each category (sick, leave, and military other) should be 

computed separately. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 184

 C3.2.1.5. The use of cost pools is necessary for an inpatient ward location. (See 

the definitions section of this Manual.) Ward locations provide clinical specialty services to 

inpatient, APV, and observation patients. The expenses and FTEs are apportioned to final 

accounts based on approved allocation factors reported in the CHCS clinical source system. In 

addition, cost pools may be used when multiple work/cost centers use shared resources that are 

not easily directly attributed to a particular work/cost center. In these cases, allocation factors 

are defined as well to apportion resources to the benefiting work/cost centers. 

 C3.2.1.6. Borrowed and loaned labor hours within one reporting facility in 

support of the healthcare mission shall be charged to the benefiting work center/cost center. 

 C3.2.1.7. Contract personnel labor hours shall be credited to the work center/cost 

center for which they provide service. Actual labor hours will be reported. 

 C3.2.1.8. Reservist labor hours shall be credited to the work center/cost center for 

which they provide service. Actual labor hours will be reported. 

 C3.2.1.9. The following rules apply for determining the number of assigned FTEs 

to be charged to each work center sub-account and the distribution of personnel (salary) 

expenses. 

 C3.2.1.9.1. Monthly personnel expenses for military members shall be the 

amount prescribed on the USD(C) Web Site (Reference (o)) for the member’s grade and Military 

Service. 

 C3.2.1.9.2. Monthly personnel expenses for civilians shall be the actual 

salary provided in the Defense Civilian Personnel System file. 

 C3.2.1.9.3. Contractor personnel salary expenses are derived from the 

financial accounting system. 

 C3.2.2. EAS. The EAS IV system reports DoD workload expenses and FTEs as defined 

in this Manual. 

 

 C3.2.3. Purification. Purification is the redistribution of direct expenses and FTEs 

associated with a cost pool. Cost pools in MEPRS EAS are purified in alphabetical order as the 

first step during allocation. Each cost pool must have an assigned data set referenced on the 

Account Subset Definition (ASD), service units (workload), and expenses. The cost pool 

expenses and FTEs are distributed based on the common service unit ratio for each account 

described on the cost pool data set. 

 C3.2.4. Expense Allocation. Expense allocation is the redistribution of intermediate 

account (ancillary and support services) expenses to final MEPRS accounts (benefiting work 

center/cost center) as indirect expenses. Three essential components for the correct allocation of 

these expenses are the service units (workload), ASD, and expenses. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 185

 C3.2.4.1. Service Units. Service units are common measures of the outputs being 

produced by the MTFs, e.g., OBDs and admissions. 

 C3.2.4.1.1. Visit Criteria. The three following criteria must be met before a visit 

can be counted. 

 C3.2.4.1.1.1. There must be interaction between an authorized patient and 

a healthcare provider. 

 C3.2.4.1.1.2. Independent judgment about the patient’s care must be used, 

assessment of the patient’s condition must be made, and any one or more of the following must 

be accomplished. 

 C3.2.4.1.1.2.1. Examination. 

 C3.2.4.1.1.2.2. Diagnosis. 

 C3.2.4.1.1.2.3. Counseling. 

 C3.2.4.1.1.2.4. Treatment. 

C3.2.4.1.1.3. Documentation must be made in the patient’s authorized 

record of medical treatment. Documentation must include at least the date, name of clinic, 

reason for visit, assessment of the patient, description of the interaction between the patient and 

the healthcare provider, disposition, and signature of the provider of care. Repetitive clinic visits 

for prescribed treatment to specialty clinics (e.g., physical therapy and occupational therapy) 

shall not require full documentation after the initial visit unless there is a change in the 

prescribed treatment. There must be final documentation upon completion of prescribed 

treatment. In all instances, a clear and acceptable audit trail must be maintained. 

 C3.2.4.1.2. Classification. Classification of a visit shall not be dependent upon: 

 C3.2.4.1.2.1. Professional level of the person providing the service (e.g., 

physician, nurse, physician’s assistant, medical technician or corpsman, or medical specialist). 

 C3.2.4.1.2.2. Physical location of the patient. 

 C3.2.4.1.2.3. Technique or methods of providing healthcare service (e.g., 

telephonic or direct patient contact) when the criteria in paragraph C3.2.4.1.1. are met. 

 C3.2.4.1.3. Types of Visits. The following types of visits are reportable when the 

criteria in paragraph C3.2.4.1.1. are met. 

 C3.2.4.1.3.1. Inpatient Visit. An inpatient visit shall be counted for the 

following situations. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 186

 C3.2.4.1.3.1.1. Each time an inpatient is seen within the admitting 

MTF on a consultative basis in an outpatient clinic, or in the physical examination and standards 

section for evaluation of profile changes. 

 C3.2.4.1.3.1.2. Each time contact is made by clinic or specialty 

service members (other than the healthcare provider from the treating clinic or specialty service) 

with patients on hospital units or wards, when such services are scheduled through the respective 

clinic or specialty service, e.g., when a physical therapist is being requested by the attending 

healthcare provider to initiate certain therapy regimens to a patient who is in traction and unable 

to go to the clinic. Conversely, a routine ward round made by a physical therapist or dietitian 

shall not be counted as a visit. (See paragraph C3.2.4.1.3.3. for second opinions requested by 

patients. See paragraph C3.2.4.1.4.2. for the handling of all ward and grand rounds.) 

 C3.2.4.1.3.2. Outpatient Visit. An outpatient visit can be counted for the 

following situations. 

 C3.2.4.1.3.2.1. All visits to a separately organized clinic or 

specialty service made by patients who are not currently admitted to the reporting MTF as an 

inpatient. 

 C3.2.4.1.3.2.2. Each time medical advice or consultation is 

provided to the patient by telephone if the criteria in paragraph C3.2.4.1.1. are met. 

 C3.2.4.1.3.2.3. Each time a patient’s treatment or evaluation 

results in an admission and is not part of the preadmission or admission process. 

 C3.2.4.1.3.2.4. Each time all or part of a complete or flight 

physical examination, regardless of the type, is performed in a separately organized clinic or 

specialty service. Under this rule, a complete physical examination requiring the patient to be 

examined or evaluated in four different clinics is reported as a visit in each of the four clinics. 

(See paragraph C3.2.4.1.4. for exceptions.) 

 C3.2.4.1.3.2.5. Each time an examination, evaluation, or treatment 

is provided through an MTF-sanctioned healthcare program, in the home, school, work site, 

community center, or other location outside of a DoD MTF by a healthcare provider paid from 

appropriated funds. 

 C3.2.4.1.3.2.6. Each time one of the following tasks is performed 

when not a part of routine medical care, when the visit is associated with or related to the 

treatment of a patient for a specific condition requiring follow-up to a physical examination, and 

when the medical record is properly documented in accordance with the criteria of paragraph 

C3.2.4.1.1. 

 C3.2.4.1.3.2.6.1. Therapeutic or desensitization injections. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 187

 C3.2.4.1.3.2.6.2. Cancer detection tests (e.g., PAP smears). 

 C3.2.4.1.3.2.6.3. Blood pressure measurements. 

 C3.2.4.1.3.2.6.4. Weight measurements. 

 C3.2.4.1.3.2.6.5. Prescription renewals (not including refills). 

 C3.2.4.1.3.3. Multiple Visits (Inpatient or Outpatient)

 C3.2.4.1.3.3.1. Multi-Clinic Visits. Multiple visits may be 

counted if a patient is provided care in different clinics or is referred from one care provider to 

another care provider for consultation and is documented; e.g., a patient seen at a primary care 

clinic and two other specialty clinics on the same day can be counted as three visits. A patient 

seen in clinic in the morning and again in the afternoon can be reported as two visits as long as 

the first visit was complete; i.e., the patient was evaluated, treated, dispositioned, and the visit 

was documented properly in the medical record. If the afternoon visit is merely a continuation of 

the morning visit, then only one visit can be counted; e.g., a patient seen in the orthopedic clinic 

in the morning is sent to radiology for X-rays and then returns to the orthopedic clinic in the 

afternoon for continued evaluation or treatment. These rules apply even if the patient is admitted 

to an inpatient status immediately following a clinic visit. 

 C3.2.4.1.3.3.2. Group Visits. Only the primary provider of group 

sessions may count one visit per patient if the criteria in paragraph C3.2.4.1.1. are met. 

 C3.2.4.1.3.3.3. Multi-Provider Visits. When a patient is seen by 

more than one healthcare provider in the same clinic for the same episode of care, only one visit 

is counted per patient. If the patient requests a second opinion, a visit can be counted provided 

the criteria in paragraph C3.2.4.1.1. are met. 

 C3.2.4.1.3.3.4. Telemedicine Visits

 C3.2.4.1.3.3.4.1. Count. If a patient is present in a 

provider’s office and another provider is contacted through telemedicine, both providers may 

count the visit in their clinic specialty. This is considered a valid medical consultation, and as 

such, it requires proper medical documentation by the consulted physician ensuring that the 

criteria of a visit are met (paragraph C3.2.4.1.1.). 

 C3.2.4.1.3.3.4.2. Workload. Workload should not 

be counted if the patient is not present during the consult. 

 C3.2.4.1.3.3.4.3. Teleradiology, Telecardiology, 

and Telepathology. FTEs, labor hours, and workload are captured in the appropriate clinical 

specialty for the MTF providing the procedure (exam or read) on the patient. The consulted 

provider performing the read shall capture his or her FTEs, labor hours in the applicable subaccount (Support to Non-Federal External Providers (FCC), Support to Other Military Medical 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 188

Activities (FCD), or Support to Other Federal Agencies (FCE)) and workload in the applicable 

CPT or College of American Pathologists codes. 

 C3.2.4.1.3.3.4.4. Continuing Medical Education. 

Capture data according to current guidelines in the CE (FAL) sub-account (paragraph 

C2.6.9.14.). 

 C3.2.4.1.4. Services Not Reportable as Visits

 C3.2.4.1.4.1. Occasion of Service. Without an assessment of the 

patient’s condition or the exercise of independent judgment as to the patient’s care, screening 

examinations, procedures, or tests are classified as an “occasion of service” because they do not 

meet the criteria of paragraph C3.2.4.1.1. 

 C3.2.4.1.4.2. Ward Rounds and Grand Rounds. Ward rounds and 

grand rounds are considered part of the inpatient care regimen and are not counted as inpatient 

visits. Visits by an inpatient to an outpatient clinic for the convenience of the provider, and 

instead of ward or grand rounds, shall not be counted. 

 C3.2.4.1.4.3. Group Education and Information Sessions. These 

sessions shall not be counted when they do not meet the criteria in paragraph C3.2.4.1.1. 

 C32.4.1.4.4. Care from Non-Appropriated Fund Providers. Care 

rendered by providers paid from non-appropriated funds is not reported as a visit. 

 C3.2.4.2. ASD. The most important component of the expense allocation process is the 

ASD. It is the roadmap for expense allocation and contains a list of FCC accounts, associated 

data sets, and assignment sequence numbers. Each FCC account represents a work center/cost 

center. (See Table AP1.T1.) 

 C3.2.4.2.1. Data Sets. Data sets collect outputs used in MEPRS EAS allocation 

processing to the final MEPRS accounts. 

 C3.2.4.2.2. Account Sequence Number (ASN) for Stepdown Allocation. The 

ASN (locally assigned at the MTF) is the order in which expenses are allocated. (See Table 

C3.T3.) Expense allocation starts with the lowest ASN first. The lowest ASN supports the most 

areas in the hospital and the highest supports the fewest. As each account’s expenses are 

allocated, the account is closed. In other words, the stepdown expense allocation process will no 

longer charge expenses to a closed account. The stepdown methodology does not allow for the 

reciprocal nature of services. For instance, although housekeeping and commander support staff 

provide services for each other, allocation is only charged from the lower ASN to the higher 

ASN section. 

 C3.2.4.3. Allocation Factors. Allocation factors are used to allocate expenses 

from indirect intermediate accounts (e.g., FTEs, OBDs, visits) to final accounts. (See Appendix 

1.) 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 189

 C3.2.4.4. Expenses. Expenses for each work center/cost center are either 

captured via a financial/personnel source system or entered manually into the EAS IV system. 

Common work center expenses could be supplies, equipment, or a salary expense, including free 

receipts. (See the definitions section of this Manual.) Expenses that are merged into EAS from 

other financial systems should be validated with official reference documentation or with 

resource or budget personnel. (See paragraph C.3.3.4.) 

 C3.2.4.5. Travel Expenses. Locally funded travel expenses shall be reported as 

follows. 

 C3.2.4.5.1. Locally funded travel expenses connected with PCS orders 

shall be charged to the PCS/ETS Related Functions (FDG) sub-account under Special Programs 

(F). 

 C3.2.4.5.2. Locally funded travel connected with exercises that are 

directed and coordinated by the Chairman of the Joint Chiefs of Staff or Military Services shall 

be charged to the appropriate Readiness (G) account. 

 C3.2.4.5.3. Locally funded travel in connection with escorts for 

dependents of deceased or missing military members, supervisors of welfare and morale 

activities, and appearance before boards and courts martial or as a member of a board or courts 

martial (other than as a patient for appearance before medical and physical evaluation boards) 

shall be charged to the Military-Unique Medical Activities Not Elsewhere Classified (FDZ) subaccount. 

 C3.2.4.5.4. Locally funded travel of patients and attendants shall be 

charged to the Patient Movement Expenses (FEB) sub-account under Special Programs. 

 C3.2.4.5.5. Travel of temporarily retired military personnel is not to be 

charged to the medical facility; rather, it is a departmental personnel function and funding 

responsibility. 

 C3.2.4.5.6. Locally funded travel of personnel in support of the Guest 

Lecturer and Consultant Program shall be charged to that sub-account (FCB) under Special 

Programs. 

 C3.2.4.5.7. Locally funded travel of staff personnel to conferences, 

seminars, conventions, meetings, and courses (except those that meet the definition of 

“continuing health education”) will be charged to the work center to which the traveler is 

assigned. 

 C3.2.4.5.8. Locally funded travel in connection with a flight surgeon’s 

proficiency flying and accident prevention and investigation shall be charged to the appropriate 

Medical Readiness account under the Readiness (G) section. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 190

 C3.2.5. Reports. EAS IV is configured to generate both standard and ad hoc reports. 

These reports are valuable tools that can assist in both data quality efforts as well as management 

decision support. 

 C3.2.5.1. Management Reports. Numerous reports can be used to support 

management decision activities. The MEPRS coordinator can locally view and print the 

following standard management reports: Allocation Summary, Ambulatory Expense Analysis, 

Ancillary Expense Analysis, Dental Expense Analysis, Inpatient Expense Analysis, Cost Table 

(cost per unit), and Personnel Detail. 

 C3.2.5.2. System and Data Quality Reports. Numerous reports in EAS IV 

facilitate QC assessments of processed MEPRS data. These tools can be used to ensure data is 

processed correctly, reference tables are configured properly, and that the system is operating 

appropriately. For further information on these reports and on those listed below, refer to the 

current EAS user’s manual. 

 C3.2.5.2.1. Allocation Verification Reports. These reports show how a 

month’s data were allocated in EAS IV. 

 C3.2.5.2.2. Data Audit Reports. These reports show how data were 

changed in EAS IV within a date range or fiscal month. 

 C3.2.5.2.3. Error Correction Reports. These reports show existing 

warnings and errors for a source system in the Error Correction Unit. 

 C3.2.5.2.4. Financial Tables Reports. These reports display the tables 

that determine the financial business rules and master code tables. 

 C3.2.5.2.5. Personnel Tables Reports. These reports display the tables 

that determine the personnel business rules and master code tables. 

 C3.2.5.2.6. Workload Tables Reports. These reports display the tables 

that determine the workload business rules and master code tables. 

 C3.2.5.2.7. Site-Specific Tables Reports. These reports display the tables 

and the site-specific data used in EAS IV. 

 C3.2.5.2.8. Miscellaneous Standard Tables Reports. These reports 

display the tables that determine other business rules and master code tables. 

 C3.2.5.2.9. Table Maintenance Audit Reports. These reports show data 

changed on modifiable tables. 

 C3.2.5.2.10. Security Breach Report. This report shows when users 

logged on or off EAS IV and shows changes to the rights of a user or a user group. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 191

 C3.2.5.2.11. System Interfaces Reports. These reports are generated via 

system interfaces, such as the CHCS Miscellaneous Data Report, the Financial Pure Data Report 

and the Personnel Pure Data Report. 

 C3.2.5.11. Ad Hoc Reports. EAS IV permits the user to create unlimited 

ad hoc reports via Business Objects. 

C3.3. REPORTING REQUIREMENTS

 C3.3.1. Overview. The Service Surgeons General of the Army, the Navy, and the Air 

Force shall identify their respective MEPRS reporting facilities and ensure compliance with 

requirements of this chapter for preparation and submission of DoD MEPRS data by designated 

reporting MTFs to OASD(HA) TMA. 

 C.3.3.2. Reporting Facilities. Each medical center, hospital, and dental center is required 

to transmit EAS data on a monthly basis. Clinics that are subordinate organizational entities to a 

reporting medical center, hospital, or dental center are not required to submit separate reports 

since their workload, labor hours, and expense statistics will be included with the parent 

reporting facility’s expense and workload data. Each fixed MTF will report data for their core 

child subordinate facilities as well as their external partnership agreements. External partnership 

agreement entities will be identified via a DMIS ID and will report specific data in accordance 

with OASD(HA) TMA requirements. Each clinic that is not a subordinate entity to a reporting 

activity shall separately submit their EAS data monthly. Each Military Service shall submit a 

memorandum to the OASD(HA) TMA when a DMIS ID changes or a base closes. Six months 

before a base closes, the facility should submit a request through Military Service headquarters 

for consideration to terminate MEPRS reporting requirements. 

 C3.3.3. Frequency. Monthly, automated MEPRS/EAS data files shall be forwarded by 

each reporting facility to OASD(HA) TMA within 45 days of the end of the reported month. 

When changes to data in EAS affect the data previously reported, the changes (based on Service 

headquarters direction) shall be retransmitted to OASD(HA) TMA. 

 C3.3.4. Report Reconciliation and Data Quality 

 C3.3.4.1. Workload, financial, and personnel data shall be reconciled prior to 

submission of the data in accordance with Service and/or OASD(HA) TMA guidelines. MEPRS 

reconciliation shall be auditable to source system records for workload, financial, and personnel 

data. Manually entered data (e.g., depreciation) shall be auditable to source system records and 

other supporting documents. Information used in the reconciliation of MEPRS data shall be 

maintained for 5 years. 

 C3.3.4.2. The MEPRS reported data shall be reviewed under the guidelines of 

DoDI 6040.40 (Reference (p)) to support monthly completion of the MTF Commander’s Data 

Quality Statement. Minimum support includes validation of financial and workload 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 192

reconciliation, compliance with the reporting requirement identified in paragraph C4.2.2., and 

review of specified summary data outliers and expense allocation tests for accuracy. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 193

Table C3.T3. Alignment of Intermediate Operating Expense Accounts 

ACCOUNT FCC

Depreciation of Equipment 

Inpatient Depreciation EAA 

Ambulatory Depreciation EAB 

Dental Depreciation EAC 

Special Programs Depreciation EAD 

Readiness Depreciation EAE 

Command, Management, and Administration Command 

 Medical IM/IT EBJ 

 Command EBA 

Special Staff EBB 

Administration EBC 

Clinical Management EBD 

GME Support Expenses – Physicians Only EBI 

GDE Support Expenses – Dentists Only EBE 

Education and Training Program Support EBF 

Third Party Collection Administration EBH 

Support Services1

 

Real Property Management EDA 

Operations of Utilities EDB 

Facility Sustainment EDC 

Facility Restoration and Modernization EDD 

Other Facility Operations Support EDE 

Leases of Real Property EDF 

Transportation EDG 

Fire Protection EDH 

Police Protection EDI 

Communications EDJ 

Other Base Support Services EDK 

Materiel Management Services (except contract or installation 

provided) 

EEA 

Housekeeping1

 

Housekeeping EFA 

Biomedical Equipment Repair1

 

Biomedical Equipment Repair (Personnel, Bench Stock, and 

Shop Equipment Costs) 

EGA 

Laundry Service1

 

Laundry Service EHA 

Nutrition Management1

 

Combined Food Operations EIB 

Patient Food Operations EIA 

Inpatient Clinical Nutrition Management EIC 

Inpatient Care Administration EJA 

Ambulatory Care Patient Administration EKA 

Managed Care Administration ELA 

Central Sterile Supply and Materiel Service 

Central Sterile Supply DEA 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 3 194

ACCOUNT FCC

Pharmacy DAA 

Pathology 

Clinical Pathology DBA 

Anatomical Pathology DBB 

Radiology 

Diagnostic DCA 

Special Procedures Services 

Electrocardiography (EKG) DDA 

Electroencephalography (EEG) DDB 

Electroneuromyography (EMG) DDC 

Pulmonary Function DDD 

Cardiac Catheterization DDE 

Surgical Services 

Anesthesiology DFA 

Surgical Suite DFB 

Post-Anesthesia Care Unit DFC 

Ambulatory Nursing Services 

Ambulatory Procedure Unit DGA 

Hemodialysis DGB 

Peritoneal Dialysis DGD 

Ambulatory Nursing Services DGE 

Intensive Care 

Medical ICU DJA 

Surgical ICU DJB 

Coronary Care Unit DJC 

Neonatal ICU DJD 

Pediatric ICU DJE 

Inhalation and Respiratory Therapy DHA 

Nuclear Medicine DIA 

1. These accounts shall be moved between the Depreciation and Command, Management, and 

Administration accounts when the services are provided by contract or by an installation support service 

(other than one manned by the MTF). The relocated accounts must keep their relative alignment if more 

than one account is moved. In those instances when housekeeping is provided by both an in-house work 

force and by contract to the same reporting MTF, the account expenses for the housekeeping contract 

shall be moved up in the alignment. However, no portion of the contract expense shall be allocated to the 

in-house housekeeping account. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 4 195

C4. CHAPTER 4

ISSUE RESOLUTION PROCESS

C4.1. PURPOSE

The issue resolution process provides a mechanism for organizing, maintaining, and tracking the 

outcome of MEPRS, EAS, and associated application issues that cannot be settled at the 

individual MTF/DTF levels and/or Service levels. The process includes both an established 

issue initiation, control, and monitoring mechanism as well as a defined process to identify, 

address, and prioritize System Incident Reports (SIR) and/or SCRs related to MEPRS policy, 

business rules, or procedures. 

C4.2. POLICY 

 C4.2.1. The MMIG is the functional proponent for the tri-Service issue resolution 

process and responsible for the development, implementation, management, and integration of 

MEPRS policies, procedures, business practices, and system requirements. 

 C4.2.2. MEPRS end-users are encouraged to review these policies, procedures, and 

business practices and provide input to support data quality management, continuous process 

improvements, business process re-engineering, and change management. Issues associated with 

MEPRS should always be resolved at the lowest level within the organization and changes 

communicated throughout the Service command and across the MHS. 

 C4.2.3. Anyone who encounters problems or issues that arise from MEPRS/EAS review, 

implementation, or program requirements that cannot be resolved at the MTF/DTF level can 

submit an issue through the Service MEPRS Program Managers or the TMA MEPRS Program 

Manager using the suggested Issue Paper Resolution Format (Appendix 4) and policy. 

C4.3. RESPONSIBILITIES FOR IDENTIFICATION AND RESOLUTION OF ISSUES 

 C4.3.1. MTF MEPRS Coordinator. The MTF MEPRS Coordinator generally serves as 

the initial point of contact for resolving MEPRS issues at the MTF level and in accordance with 

Service-level guidelines. If the question has only local implications and can be resolved within 

Service-level guidelines, the coordinator must ensure the question and its resolution are 

documented in accordance with Service guidance. 

 C4.3.2. Service Headquarters MEPRS Program Manager. The Service Headquarters 

MEPRS Program Manager provides Service-specific guidance on MEPRS policy 

implementation, business rules, and Service-level MEPRS issues. This individual receives, 

reviews, and submits to TMA all issues requiring resolution above the Service level. This 

individual also provides information related to the final resolution of the issue to the MEPRS 

Coordinators and/or the issue paper originator. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 4 196

 C4.3.3. MEPRS Program Office/TMA. The MEPRS Program Office generally serves as 

the initial point of contact for MEPRS users not affiliated with an MTF or Service. In 

conjunction with the MMIG, the office develops, administers, and maintains the tri-Service issue 

resolution process. The MEPRS Program Office coordinates appropriate subject matter expert 

(SME) input as needed to resolve issues, obtains tri-Service consensus on the issue(s) in favor of 

a single standard and binding MHS resolution, and refers all issues on which tri-Service 

agreement cannot be established to the TMA RMSC for final resolution 

 C4.3.4. MMIG. The MMIG is responsible for the review and resolution of any 

differences in favor of a single standard and binding MHS solution. The MMIG serves as the 

senior staff-level body responsible for the functional oversight of the MEPRS program. The 

MMIG is responsible for the development, implementation, and management of MEPRS 

policies, procedures and business practices, and for integrating the collection, processing, and 

reporting of standard workload, financial, and labor data in EAS. 

C4.4. ISSUE IDENTIFICATION 

 C4.4.1. Issue. An issue is an important MEPRS question that is in dispute, may have triService implications, and must be resolved in order to facilitate the submission of timely, 

accurate, and complete MEPRS/EAS data. An issue is any processing problem or improvement 

that impacts data quality or performance reporting whether functional, interpretational, or 

system-related. Functional issues include policy changes like the establishment of new FCCs. 

Interpretation issues necessitate clarification and application of business rules and requirements 

set forth in this Manual or supplemental Service guidance. System-related issues are issues that 

involve hardware or software changes to accommodate policy revisions or to correct errors. 

 C4.4.2. SCRs and SIRs. These types of issues include, but are not limited to, new 

requirements, changes to existing requirements, corrections during beta testing, and table 

maintenance. The requirements for new functionality or changes/enhancements to existing 

functionality are SCRs. An SIR is related to the requirements to fix corrections occurring when 

a system output fails to satisfy a previously established system requirement. 

C4.5. ISSUE RESOLUTION PROCESS: GENERAL

The issue resolution process is divided into 4 phases as set forth in this chapter. Only issues that 

cannot be resolved at the Service level and that have a tri-Service impact should be forwarded to 

TMA. 

C4.6. PHASE 1 – INITIATION PROCESS

The issue should be submitted in writing using the Issue Paper Resolution Format. Requested 

information includes information related to the originator of the issue, the issue title, systems 

affected, supporting documentation, and recommended solution. 

 C4.6.1. Actions and Responsibilities for MEPRS Users Affiliated with an MTF/DTF
DoD 6010.13-M, April 7, 2008 

 CHAPTER 4 197

 C4.6.1.1. Service-level guidelines shall be followed for the origination and 

elevation of MEPRS questions. 

 C4.6.1.2. Technical system-related issues impacting the processing and 

transmission of data should always be submitted to the MHS Help Desk (800-600-9332). 

 C4.6.1.3. If the question(s) cannot be resolved at the local level or the issue(s) 

have Service-level implications, the Service MEPRS Program Manager shall forward a written 

statement to TMA detailing the issue, to include examples of the problem and a proposed 

solution where applicable. (See Appendix 4.) This issue paper must be coordinated with the 

other Service MEPRS Program Managers and should provide supporting objective 

documentation to include input for appropriate Service-level SMEs. 

 

 C4.6.1.4. Only the Service MEPRS Program Managers shall elevate an issue to 

the TMA MEPRS Program Office. 

 C4.6.1.5. The issue and subsequent analysis should be documented using the 

Issue Paper Resolution Format and elevated to the TMA MEPRS Program Office. 

 C4.6.2. Actions and Responsibilities for MEPRS Users Not Affiliated with an MTF/DTF 

or Service

 C4.6.2.1. All users should first attempt to resolve the issue through the MHS 

Help Desk (800-600-9332). 

 C4.6.2.2. If the issue cannot be resolved to the satisfaction of the parties 

involved, the issue should be documented using at a minimum the Issue Paper Resolution Format 

and elevated to the TMA MEPRS Program Office. 

 C4.6.2.3. Depending on the complexity of the issue, a more detailed issue paper 

may be needed to provide sufficient information for review and analysis. 

C4.7. PHASE 2 – INITIAL REVIEW AND TRACKING PROCEDURES 

Phase 2 activities take place at the TMA MEPRS Program Office and include logging the issue 

paper into the issue paper database as well as initial review and analysis of the paper. Review 

and analysis of the issue at the TMA/MEPRS Program Office will be accomplished as follows. 

 C4.7.1. Upon receipt of an issue paper, the MEPRS Program Office will assign an issue 

number and enter the information into a tracking database. 

 C4.7.2. The MEPRS Program Office will conduct an initial review of the issue, validate 

the issue as one germane to all Services, request additional clarification and information as may 

be needed, and disseminate a complete issue paper packet to all Service MEPRS Program 

Managers for review, comment, and appropriate staffing. 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 4 198

 C4.7.3. The issue paper packet will include the Issue Paper Resolution Format document 

and any other available pertinent information including a more detailed issue paper and 

additional impact summaries. 

 C4.7.4. The issue paper database will be updated on a bi-weekly basis with the latest 

actions and decisions related to the specific issue paper. 

C4.8. PHASE 3 – ISSUE COORDINATION AND RESOLUTION 

During Phase 3 of the issue resolution process, the issue paper package is distributed to the 

Service MEPRS Program Managers for their review and comment. If resolution cannot be 

obtained, a meeting is scheduled to discuss the issue and related recommendations. If necessary, 

the issue will be referred to higher levels as described in paragraph C.4.9.4. of this Manual. 

 C4.8.1. Issue paper/SCR meetings will be held to discuss outstanding issues and obtain 

consensus. 

 C4.8.2. The MMIG, which operates under the auspices of the TMA RMSC and through 

the MMIG charter, has been empowered to jointly resolve all such differences in favor of a 

single standard and binding MHS solution. The MMIG will be briefed on the status and impact 

of outstanding issue papers with the goal of achieving resolution of the issues. Outstanding issue 

papers are prioritized as: A – Critical Task, B – Important Essential Task, C – Value Added 

Task, D – Enhancement Task, and E – Non-Essential Task. 

 C4.8.3. If the MMIG is unable to reach a resolution on the issue, the issue will be 

forwarded to the OASD(HA) Tri-Service RMSC for review and, if possible, resolution. 

 C4.8.4. Issues not resolved in favor of a single standard and binding tri-Service solution 

by the RMSC will be forwarded to the Executive Director of TMA and the Deputy Surgeons 

General for their assessment. 

 C4.8.5. Issues which still cannot be resolved in favor of a single, standard, and binding 

solution will then be forwarded to the OASD(HA) and the Surgeons General for resolution. 

 C4.8.6. Upon final resolution, the issue will be returned to the MMIG for MHS-wide 

implementation and oversight. 

C4.9. PHASE 4 – FINAL DISPOSITION OF ISSUE AND PRIORITIZATION OF SCRs 

Phase 4 includes the activities related to the final disposition of this issue. The Service MEPRS 

Program Manager and the issue paper originator are notified of the outcome. When required, the 

MEPRS Program Office will coordinate with the EAS Program Office and other automated 

information system representatives for preparation of the necessary SCR. 

 C4.9.1. Upon final resolution, the MEPRS Program Office will inform the Service-Level 

Program Manager. (See paragraph C4.3.2). 
DoD 6010.13-M, April 7, 2008 

 CHAPTER 4 199

 C4.9.2. Necessary changes will be made to this Manual and changes and updates will be 

announced on the MEPRS Web-Portal. 

 C4.9.3. SCRs are prioritized by the MMIG using the same criteria as used in prioritizing 

issues: A – Critical Task, B – Important Essential Task, C – Value Added Task, D – 

Enhancement Task, and E – Non-Essential Task. Implementation is coordinated with the EAS 

Program Office. 

 C4.9.4. Issues are considered resolved when any of the following conditions are met: the 

OASD(HA) TMA and the Services reach consensus and agree to move forward with a 

recommended solution, the originator of the issue withdraws the issue, the originating Service 

concedes to MMIG consensus to withdraw the issue, or the RMSC directs final resolution. 

C4.10. PROCESSING PROCEDURES

If an issue cannot be resolved at the Service level, and the MEPRS representative of the 

sponsoring Military Service submits an issue paper to the TMA MEPRS program office, the 

following procedures shall be followed. 

 C4.10.1. Upon receipt of the issue paper, the MEPRS program office shall review, 

analyze, and distribute the Issue Paper to the Services for review and comment. (Recommended 

review period: 15 work days from receipt of issue to distribution to Services.) 

 C4.10.2. The Services shall provide comments to the MEPRS Program Office. 

(Recommended comment period: 15 work days from receipt of issue.) 

 C4.10.3. After receipt of comments and concurrence/nonconcurrence from the services, 

the MEPRS Program Office shall, if necessary, coordinate a meeting within 15 working days to 

resolve any outstanding issues. (Recommended coordination period: 15 work days from receipt 

of comments/decision from all three Services.) 

 C4.10.4. The MEPRS Program Office shall process the coordination and disposition of 

the issue. This includes, if necessary, forwarding the issue for resolution as set forth in 

paragraph C4.8. of this Manual. (Recommended disposition period: 30 work days after receipt 

of Service comments/decision or meeting with the Services.) 

 C4.10.5. Changes shall be documented for update to this Manual and coordination with 

the EAS Program Office shall be initiated. (Recommended resolution period: 10 work days 

after decision.) 

 C4.10.6. The MEPRS Program Office shall provide written notification of issue 

resolution and appropriate actions to the Service MEPRS Program Manager. (Recommended 

notification period: 15 work days after final resolution.) 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 200

AP1. APPENDIX 1

STANDARD FCC ACCOUNTS

AP1.1. PURPOSE 

This appendix describes the standard FCC accounts. The basic coding framework provides 

orientation to the approach employed for all account codes in the UCA. Detailed coding 

methodologies and their potential utility to local commands are also discussed, along with some 

coding rules and special procedures that facilitate assignment of expenses that cannot be readily 

attributed to specific receiving accounts. 

AP1.2. THE BASIC CODING APPROACH 

AP1.2.1. All activities and associated costs within or relating to an MTF fall into one of 

seven functional categories. The functional categories are designated using an alphabetic coding 

structure, and all account codes contain one of these letters (A through G) as the first character 

(“at the first level”). The functional categories are: 

A – Inpatient Care 

B – Medical Care 

C – Dental Care 

D – Ancillary Services 

E – Support Services 

F – Special Programs 

G – Readiness 

AP1.2.2. Each functional category contains one or more summary accounts that encompass 

general areas within the functional category. The second letter of the account code (“at the 

second level”) designates the summary accounts; e.g., the Inpatient Care functional category 

(first-level code “A”) contains the following 7 summary accounts. 

FUNCTIONAL CATEGORY SUMMARY ACCOUNT UCA CODE 

Inpatient Care A 

 Medical Care AA 

 Surgical Care AB 

 Ob-Gyn Care AC 

 Pediatric Care AD 

 Orthopedic Care AE 

 Psychiatric Care AF 

 Family Practice Care AG 

 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 201

AP1.2.3. Summary accounts are further refined into work center sub-accounts that collect 

the expenses incurred by the operations of the work centers or by programs maintained by the 

MTF. 

AP1.2.4. The criteria for establishing a work center are defined in paragraph DL4.49. 

AP1.2.5. The functional descriptions in Chapter 2 define each sub-account and describe the 

actual activities of an MTF. In accordance with the hierarchical structure, the sub-account 

designation is in the third position (“at the third level”) as shown in the following example. 

 FUNCTIONAL CATEGORY SUMMARY ACCOUNT SUB-ACCOUNT

 FCC CODE 

Inpatient Care A 

 Medical Care AA 

 Internal Medicine AAA 

 Dermatology AAD 

 Neurology AAJ 

AP1.2.6. Fourth-level codes are assigned for site-specific workload assignments determined 

by the Military Services. The Department of Defense does not generally prescribe standard 

fourth-level codes. The fourth level is provided to enhance the utility and flexibility of the 

account structure and is available for local management use. 

AP1.3. CATEGORIES OF EXPENSE ACCOUNTS 

AP1.3.1. The functional categories summarize all the defined costs incurred in the operation 

of a fixed MTF. The system defines 2 of these functional categories as areas that provide 

services or support to other accounts for accounting purposes. These 2 categories are 

intermediate operating expense accounts, as follows: 

D Ancillary Services 

E Support Services 

AP1.3.2. In the expense assignment process, all intermediate operating expense accounts are 

fully distributed to final operating expense accounts. The basis for this distribution is the 

allocation factor of each intermediate operating expense account. The number of this factor must 

be accumulated for all accounts receiving the benefits of an intermediate operating expense 

account. After the costs are fully assigned, the intermediate operating expense accounts contain 

zero dollar balances. 

AP1.4. SPECIAL CODING METHODOLOGIES AND LOCAL ACCOUNTS 

This section describes special MEPRS coding conventions and examples of local applications of 

fourth-level codes. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 202

AP1.4.1. “Z” Coding Conventions. Occasionally an MTF will have a clinic or activity that 

does not fall into a standard FCC account. In such cases, interim, or “Z,” codes may be used at 

the third level. Theses codes are designed to allow the system to accommodate new specialties 

while new permanent codes are being established. By convention, codes that are “not elsewhere 

classified” are identified with a “Z” at the third level. The Military Service headquarters, in 

coordination with the TMA MEPRS Program Office, must approve the use of “Z” codes. 

Coordination with TMA shall include a brief description of the specialty or service, and the 

expected or projected time frame for “Z” code usage. 

AP1.4.2. Cost Pools 

 AP1.4.2.1. In some situations, expenses cannot be assigned to specific accounts 

but are known to be incurred by a limited number of work centers. In those cases, a cost pool 

may be used. For example, the three specialties in Ward 3E shown below share a supply closet 

and the actual use of supplies from the closet cannot be practically determined. A cost pool is set 

up for the ward. Those costs that are assignable to individual codes are so assigned. However, 

those costs that are assignable to the ward, but not to specialties, flow into the cost pool. After 

all costs have been assigned to the ward, the cost pool is distributed among the specialties on a 

reasonable basis. In this case, the ratio of OBDs for each specialty compared to the total OBDs 

for the ward is used to distribute the cost pool. 

 WARD 3E

SPECIALTY ACCOUNT CODE

General Surgery ABA 

Plastic Surgery ABI 

Urology ABK 

 AP1.4.2.2. By convention, cost pools are identified by an “X” at the third level 

followed by a letter. In the example above, the cost pool for Ward 3E may be identified by 

ABXA. Another ward, 4W, primarily a medical ward, may use cost pool AAXA; Ward 4E (also 

medical) uses AAXB, and so on. This is the only use of the letter “X” at the third level. 

 AP1.4.2.3. Workload may not be assigned to cost pools by ancillary services 

except for ward and clinic issues by Central Sterile Supply and Pharmacy. 

 AP1.4.3. Application of Fourth-Level Codes for Remote Facilities. Only the Military 

Service headquarters can determine and approve the use of site-specific fourth-level codes. The 

use and approval of fourth-level MEPRS codes for remote facilities are dictated and approved by 

the respective Service headquarters. 

AP1.5. LIST OF STANDARD FCCs
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 203

Table AP1.T1. lists the standard FCC accounts. Except for changes authorized by the 

Department of Defense, these codes shall not be altered or added to on the first, second, or third 

levels. Only cost pools (“X” codes) may be created locally. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 204

Table AP1.T1. Standard FCC Accounts

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

A INPATIENT CARE 

AA MEDICAL CARE 

AAA_ INTERNAL MEDICINE OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAB_ CARDIOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAD_ DERMATOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAE_ ENDOCRINOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAF_ GASTROENTEROLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAG_ HEMATOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAI_ NEPHROLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 205

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

AAJ_ NEUROLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAK_ ONCOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAL_ PULMONARY AND UPPER 

RESPIRATORY DISEASE 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAM_ RHEUMATOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAN_ PHYSICAL MEDICINE OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAO_ CLINICAL IMMUNOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAQ_ BONE MARROW TRANSPLANT OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAR_ INFECTIOUS DISEASE OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 206

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

AAS_ ALLERGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AAX_ INPATIENT MEDICAL CARE 

COST POOLS 

AAX_/DMIS ID NUMBER OF 

OBDs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

AAZ_ MEDICAL CARE NOT 

ELSEWHERE CLASSIFIED 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AB SURGICAL CARE 

ABA_ GENERAL SURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABB_ CARDIOVASCULAR AND 

THORACIC SURGERY 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABD_ NEUROSURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABE_ OPHTHALMOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABF_ ORAL SURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 207

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

ABG_ OTOLARYNGOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABH_ PEDIATRIC SURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABI_ PLASTIC SURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABJ_ PROCTOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABK_ UROLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABL_ ORGAN TRANSPLANT OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABM_ BURN UNIT (BROOKE ARMY 

MEDICAL CENTER ONLY) 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABN_ PERIPHERAL VASCULAR 

SURGERY 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 208

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

ABQ_ VASCULAR AND 

INTERVENTIONAL RADIOLOGY 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ABX_ INPATIENT SURGICAL CARE 

COST POOLS 

ABX_/DMIS ID NUMBER OF 

OBDs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

ABZ_ SURGICAL CARE NOT 

ELSEWHERE CLASSIFIED 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AC OB-GYN CARE 

ACA_ GYNECOLOGY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ACB_ OBSTETRICS OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ACX_ INPATIENT OB-GYN CARE COST 

POOLS 

ACX_/DMIS ID NUMBER OF 

OBDs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

ACZ_ OB-GYN CARE NOT ELSEWHERE 

CLASSIFIED 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AD PEDIATRIC CARE 

ADA_ PEDIATRICS OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ADB_ NEWBORN NURSERY OBD; 

ADM; 

DISP 

NUMBER OF 

BASSINET 

DAYs; 

NUMBER OF 

ADMs; NUMBER 

OF DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 209

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

ADD_ ADOLESCENT PEDIATRICS OBD ; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

ADX_ INPATIENT PEDIATRIC CARE 

COST POOLS 

ADX_/DMIS ID NUMBER OF 

OBDs AND/OR 

BASSINET 

DAYs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

ADZ_ PEDIATRIC CARE NOT 

ELSEWHERE CLASSIFIED 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AE ORTHOPEDIC CARE 

AEA_ ORTHOPEDICS OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AEB_ PODIATRY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AEC_ HAND SURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AEX_ INPATIENT ORTHOPEDIC COST 

POOLS 

AEX_/DMIS ID NUMBER OF 

OBDs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

AEZ_ ORTHOPEDIC CARE NOT 

ELSEWHERE CLASSIFIED 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AF PSYCHIATRIC CARE 

AFA_ PSYCHIATRY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 210

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

AFB_ SUBSTANCE ABUSE 

REHABILITATION 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AFX_ INPATIENT PSYCHIATRIC CARE 

COST POOLS 

AFX_/DMIS ID NUMBER OF 

OBDs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

AFZ_ PSYCHIATRIC CARE NOT 

ELSEWHERE CLASSIFIED 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AG FAMILY PRACTICE CARE 

AGA_ FAMILY PRACTICE MEDICINE OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGB_ FAMILY PRACTICE SURGERY OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGC_ FAMILY PRACTICE OBSTETRICS OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGD_ FAMILY PRACTICE PEDIATRICS OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; 

NUMBER OF 

ADMs; NUMBER 

OF DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGE_ FAMILY PRACTICE 

GYNECOLOGY 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; 

NUMBER OF 

ADMs; NUMBER 

OF DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 211

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

AGF_ FAMILY PRACTICE 

PSYCHIATRY 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; 

NUMBER OF 

ADMs; NUMBER 

OF DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGG_ FAMILY PRACTICE 

ORTHOPEDICS 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; 

NUMBER OF 

ADMs; NUMBER 

OF DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGH_ FAMILY PRACTICE NEWBORN 

NURSERY 

OBD; 

ADM; 

DISP 

NUMBER OF 

BASSINET 

DAYs; 

NUMBER OF 

ADMs; NUMBER 

OF DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; 

DISP 

AGX_ INPATIENT FAMILY PRACTICE 

COST POOLS – MUST HAVE 

APPROVAL TO USE 

AGX_/DMIS ID NUMBER OF 

OBDs AND/OR 

BASSINET 

DAYs 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

AGZ_ FAMILY PRACTICE NOT 

ELSEWHERE CLASSIFIED – 

MUST HAVE APPROVAL TO USE 

OBD; 

ADM; 

DISP 

NUMBER OF 

OBDs; NUMBER 

OF ADMs; 

NUMBER OF 

DISPs 

N/A N/A OBD W/ANC & 

W/PROF; 

OBD W/ANC & 

W/O PROF; 

OBD W/O ANC & 

W/O PROF; 

ADM; DISP 

B AMBULATORY CARE 

BA MEDICAL CARE 

BAA_ INTERNAL MEDICINE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAB_ ALLERGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAC_ CARDIOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 212

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BAE_ DIABETIC CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAF_ ENDOCRINOLOGY 

(METABOLISM) CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAG_ GASTROENTEROLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAH_ HEMATOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAI_ HYPERTENSION CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAJ_ NEPHROLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAK_ NEUROLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 213

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BAL_ NUTRITION CLINIC – INCLUDES 

OUTPATIENT AND INPATIENT 

VISITS 

OUTPT VISITS; 

INPATIENT 

VISITS; TOTAL 

VISITS; AMB 

WTD PROC 

(ADM ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAM_ ONCOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAN_ PULMONARY DISEASE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAO_ RHEUMATOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAP_ DERMATOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAQ_ INFECTIOUS DISEASE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAR_ PHYSICAL MEDICINE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 214

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BAS_ RADIATION THERAPY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAT_ BONE MARROW TRANSPLANT 

CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAU_ GENETICS CLINIC (KEESLER 

ONLY) 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAV_ HYPERBARIC MEDICINE OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BAX_ AMBULATORY MEDICAL CARE 

COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BAZ_ MEDICAL CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BB SURGICAL CARE 

BBA_ GENERAL SURGERY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 215

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BBB_ CARDIOVASCULAR & 

THORACIC SURGERY CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBC_ NEUROSURGERY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBD_ OPHTHALMOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBE_ ORGAN TRANSPLANT CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBF_ OTOLARYNGOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBG_ PLASTIC SURGERY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBH_ PROCTOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 216

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BBI_ UROLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBJ_ PEDIATRIC SURGERY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBK_ PERIPHERAL VASCULAR 

SURGERY CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBL_ PAIN MANAGEMENT CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBM_ VASCULAR AND 

INTERVENTIONAL RADIOLOGY 

CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBN_ BURN CLINIC (BROOKE ARMY 

MEDICAL CENTER ONLY) 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BBX_ AMBULATORY SURGICAL CARE 

COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BBZ_ SURGICAL CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 217

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BC OB-GYN CARE 

BCA_ FAMILY PLANNING CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BCB_ GYNECOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BCC_ OBSTETRICS CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BCD_ BREAST CARE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BCX_ AMBULATORY OB-GYN CARE 

COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BCZ_ OB-GYN CARE NOT ELSEWHERE 

CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BD PEDIATRIC CARE 

BDA_ PEDIATRIC CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 218

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BDB_ ADOLESCENT CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BDC_ WELL-BABY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY) 

BDX_ AMBULATORY PEDIATRIC 

CARE COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BDZ_ PEDIATRIC CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BE ORTHOPEDIC CARE 

BEA_ ORTHOPEDIC CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BEC_ HAND SURGERY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BED_ CHIROPRACTIC CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 219

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BEE_ ORTHOTIC LABORATORY OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BEF_ PODIATRY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BEX_ AMBULATORY ORTHOPEDIC 

CARE COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BEZ_ ORTHOPEDIC CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BF PSYCHIATRIC/ MENTAL 

HEALTHCARE 

 

BFA_ PSYCHIATRY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BFB_ PSYCHOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BFC_ CHILD GUIDANCE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 220

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BFD_ MENTAL HEALTH CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BFE_ SOCIAL WORK CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BFF_ SUBSTANCE ABUSE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BFX_ AMBULATORY PSYCHIATRIC/ 

MENTAL HEALTHCARE COST 

POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BFZ_ PSYCHIATRIC AND MENTAL 

HEALTHCARE NOT ELSEWHERE 

CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BG FAMILY PRACTICE CARE 

BGA_ FAMILY PRACTICE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BGX_ AMBULATORY FAMILY 

PRACTICE COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BGZ_ FAMILY PRACTICE CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY) 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 221

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BH PRIMARY MEDICAL CARE 

BHA_ PRIMARY CARE CLINICS OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHB_ MEDICAL EXAMINATION 

CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHC_ OPTOMETRY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHD_ AUDIOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHE_ SPEECH PATHOLOGY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHF_ COMMUNITY HEALTH CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHG_ OCCUPATIONAL HEALTH 

CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 222

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BHI_ IMMEDIATE CARE CLINIC 

(FOR SITES NOT AUTHORIZED 

AN EMERGENCY ROOM) 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BHX_ AMBULATORY PRIMARY 

MEDICAL CARE COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BHZ_ PRIMARY MEDICAL CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BI EMERGENCY MEDICAL CARE 

BIA_ EMERGENCY MEDICAL CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BIX_ AMBULATORY EMERGENCY 

MEDICAL CARE COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BIZ_ EMERGENCY MEDICAL CLINIC 

NOT ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BJ FLIGHT MEDICINE CARE 

BJA_ FLIGHT MEDICINE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BJX_ AMBULATORY FLIGHT 

MEDICINE CARE COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BJZ_ FLIGHT MED CARE NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY) 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 223

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

BK UNDERSEAS MEDICINE CARE 

BKA_ UNDERSEAS MEDICINE CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BKX_ AMBULATORY UNDERSEAS 

MEDICINE CLINIC COST POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BKZ_ UNDERSEAS MEDICINE CARE 

NOT CLASSIFIED ELSEWHERE 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BL REHABILITATIVE AMBULATORY 

SERVICES 

 

BLA_ PHYSICAL THERAPY CLINIC OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BLB_ OCCUPATIONAL THERAPY 

CLINIC 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

BLX_ AMBULATORY 

REHABILITATIVE 

AMBULATORY SERVICES COST 

POOLS 

TOTAL VISITS NUMBER OF 

VISITS 

N/A TOTAL VISITS N/A 

BLZ_ REHABILITATIVE 

AMBULATORY SERVICES NOT 

ELSEWHERE CLASSIFIED 

OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

AMBULATORY 

WEIGHTED 

PROCS (ADM 

DATA ONLY) 

N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC; 

AMB WTD PROC 

(ADM ONLY); 

APV (B__5 

ONLY); 

OBS (B__0 ONLY)

C DENTAL CARE 

CA DENTAL SERVICES 

CAA_ DENTAL CARE DENTAL WTD 

PROC 

N/A WEIGHTED 

PROCEDURES

N/A DENTAL WTD 

PROC 

DENTAL AP (C__5 

ONLY) 

CAX_ DENTAL CARE COST POOLS DENTAL WTD 

PROC 

N/A WEIGHTED 

PROCEDURES 

DENTAL WTD 

PROC 

N/A 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 224

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

CAZ_ DENTAL SVC CARE NOT 

ELSEWHERE CLASSIFIED 

DENTAL WTD 

PROC 

N/A WEIGHTED 

PROCEDURES 

N/A DENTAL WTD 

PROC; 

DENTAL AP (C__5 

ONLY) 

CB DENTAL PROSTHETICS 

CBA_ DENTAL LABORATORY DENTAL WTD 

PROC 

N/A WEIGHTED 

PROCEDURES

N/A DENTAL WTD 

PROC 

DENTAL AP (C__5 

ONLY) 

CBX_ DENTAL LABORATORY COST 

POOLS 

DENTAL WTD 

PROC 

N/A WEIGHTED 

PROCEDURES 

DENTAL WTD 

PROC 

N/A 

CBZ_ DENTAL PROSTHETICS CARE 

NOT ELSEWHERE CLASSIFIED 

DENTAL WTD 

PROC 

N/A WEIGHTED 

PROCEDURES 

N/A DENTAL WTD 

PROC; 

DENTAL AP (C__5 

ONLY) 

D ANCILLARY SERVICES 

DA PHARMACY SERVICE 

DAA_ PHARMACY DAA_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

PHARM WTD 

PROC 

PHARM WTD 

PROC 

DAX_ PHARMACY COST POOLS DAX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DAZ_ PHARMACY NOT ELSEWHERE 

CLASSIFIED 

DAZ_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

PHARM WTD 

PROC 

PHARM WTD 

PROC 

DB PATHOLOGY 

DBA_ CLINICAL PATHOLOGY DBA_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC LAB WTD PROC 

DBB_ ANATOMICAL PATHOLOGY DBB_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC LAB WTD PROC 

DBD_ CYTOGENETIC LABORATORY DBD_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC LAB WTD PROC 

DBE_ MOLECULAR GENETIC 

LABORATORY 

DBE_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC LAB WTD PROC 

DBF_ BIOCHEMICAL GENETIC 

LABORATORY 

DBF_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC LAB WTD PROC 

DBX_ PATHOLOGY COST POOLS DBX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DBZ_ PATHOLOGY NOT ELSEWHERE 

CLASSIFIED 

DBZ_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC LAB WTD PROC 

DC RADIOLOGY 

DCA_ DIAGNOSTIC RADIOLOGY DCA_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC RAD WTD PROC 

DCX_ RADIOLOGY COST POOLS DCX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DCZ_ RADIOLOGY NOT ELSEWHERE 

CLASSIFIED 

DCZ_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC RAD WTD PROC 

DD SPECIAL PROCEDURES SERVICES 

DDA_ ELECTROCARDIOGRAPHY DDA_/DMIS ID N/A WEIGHTED 

PROCEDURES 

WTD PROC ECG WTD PROC 

DDB_ ELECTROENCEPHALOGRAPHY DDB_/DMIS ID N/A WEIGHTED 

PROCEDURES 

WTD PROC EEG WTD PROC 

DDC_ ELECTRONEUROMYOGRAPHY DDC_/DMIS ID N/A WEIGHTED 

PROCEDURES 

WTD PROC EMG WTD PROC 

DDD_ PULMONARY FUNCTION DDD_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC RT/PF WTD PROC

DDE_ CARDIAC CATHETERIZATION DDE_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC CARD CATH WTD 

PROC 

DDX_ SPECIAL PROCEDURES 

SERVICES COST POOLS 

DDX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 225

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

DDZ_ SPECIAL PROCEDURES 

SERVICES NOT ELSEWHERE 

CLASSIFIED 

DDZ_/DMIS ID GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

GENERIC 

AMOUNT IN 

WTD FIELD 

SPEC WTD PROC 

DE CENTRAL STERILE SUPPLY/ 

MATERIEL SERVICES 

 

DEA_ CENTRAL STERILE SUPPLY DEA_/DMIS ID N/A HOURS OF 

SERVICE 

HRS OF SVC CSS HRS OF SVC 

DEX_ CENTRAL STERILE SUPPLY 

COST POOLS 

DEX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DEZ_ CENTRAL STERILE SUPPLY NOT 

ELSEWHERE CLASSIFIED 

DEZ_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DF SURGICAL SERVICES 

DFA_ ANESTHESIOLOGY DFA_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

DFA MINUTES OF 

SERVICE 

DFB_ SURGICAL SUITE DFB_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

DFB MINUTES OF 

SERVICE 

DFC_ POST ANESTHESIA CARE UNIT DFC_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

DFC MINUTES OF 

SERVICE 

DFX_ SURGICAL SERVICES COST 

POOLS 

DFX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DFZ_ SURGICAL SERVICES NOT 

ELSEWHERE CLASSIFIED 

DFZ_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

DG SAME DAY SERVICES 

DGA_ AMBULATORY PROCEDURE 

UNIT 

DGA_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

APU MINUTES OF 

SERVICE 

DGB_ HEMODIALYSIS DGB_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

DIALYSIS 

MINUTES OF 

SERVICE 

DGD_ PERITONEAL DIALYSIS DGD_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

DIALYSIS 

MINUTES OF 

SERVICE 

DGE AMBULATORY NURSING 

SERVICES 

DGE_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

ANS MINUTES OF 

SERVICE 

DGX_ SAME DAY SERVICES COST 

POOLS 

DGX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DGZ_ SAME DAY SERVICES NOT 

ELSEWHERE CLASSIFIED 

DGZ_/DMIS ID NUMBER OF 

PATIENTS 

MINUTES OF 

SERVICE 

MINUTES OF 

SERVICE 

N/A 

DH REHABILITATIVE SERVICES 

DHA_ INHALATION/RESPIRATORY 

THERAPY 

DHA_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC RT/PF WTD PROC

DHX_ REHABILITATIVE SERVICES 

COST POOLS 

DHX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DHZ_ REHABILITATIVE SERVICES 

NOT ELSEWHERE CLASSIFIED 

DHZ_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC N/A 

DI NUCLEAR MEDICINE 

DIA_ NUCLEAR MEDICINE CLINIC DIA_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC NUC MED WTD 

PROC 

DIX_ NUCLEAR MEDICINE COST 

POOLS 

DIX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DIZ_ NUCLEAR MEDICINE NOT 

ELSEWHERE CLASSIFIED 

DIZ_/DMIS ID NUMBER OF 

PROCEDURES 

WEIGHTED 

PROCEDURES 

WTD PROC N/A 

DJ INTENSIVE CARE 

DJA_ MEDICAL ICU DJA_/DMIS ID NUMBER OF 

ICU HOURS OF 

SERVICE 

N/A ICU HRS OF 

SVC 

ICU HRS OF SVC 

DJB_ SURGICAL ICU DJB_/DMIS ID NUMBER OF 

ICU HOURS OF 

SERVICE 

N/A ICU HRS OF 

SVC 

ICU HRS OF SVC 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 226

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

DJC_ CORONARY CARE UNIT DJC_/DMIS ID NUMBER OF 

ICU HOURS OF 

SERVICE 

N/A ICU HRS OF 

SVC 

ICU HRS OF SVC 

DJD_ NICU DJD_/DMIS ID NUMBER OF 

ICU HOURS OF 

SERVICE 

N/A ICU HRS OF 

SVC 

ICU HRS OF SVC 

DJE_ PEDIATRIC ICU DJE_/DMIS ID NUMBER OF 

ICU HOURS OF 

SERVICE 

N/A ICU HRS OF 

SVC 

ICU HRS OF SVC 

DJX_ INTENSIVE CARE COST POOLS DJX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

DJZ_ ICU NOT ELSEWHERE 

CLASSIFIED 

DJZ_/DMIS ID NUMBER OF 

ICU HOURS OF 

SERVICE 

N/A ICU HRS OF 

SVC 

ICU HRS OF SVC 

E SUPPORT SERVICES 

EA DEPRECIATION 

EAA_ INPATIENT DEPRECIATION OBD NUMBER OF 

OBDs 

N/A OBD N/A 

EAB_ AMBULATORY DEPRECIATION TOTAL VISITS NUMBER OF 

TOTAL VISITS 

N/A TOTAL VISITS N/A 

EAC_ DENTAL DEPRECIATION EAC_/DMIS ID DENTAL EQUIP 

COST 

N/A DENTAL 

EQUIP COST 

N/A 

EAD_ SPECIAL PROGRAMS 

DEPRECIATION 

EAD_/DMIS ID SPEC PROG 

EQUIP COST 

N/A SPEC PROG 

EQUIP COST 

N/A 

EAE_ MEDICAL READINESS 

DEPRECIATION 

EAE_/DMIS ID READINESS 

EQUIP COST 

N/A READINESS 

EQUIP COST 

N/A 

EB COMMAND, MANAGEMENT, AND 

ADMINISTRATION 

 

EBA_ COMMAND STAFF FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBB_ SPECIAL STAFF FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBC_ ADMINISTRATION FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBD_ CLINICAL MANAGEMENT FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBE_ GME SUPPORT EXPENSES FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBF_ EDUCATION & TRAINING 

PROGRAM SUPPORT 

FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBH_ THIRD PARTY COLLECTION 

ADMINISTRATION 

CLAIMS 

BILLED 

NUMBER OF 

CLAIMS 

BILLED 

N/A CLAIMS 

BILLED 

N/A 

EBI_ GDE SUPPORT EXPENSES FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBJ_ SERVICE MEDICAL IM/IT FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EBZ_ COMMAND, MANAGEMENT, 

AND ADMINISTRATION NOT 

ELSEWHERE CLASSIFIED 

EBZ_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

ED SUPPORT SERVICES 

EDA_ REAL PROPERTY 

MANAGEMENT 

SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDB_ OPERATION OF UTILITIES SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 227

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

EDC_ FACILITY SUSTAINMENT 

PROPERTY 

SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDD_ FACILITY RESTORATION AND 

MODERNIZATION 

SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDE_ OTHER FACILITY OPERATIONS 

SUPPORT 

SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDF_ LEASES OF REAL PROPERTY SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDG_ TRANSPORTATION EDG_/DMIS ID NUMBER OF 

MILES DRIVEN 

N/A MILES 

DRIVEN 

N/A 

EDH_ FIRE PROTECTION SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDI_ POLICE PROTECTION SQ FT NUMBER OF SQ 

FT 

N/A SQ FT N/A 

EDJ_ COMMUNICATIONS FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EDK_ OTHER BASE SUPPORT 

SERVICES 

FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

EDZ_ SUPPORT SVC-NOT ELSEWHERE 

CLASSIFIED 

EDZ_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

EE MATERIEL SERVICES N/A N/A 

EEA_ MATERIEL MANAGEMENT 

SERVICES 

EEA_DMIS ID N/A DOLLAR 

VALUE OF 

SUPPLIES 

AND/OR 

EQUIPMENT 

ISSUED 

SUPPLY/EQUI

P ISSUED 

N/A 

EEZ_ MATERIEL SVCS NOT 

ELSEWHERE CLASSIFIED 

EEZ_DMIS ID N/A SUPPLY EQUIP 

ISSUED 

SUPPLY/EQUI

P ISSUED 

N/A 

EF HOUSEKEEPING 

EFA_ HOUSEKEEPING SQ FT 

CLEANED 

NUMBER OF SQ 

FT CLEANED 

N/A SQ FT 

CLEANED 

N/A 

EFZ_ HOUSEKEEPING NOT 

ELSEWHERE CLASSIFIED 

SQ FT 

CLEANED 

NUMBER OF SQ 

FT CLEANED 

N/A SQ FT 

CLEANED 

N/A 

EG BIOMEDICAL EQUIPMENT 

REPAIR 

 

EGA_ BIOMEDICAL EQUIP REPAIR EGA_/DMIS ID N/A BIOMED EQUIP 

HRS 

BIOMED 

EQUIP HRS 

N/A 

EGZ_ BIOMED RPR SVC NOT 

ELSEWHERE CLASSIFIED 

EGZ_/DMIS ID N/A BIOMED EQUIP 

HRS 

BIOMED 

EQUIP HRS 

N/A 

EH LAUNDRY SERVICE 

EHA_ LAUNDRY SERVICE EHA_/DMIS ID NUMBER OF 

DRY LBS 

LAUNDRY 

N/A LBS 

LAUNDRY 

N/A 

EHZ_ LAUNDRY SVC NOT 

ELSEWHERE CLASSIFIED 

EHZ_/DMIS ID NUMBER OF 

DRY LBS 

LAUNDRY 

N/A LBS 

LAUNDRY 

N/A 

EI NUTRITION MANAGEMENT 

EIA_ PATIENT FOOD OPERATIONS EIA MEALS 

SERVED 

NUMBER 0F 

MEALS SERVED

N/A NUMBER 0F 

MEALS 

SERVED 

N/A 

EIB_ COMBINED FOOD OPERATIONS EIB MEALS 

SERVED 

NUMBER OF 

MEALS SERVED

N/A NUMBER 0F 

MEALS 

SERVED 

N/A 

EIC_ INPATIENT CLINICAL 

NUTRITION MANAGEMENT 

WTD NUTR 

PROC 

N/A WTD NUTR 

PROC 

WTD NUTR 

PROC 

N/A 

EIZ_ NUTRITION MANAGEMENT NOT 

ELSEWHERE CLASSIFIED 

EIZ_/ DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 228

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

EJ INPATIENT CARE 

ADMINISTRATION 

 

EJA_ INPATIENT ADMINISTRATION DISP NUMBER OF 

DISPOSITIONS 

N/A DISP N/A 

EJZ_ INPATIENT ADMINISTRATION 

NOT ELSEWHERE CLASSIFIED 

DISP NUMBER OF 

DISPOSITIONS 

N/A DISP N/A 

EK AMBULATORY CARE PATIENT 

ADMINISTRATION 

 

EKA_ AMBULATORY CARE PATIENT 

ADMINISTRATION 

TOTAL VISITS NUMBER OF 

TOTAL VISITS 

N/A TOTAL VISITS N/A 

EKZ_ AMBULATORY CARE PATIENT 

ADINISTRATION NOT 

ELSEWHERE CLASSIFIED 

TOTAL VISITS NUMBER OF 

TOTAL VISITS 

N/A TOTAL VISITS N/A 

EL MANAGED CARE 

ELA_ MANAGED CARE 

ADMINISTRATION 

FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

ELZ_ MANAGED CARE 

ADMINISTRATION NOT 

ELSEWHERE CLASSIFIED 

FTES N/A AVAILABLE 

FTES 

AVAILABLE 

FTES 

N/A 

F SPECIAL PROGRAMS 

FA SPECIFIED HEALTH-RELATED 

PROGRAMS 

 

FAA_ AREA REFERENCE 

LABORATORIES 

F ACCT WTD 

PROC 

N/A WEIGHTED 

PROCEDURES 

N/A N/A 

FAB_ AREA DENTAL PROSTHETIC 

LAB TYPE 1 

F ACCT WTD 

PROC 

N/A WEIGHTED 

PROCEDURES 

N/A N/A 

FAC_ OPHTHALMIC FABRICATION 

AND REPAIR 

F ACCT RAW 

PROC 

NUMBER OF 

SPECTACLES 

FABRICATED 

OR REPAIRED 

N/A N/A N/A 

FAD_ DOD MILITARY BLOOD 

PROGRAM 

N/A N/A N/A N/A N/A 

FAF_ DOD SCREENING AND TESTING 

PROGRAM 

F ACCT RAW 

PROC 

NUMBER OF 

TESTS 

N/A N/A N/A 

FAH_ CLINICAL INVESTIGATION 

PROGRAM 

N/A N/A N/A N/A N/A 

FAI_ PHYSIOLOGICAL 

TRAINING/SUPPORT PROGRAM 

N/A N/A N/A N/A N/A 

FAK_ MEDICAL TRAINEE EXPENSES 

OTHER THAN GME 

N/A N/A N/A N/A N/A 

FAL_ CONTINUING HEALTH 

EDUCATION 

N/A N/A N/A N/A N/A 

FAM_ GME INTERN/RESIDENT 

EXPENSES 

N/A N/A N/A N/A N/A 

FAN_ GDE INTERN/RESIDENCY 

EXPENSES 

N/A N/A N/A N/A N/A 

FAO_ GME FELLOWSHIP/ RESIDENT 

EXPENSE – FULL TIME 

RESEARCH 

N/A N/A N/A N/A N/A 

FAP_ GME FELLOWSHIP EXPENSES N/A N/A N/A N/A N/A 

FAQ_ GDE FELLOWSHIP EXPENSES N/A N/A N/A N/A N/A 

FAZ_ SPECIAL HEALTH-RELATED 

PROGRAMS NOT ELSEWHERE 

CLASSIFIED 

N/A N/A N/A N/A N/A 

FB PUBLIC HEALTH SERVICES 

FBB_ PREVENTIVE MEDICINE N/A N/A N/A N/A N/A 

FBC_ INDUSTRIAL HYGIENE 

PROGRAM 

N/A N/A N/A N/A N/A 

FBD_ RADIATION HEALTH PROGRAM N/A N/A N/A N/A N/A 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 229

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

FBE_ ENVIRONMENTAL HEALTH 

PROGRAM 

N/A N/A N/A N/A N/A 

FBF_ EPIDEMIOLOGY PROGRAM N/A N/A N/A N/A N/A 

FBI_ IMMUNIZATIONS F ACCT RAW 

PROC 

NUMBER OF 

IMMUNIZATIO

NS AND 

SCREENING 

TESTS 

N/A N/A N/A 

FBJ_ EIS F ACCT RAW 

PROC 

NUMBER OF 

IFSPs 

N/A N/A N/A 

FBK_ MRS F ACCT RAW 

PROC 

NUMBER OF 

IEPs 

N/A N/A N/A 

FBL_ MTS N/A N/A N/A N/A N/A 

FBN_ HEARING CONSERVATION OUTPT VISITS; 

TOTAL VISITS; 

AMB WTD 

PROC (ADM 

ONLY) 

NUMBER OF 

VISITS 

N/A N/A TOTAL VISITS 

W/ANC; 

TOTAL VISITS 

W/O ANC 

FBX_ PUBLIC HEALTH SERVICES 

COST POOLS 

FBX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

FBZ_ PUBLIC HEALTH SERVICES NOT 

ELSEWHERE CLASSIFIED 

N/A N/A N/A N/A N/A 

FC HEALTHCARE SERVICES 

SUPPORT 

 

FCA_ PURCHASED/ REFERRED CARE N/A N/A N/A N/A N/A 

FCB_ GUEST LECTURER AND 

CONSULTANT PROGRAM 

N/A N/A N/A N/A N/A 

FCC_ SUPPORT TO NON-FEDERAL 

EXTERNAL PROVIDERS 

N/A N/A N/A N/A N/A 

FCD_ SUPPORT TO OTHER MILITARY 

ACTIVITIES 

N/A N/A N/A N/A N/A 

FCE_ SUPPORT TO OTHER FEDERAL 

AGENCIES 

N/A N/A N/A N/A N/A 

FCG_ SUPPORT TO NON-MEPRS 

REPORTING ACTIVITIES 

N/A N/A N/A N/A N/A 

FD MILITARY-UNIQUE MEDICAL 

ACTIVITIES 

 

FDB BASE OPERATIONS-MEDICAL 

INSTALLATIONS 

N/A N/A N/A N/A N/A 

FDC_ DINING FACILITY -NONPATIENT 

FOOD OPERATIONS 

EIB MEALS 

SERVED 

NUMBER OF 

NON-PATIENT 

MEALS SERVED

N/A N/A N/A 

FDD_ DECEDENT AFFAIRS N/A N/A N/A N/A N/A 

FDE_ INITIAL OUTFITTING N/A N/A N/A N/A N/A 

FDF_ URGENT MINOR 

CONSTRUCTION 

N/A N/A N/A N/A N/A 

FDG_ TDY/TAD EN ROUTE TO PCS N/A N/A N/A N/A N/A 

FDH_ MILITARY FUNDED 

EMERGENCY LEAVE 

N/A N/A N/A N/A N/A 

FDI_ IN PLACE CONSECUTIVE 

OVERSEAS TOUR LEAVE 

N/A N/A N/A N/A N/A 

FDX_ MILITARY-UNIQUE MEDICAL 

ACTIVITIES COST POOLS 

FDX_/DMIS ID N/A GENERIC 

AMOUNT 

GENERIC 

AMOUNT 

N/A 

FDZ_ MILITARY UNIQUE MEDICAL 

ACTIVITIES NOT ELSEWHERE 

CLASSIFIED 

N/A N/A N/A N/A N/A 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 230

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

FE PATIENT MOVEMENT AND 

MILITARY PATIENT 

ADMINISTRATION 

 

FEA_ PATIENT TRANSPORTATION F ACCT RAW 

PROC 

NUMBER OF 

HOURS OF 

SERVICE 

N/A N/A N/A 

FEB_ PATIENT MOVEMENT EXPENSES N/A N/A N/A N/A N/A 

FEC_ TRANSIENT PATIENT CARE F ACCT RAW 

PROC 

NUMBER OF 

OBDS BY 

TRANSIENT 

PATIENT 

N/A N/A N/A 

FED_ MILITARY PATIENT PERSONNEL 

ADMINISTRATION 

N/A N/A N/A N/A N/A 

FEF_ AEROMEDICAL STAGING 

FACILITIES (ASF) 

F ACCT RAW 

PROC 

NUMBER OF 

PATIENT 

MOVEMENTS 

N/A N/A N/A 

G READINESS 

GA DEPLOYMENT PLANNING & 

ADMINISTRATION 

 

GAA_ DEPLOYMENT PLANNING & 

ADMINISTRATION 

N/A N/A N/A N/A N/A 

GAB_ OTHER READINESS PLANNING 

& ADMINISTRATION 

N/A N/A N/A N/A N/A 

GB READINESS EXERCISES 

GBA_ READINESS 

PEACETIME/WARTIME/DISASTE

R PREPAREDNESS – TRAINING 

N/A N/A N/A N/A N/A 

GD UNIT OR PERSONNEL 

DEPLOYMENT 

 

GDA_ UNIT OR PERSONNEL 

DEPLOYMENT 

N/A N/A N/A N/A N/A 

GE READINESS LOGISTICS 

MANAGEMENT 

 

GEAA PRE-POSITIONED WAR RESERVE G ACCOUNTS N/A DOLLAR 

VALUE OF 

MATERIEL 

MAINTAINED

N/A N/A 

GEBA CONTINGENT PATIENT CARE 

AREAS 

G ACCOUNTS N/A DOLLAR 

VALUE OF 

MATERIEL 

MAINTAINED

N/A N/A 

GECA CONTINGENCY BLOCKS G ACCOUNTS N/A DOLLAR 

VALUE OF 

MATERIEL 

MAINTAINED

N/A N/A 

GF READINESS PHYSICAL TRAINING 

GFA_ READINESS PHYSICAL 

TRAINING 

N/A N/A N/A N/A N/A 

GG PEACETIME DISASTER 

PREPAREDNESS RESPONSE AND 

NDMS 

 

GGA_ PEACETIME DISASTER 

PREPAREDNESS RESPONSE AND 

NDMS 

N/A N/A N/A N/A N/A 

CHCS/AHLTA ONLY 

AAC CORONARY CARE UNIT (See DJ 

FCCs) 

AAH MEDICAL ICU (See DJ FCCs) 

ABC SURGICAL INTENSIVE CARE (SEE 

DJ FCCS) 

 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 1 231

FCC TITLE DATA SET 

ID(S) 

RAW 

STATISTICAL 

AMOUNT 

WEIGHTED 

STATISTICAL 

AMOUNT 

ALLOCATION 

FACTOR SERVICE UNIT 

ADC NICU (SEE DJ FCCs) 

ADE PEDIATRIC ICU (SEE DJ FCCs) 

XXX CARDED FOR RECORD ONLY 

YYY ABSENT SICK 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 232

AP2. APPENDIX 2 

EAS IV DATA ELEMENTS

DATA ELEMENT NAME DESCRIPTION

activation_dt Calendar date in MMDDYYYY format on which a particular data element becomes 

effective or active, e.g., activation of a FCC or accounting classification. 

adjustment_ind The indicator that identifies whether data has or has not been adjusted. 

alloc_factor_cd Defines the allocation factors for workload data that will be used to allocation 

expenses for the providing third level function cost code. 

alloc_factor_data Indicates if the allocation factor should use “Personnel” or “Datasets” to perform 

allocation. 

alloc_factor_desc Defines the description for the allocation factor code. 

allocation_ind The indicator that identifies an FCC for use in the allocation process where the firstlevel code of “D” (Ancillary) or “E” (Support Services) is indicated as true and any 

other FCC is indicated as false. 

alos Average stay counted by days of all or a class of inpatients discharged over a given 

period, calculated by dividing the number of inpatient days by the number of 

dispositions. Transfers and deaths are not included. 

asn The ASN ranging between “000” and “999” used to allocate expenses for support 

services and ancillary FCC accounts. 

assigned_fte Assigned FTEs represent those personnel who are on the facility’s manning and/or 

staffing document. One FTE equals 168 work hours. 

audit_event_cd The code that identifies an internal audit event, e.g., 0 = add record, 1 = change 

record, 2 = delete a record, 3 = transfer, 4 = substitution, 5 = warning override, and 6 

= error correction. 

audit_event_desc The description of the audit event code, e. g., add record, change record, delete record, 

transfer, substitution, warning override, and error correction. 

audit_id Unique internal serial number that identifies an audit log event. 

avail_fte Available FTE is the amount of labor available for personnel. One FTE equals 168 

hours or one month. 

avail_hrs Available Work Hours is the amount of labor in hours available for personnel. 

avail_salary_exp Available Salary Expense for personnel. 

avg_cmi An index number that reflects the average Relative Weighted Products (RWP) per 

disposition. The case mix index is determined by the total RWPs for an MTF (or 

other level of aggregation) divided by the total dispositions for which the RWPs were 

determined. CMI includes short and long stay outliers. DRG 469 (Primary diagnosis 

invalid as a discharge diagnosis) and DRG 470 (Ungroupable) are excluded from the 

calculations since their relative weights are zero. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 233

DATA ELEMENT NAME DESCRIPTION

before_after_ind The indicator that identifies whether an audit record represents the “Before” or “After” 

view when a record is modified, e.g., pre-migrated record, migrated record, or table 

maintenance. 

bene_cat_cd Beneficiary Category Code identifies a group of patients, i.e., 1= active duty, 2 = 

family member of active duty, 3 = retiree, 4 = family member of retiree, and 5 = other. 

Beneficiary Category Codes map to Patient Category Codes. 

bene_cat_desc The long description of the Beneficiary Category Code, i.e., active duty, family 

member of active duty, retiree, family member of retiree, and other. 

bene_cat_ind Indicates the data set uses Beneficiary Category codes. 

business_day_ind The indicator that identifies when a date is a business day. 

cal_month A month in numeric format (no leading zeros) ranging from 1 to 12 that represents the 

calendar month, i.e., = January, 2 = February, 3 = March, 4 = April, 5 = May, 6 = 

June, 7 = July, 8 = August, 9 = September, 10 = October, 11 = November, 12 = 

December. 

cal_month_mm A month in mm format ranging from 01 to 12 that represents the calendar month, i.e., 

01 = January, 02 = February, 03 = March, 04 = April, 05 = May, 06 = June, 07 = July 

08 = August, 9 = September, 10 = October, 11 = November, 12 = December. 

cal_year The calendar year such as January through December represented in a YYYY format, 

i.e., 1999. 

calendar_date The calendar date represents time stated in terms of the day, month, and year. 

caption_default Default value of a caption on a Delphi form. 

caption_user The actual value of the caption in a Delphi form that can be changed by the user. 

category Contains the high byte of the Borland database engine error code in Delphi. 

column_name The name of the column associated with a table. 

corrected_err_cnt The total number of errors that were corrected in EAS IV for a specified month and 

year from a particular data source, i.e., workload, personnel, or financial. The 

corrected error count is based on the last validation run. 

cost_pool_ind The indicator that identifies if the third-level sub-account FCC is a cost pool account. 

The FCC will contain an “X” in the third position. 

cpt_ama_short_name The AMA short name for the CPT code. 

cpt_cd CPT code as defined by the AMA. CPT codes are used to report workload for 

ambulatory visits, radiology, laboratory, etc. 

cpt_dod_name The Health Affairs name given to a CPT code. 

cpt_ind Indicates that the dataset uses CPT codes. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 234

DATA ELEMENT NAME DESCRIPTION

cpt_modifier The modifier used in conjunction with the CPT code to describe different types of 

radiology procedures (e.g., read, exam, or read and exam). 

cpt_owner The owner of a group of CPT codes (e.g., Radiology, Pathology, Ambulatory). 

cpt_rvu_wt The RVU weights for CPT codes for which a weight does not exist on the MHS’ 

current CPT table. A weight is defined by Health Affairs. 

cpt_wt The weight of a CPT code as defined by Health Affairs. 

current_err_cnt The current count of the total uncorrected errors based on the last validation run. 

current_value The current value assigned to a system setting_key. 

current_warn_cnt The current count of the total unaddressed warnings based on the last validation run. 

data_set_audit_id The unique internal serial number that identifies a data set audit record. 

data_set_br_desc The data set business rule description. 

data_set_br_id The data set business rule identifier. 

data_set_desc Describes a data set. 

data_set_id Data set identifier associates the data set with the FCC and ranges from “000” and 

“999.” 

data_set_ind Indicates if the workload is raw or weighted. 

data_set_ind_incl A list of data set indicator to include (raw or weighted). 

data_src_compress The indicator that identifies whether imported data is in a compressed format or not. 

data_src_desc The full name of an external source system that submits data to EAS IV (e.g., CHCS).

data_src_field_id The identifier of specific data fields received from an external source system. 

data_src_id Identifier for source systems interfacing with EAS IV (e.g., CHCS-Work). 

data_src_length The field length of a record submitted by an external source system to EAS IV. 

data_src_rec_type The indicator that identifies the data source record type (i.e., HEADER, DETAIL, or 

TRAILER). 

data_src_record_id The identifier that indicates the type of record (e.g., H1 = Header 1, D2 = Detail 2, T1 

= Trailer 1). 

data_src_start_pos The character position where the field begins in a record. 

data_src_type The indicator that identifies the method of file transport (e.g., Flat file, ODBC, 

Remote DB) from an external source system to EAS IV. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 235

DATA ELEMENT NAME DESCRIPTION

data_src_version The indicator that identifies the version of EAS IV that is associated with a particular 

data source. 

data_state The state of data that indicates whether the file is “Clean” or “Dirty.” Dirty data is in 

a pre-migrated state, initially validated, and may contain errors. Clean data is 

migrated. 

data_type The type of data found in EAS IV. Valid values for data type are Financial, 

Personnel, Datasets, Enrollment, DRG, Patient, Acuity Workload, Ambulatory, and 

Dental Workload. 

date_time An internal date time stamp placed on a system event (i.e., an application error). 

day_in_month A day in the month. 

day_in_year A number, ranging from 1–365 in normal years and ranging from 1–366 in leap years, 

that represents how many days from the beginning of the year that the date occurs. 

day_of_week The name of the day of the week (i.e., Monday, Tuesday, Wednesday, Thursday, 

Friday, Saturday, or Sunday). 

day_of_week_abbreviation The abbreviation of the name of the day of the week (i.e., Mon = Monday, Tue = 

Tuesday, Wed = Wednesday, Thu = Thursday, Fri = Friday, Sat = Saturday, and Sun = 

Sunday). 

db_desc The description of the database and its contents. 

dbengine error id The unique internal serial number that identifies a tb_dberror table record. 

dberror msg id The unique internal serial number that identifies a tb_dberror_msg table record. 

dbname The Informix system name of a database. 

deactivation_dt Calendar date in MMDDYYYY format on which a particular data element becomes 

deactivated (e.g., deactivation of an FCC or accounting classification). 

default_flag The indicator that identifies whether a record is the default record as it relates to other 

non-default records. 

default_value The default value assigned to a system setting_key. 

delete_ind The indicator that identifies if a record should be deleted during processing. 

dental_cd ADA or CLV procedure code used to report dental workload as provided Service 

HQs. 

dental_cd_desc The description of the ADA or CLV procedure code used to report dental workload. 

dental_cd_owner The owner of a group of dental codes. Valid owners are “ADA” for American Dental 

Association and “CLV” for Composite Laboratory Values. 

dental_dod_wt The weight of the ADA or CLV procedure code as defined by Health Affairs. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 236

DATA ELEMENT NAME DESCRIPTION

dir_indir_ind The indicator that identifies a direct or indirect cost. Indirect costs are defined as 

those costs associated with support services (E FCCs) or with administrative or 

clerical skill type (skill type 5) salaries. 

dirty_record_id The pointer to a persistent financial, personnel, or workload record that triggers an 

exception upon import. 

dispositions The number of patients for whom inpatient care has been terminated. Reasons for 

termination of care include return to duty, return home, transfer to another medical 

facility, death, or other. 

dmis_id DMIS ID for reporting MTF. 

dmis_id_excl A list of DMIS IDs to exclude. 

dmis_id_incl A list of DMIS IDs to include. 

dmis_name The DMIS ID name represents a combination of the facility name and the installation 

name (e.g., 502nd Medical Group – Maxwell, USAF Dental Clinic – Maxwell). 

documentation_cd The documentation code that identifies corrections made to incoming data and 

adjustments made to invalid data in EAS IV. Documentation codes are developed by 

the Military Service representatives and distributed annually. 

documentation_cmt A free text, optional comment field that is entered by the user. It is associated with the 

documentation code assigned to the event that caused the audit log. 

documentation_desc The description of the documentation code that identifies corrections made to 

incoming data and adjustments made to invalid data in EAS IV. Documentation codes 

and their descriptions are developed by the Military Service representatives and 

distributed annually. 

documentation_type The type of documentation code that identifies corrections made to incoming data and 

adjustments made to invalid data (e.g., Add, Change, Delete). 

dod_bsl_cd The DoD Standard Basic Symbol/Limit Code (Appropriation) valid for a specified 

fiscal year and used for reporting purposes. It represents a high-level funding category 

for the federal budget. 

dod_bsl_desc The description of the DoD Standard Basic Symbol/Limit Code (Appropriation) valid 

for a specified fiscal year and used for reporting purposes. 

dod_occupation_cd The DoD Occupation Code prescribed by directive that uniquely identifies a vocation 

and is used in reporting personnel FTEs and work hours. 

dod_occupation_desc The description of a DoD Occupation Code prescribed by directive that uniquely 

identifies a vocation and is used in reporting personnel FTEs and work hours. 

dod_pec The DoD PEC that identifies an account which integrates a combination of personnel, 

equipment, and facilities constituting military or support capability and is used in 

reporting financial data. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 237

DATA ELEMENT NAME DESCRIPTION

dod_pec_desc The description of the DoD PEC that identifies an account which integrates a 

combination of personnel, equipment, and facilities constituting military or support 

capability and is used in reporting financial data. 

dod_region DoD Region for MTF. 

dod_seec The DoD SEEC is used to total Service-level detailed expense and obligation data into 

a uniform format for Health Affairs. 

dod_seec_ctgy The category that identifies the DoD SEEC as one of the following: 1 – Military 

Personnel, 2 – Civilian Personnel, 3 – Supplies, 4 – Equipment, 5 – Contractual 

Services, 6 – Other Funded, 7 – Other Unfunded, 9 – Depreciation, 0 – Free Receipts, 

A – Reservist. 

dod_seec_ctgy_desc The description of the category that identifies the DoD SEEC as one of the following: 

1 – Military Personnel, 2 – Civilian Personnel, 3 – Supplies, 4 – Equipment, 

5 – Contractual Services, 6 – Other Funded, 7 – Other Unfunded, 9 – Depreciation, 

0 – Free Receipts, A – Reservist. 

dod_seec_desc The description of the DoD SEEC used to total Service-level detailed expense and 

obligation data into a uniform format for Health Affairs. 

dod_std_ind Indicates whether the service unit code is a DoD standard. 

drg_cd The code that identifies a DRG which is an inpatient classification scheme that relates 

demographic, diagnostic, and therapeutic characteristics of patients to length of stay 

and amount of resources consumed. It is the basis to credit inpatient workload and 

allocate resources within the DoD MHS. 

drg_ind The indicator that identifies whether DRG costing runs as part of processing. 

drg_wt A value representing the average resource consumption of patients classified within a 

given DRG as compared to the average resource consumption of all patients in all 

DRGs. Weights are defined by CHAMPUS. 

duty_ind Indicates if an FTE is loaded, borrowed, or not applicable. 

duty_ind_desc The description of the duty indicator. Valid values are “Borrowed,” “Loaned,” and 

“Not Applicable.” 

e_fiscal_month_mm The end fiscal month of EAS IV processing, in MM format, the first of which is 

October. Valid values are: 01 = October, 02 = November, 03 = December, 04 = 

January, 05 = February, 06 = March, 07 = April, 08 = May, 09 = June, 10 = July, 11 = 

August, 12 = September. 

e_fiscal_year The end fiscal year of EAS IV processing. 

eas_poc Name of EAS point of contact. 

eas_poc_dsn EAS point of contact’s DSN. 

eas_poc_email Email address of EAS point of contact. 

eas_poc_phone Phone number of EAS point of contact. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 238

DATA ELEMENT NAME DESCRIPTION

eas3_stat_id The legacy EAS III statistical identifier to maintain continuity with CHCS and legacy 

data with the new data sent to MEQS III. 

editable_ind Indicates if the data is editable by the user. 

end_date An end date and time of a processing event. 

enrollment_type The indicator that identifies the enrollment type of a patient to determine whether the 

patient was enrolled at the MTF or not when healthcare services were provided. 

error code The error code returned by the Borland database engine in Delphi. 

error id The unique internal serial number that identifies a tb_error table record. 

error msg An error message associated with a specific application error. 

exception_audit_id The unique internal serial number that identifies an exception audit record. 

exception_cd The exception code associated with a particular type of exception. 

exception_desc The generic description for an exception code that uniquely represents a specific 

violation to the business rules, e.g. an active definition for the record’s DMIS ID was 

not found in the DMIS ID table. 

exception_id Unique number identifying each business exception raised during validation. 

exception_override For instances of this class representing “warnings,” this attribute indicates that the user 

has chosen to accept the identified exception and continue processing. Default value 

is “False.” 

exception_text A textual description of the exception that has been identified by a validation method. 

The description will contain specific values associated with the data being evaluated; 

e.g., DMIS ID “0909” is not defined in the DMIS ID Master table for fiscal year 

“1998.” 

exp_alloc_keys_id Unique id number to identify expense allocation records with the keys Parent DMIS 

ID, Processing Job ID, Expense Indicator, Skill Type Code, Providing DMIS ID, 

Providing FCC, and Intermediate FCC. 

expense An expense defined by an indicator as either a year-to-date expense, a net month 

expense, or a 12-month rolling expense across 1 or 2 fiscal years. 

expense_id Unique serial key that represents the fiscal_year, dmis_id, functional_cost_cd, 

fiscal_month_mm, svc_ee, svc_bsl, and svc_pec. 

expense_ind The indicator that identifies expense type. Valid values are: 1 – Direct, 2 – Cost Pool,

3 – Support Services, 4 – Support Services Via Cost Pool, 5 – Ancillary, 6 – Ancillary 

Via Cost Pool, 7 – Expenses Contributed. 

expense_ind_desc The description of the expense indicator. Valid values are: 1 – Direct, 2 – Cost Pool,

3 – Support Services, 4 – Support Services Via Cost Pool, 5 – Ancillary, 6 – Ancillary

Via Cost Pool. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 239

DATA ELEMENT NAME DESCRIPTION

expense_ind_excl A list of Expense Indicators to exclude. 

expense_ind_incl A list of Expense Indicators to include. 

expense_mth_net The net month amount of expense of the data. 

expense_ytd The year-to-date (cumulative) expenses of the data. The year-to-date expenses equal 

the total of all net month expenses for the fiscal year. 

facility_address1 Address 1 of MTF. 

facility_address2 Address 2 of MTF. 

facility_city The city name where the facility is located. 

facility_loc_cd The code that identifies the facility state location or country location outside the 

United States. 

facility_name Defines name of a MTF. 

facility_type_cd This is the type of reporting facility such as a hospital, clinic, dental, inactive, 

administrative, ship, noncat, afloat, or flag. All fixed treatment facilities must have a 

facility type code of hospital, clinic, or dental. 

facility_zip1_cd The zip code where the MTF or DTF is located. Overseas facilities use the APO or 

FPO zip code. 

facility_zip2_cd The extension (4 digit) to the zip code where the facility is located. Overseas facilities 

use the APO or FPO zip code. 

fcc_excl A list of FCC to exclude. 

fcc_incl A list of FCC to include. 

financial_audit_id The unique internal serial number that identifies a financial audit record. 

first_name The first name of the system user. 

fiscal_month_mm The fiscal month, in MM format, the first of which is October. Valid values are: 

01 = October, 02 = November, 03 = December, 04 = January, 05 = February, 06 = 

March, 07 = April, 08 = May, 09 = June, 10 = July, 11 = August, 12 = September. 

fiscal_quarter A number ranging from 1 to 4 that represents a range of three months within a fiscal 

year. Valid values are: 1 = October–December, 2 = January–March, 3 = April–June,

4 = July–September. 

fiscal_year The year associated with the record that triggered the warning or error. 

fixed_cost_percent The percentage of the expense associated with an Expense Element Code that is a 

fixed cost. 

format_type An indicator of record format, such as fixed format or delimited. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 240

DATA ELEMENT NAME DESCRIPTION

formatted_desc The formatted text that Delphi uses to produce text that specifically describes an 

exception to the business rules. The text contains special characters that allow Delphi 

to substitute actual record values into the description. 

fraction_of_total Defines the fraction of the total. 

from_func_cost_cd A previously utilized FCC for a facility work center used to map to a new FCC. 

from_svc_ee_cd A previously utilized Service Unique Expense Element (SUEE) Code used to map to a 

new SUEE Code. 

func_cost_cd FCC for the MTF’s work center. 

func_cost_cd_avail An identifier that indicates if an FCC is available for a fiscal month. If the FCC is not 

available, workload data is invalid and generates errors. All other data, such as 

personnel and financial, generates warnings. 

func_cost_desc The description of an FCC (fourth level) that identifies MTF and DTF work centers, 

e.g., BAAA = Internal Medicine Clinic, BABA = Allergy Clinic. 

func_cost1_cd The FCC (first level) that identifies MTF and DTF functional categories. Valid values 

are: A = Inpatient Care, B = Ambulatory Care, C = Dental Care, D = Ancillary 

Services, E = Support Services, F = Special Programs, G = Readiness. 

func_cost1_desc The description of an FCC (first level) that identifies MTF and DTF functional 

categories. Valid values are: A = Inpatient Care, B = Ambulatory Care, C = Dental 

Care, D = Ancillary Services, E = Support Services, F = Special Programs, 

G = Readiness. 

func_cost2_cd The FCC (second level) that identifies MTF and DTF summary accounts, e.g., AA = 

Medical Care AB = Surgical Care, AC = Ob-Gyn Care. 

func_cost2_desc The description of an FCC (second level) that identifies MTF and DTF summary 

accounts, e.g., AA = Medical Care, AB = Surgical Care, AC = Ob-Gyn Care. 

func_cost3_cd The FCC (third level) that identifies MTF and DTF sub-account work centers, e.g., 

AAA = Internal Medicine, AAB = Cardiology, ABA = General Surgery. 

func_cost3_desc The description of an FCC (third level) that identifies MTF and DTF sub-account 

work centers, e.g., AAA = Internal Medicine, AAB = Cardiology, ABA = General 

Surgery. 

functional_area The functional areas of the EAS IV application, e.g., Adjustments, Allocation 

Processing, Error Corrections, Online Help, Reports, System Interfaces, System 

Services, Table Maintenance, Transmissions, User Defined Corrections, Validation. 

fund_type The indicator that identifies the type of money selected, L or M; L is funded and M is 

reimbursed. For Air Force, a Fund Type maps to the Source of Funds. The SUEE 

may also be used in conjunction with the Fund Type to map to the Source of Funds. 

gen_ind Indicates that the data set will be generated. 

grade_rank_desc The description of grade/rank indicator. 
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DATA ELEMENT NAME DESCRIPTION

grade_rank_ind The indicator that identifies the grade or rank for military and civilian personnel. 

group_desc The description of a system security group key with associated rights to a Parent 

DMIS ID and an EAS IV database. 

group_key The system security group key with associated rights to a Parent DMIS ID and an 

EAS IV database. 

health_svc_rgn The code that identifies the Health Services Region which is a geographic designation 

for grouping MTFs. 

high_cost_ind The indicator that identifies high cost items. The user is allowed to assign a dollar 

value for supplies associated with high cost items. Each FCC is allowed up to 10 high 

cost procedures. 

holiday_ind The indicator that identifies whether or not a date falls on holiday. 

host name A host name is a domain, where a domain is a hierarchical, dot-separated list of subdomains; e.g., the machine “mycomputer” in the “osd” sub-domain of the “mil” subdomain of the Internet would be represented as “mycomputer.osd.mil” with no trailing 

dot. 

imp_attempts The number of times that a particular type of data has been imported. 

import_exceptionid The unique internal serial number that identifies an import error record. 

import_ind The indicator that identifies if the data has been imported. 

import_record The actual value of the import record in error. 

inactivation_dt Calendar date in MMDDYYYY format on which a particular action becomes 

temporarily inactive (e.g., inactivation of a work center or accounting classification).

initial_err_cnt The initial count of the total errors upon data import. 

initial_warn_cnt The initial count of the total warnings upon data import. 

installation_name The name of the base or post where the facility is located. 

int_func_cost_cd Intermediate FCC such as an ancillary or cost pool account that may receive expenses 

from other accounts before attributing the expenses to a final operating account. 

label_id Name of Delphi form component association with a caption on a GUI form. 

last_business_day_ind A code that indicates whether or not a date falls on the last business day of the month.

last_name The last name of the system user. 

logonid The user’s logon identification as defined by the NT domain. 

migrated_ind The indicator that identifies if data has been migrated from dirty to clean. 

modifiable The flag used to determine if the system status variable is modifiable. 
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DATA ELEMENT NAME DESCRIPTION

month_abbreviation The abbreviation of the name of the month in MMM format (e.g., JAN = January, 

FEB = February). 

month_desc The full descriptive name of a month (e.g., January, February, March). 

msg Native Informix error message text. 

new_svc_ee_cd The field used to map a deactivated SUEE Code to an activate (new) SUEE Code. 

new_svc_pec_cd The field used to map a deactivated Service-Unique PEC to an activate (new) ServiceUnique PEC. 

nonavail_leave_fte Non-available Leave FTE is the amount of actual hours expended in support of 

official leave unrelated to the healthcare mission divided by 168 hours. One FTE 

equals 168 hours. 

nonavail_leave_hrs Non-available Leave Hours are the amount of actual hours expended in support of 

official leave unrelated to the healthcare mission. 

nonavail_other_fte Non-available Other FTE is the amount of actual hours expended in support of other 

activities unrelated to the healthcare mission divided by 168 hours. One FTE equals 

168 hours. 

nonavail_other_hrs Non-available Other Hours are the amount of actual hours expended in support of 

other activities unrelated to the healthcare mission (e.g., parades, PCS of Station 

processing, formations, details, non-healthcare related training, AWOL). 

nonavail_salary_exp Non-available Salary Expense is derived by dividing the total salary expense by the 

sum of available and non-available FTEs and then multiplying by the non-available 

FTEs. 

nonavail_sick_fte Non-available Sick FTE is the amount of actual hours expended in support of sick 

time or hospitalization unrelated to the healthcare mission divided by 168 hours. One 

FTE equals 168 hours. 

nonavail_sick_hrs Non-available Sick Hours are the amount of actual hours expended in support of sick 

time or hospitalization unrelated to the healthcare mission. 

number_of_months Indicates the number of months of data for a data set within the processing job. 

nursing_hours The total number if nursing hours reported in each patient acuity category. 

object_altered The object (Table, LoginID, Group, etc.) that was altered by the log event. 

oblg_fiscal_year The fiscal year that the expense was obligated. 

oblg_mth_net The month-net amount of obligation of the data. 

oblg_ytd The year-to-date (cumulative) amount of obligation of the data. The year-to-date 

obligations equal the total of all net month obligations. 

occupied_bed_day A day in which a patient occupies a bed in the inpatient facility at the census-taking 

hour (normally midnight). 
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DATA ELEMENT NAME DESCRIPTION

params Corresponding values of parameter variables in a Structured Query Language (SQL) 

statement. 

parent_dmis_id DMIS ID for an MTF that is designated as the “parent” reporting facility. 

pat_acuity_ctgy Patient Acuity Category (0 through 6) represents the severity of patient condition 

related to the level of nursing care for a patient. 0 represents the lowest and 6 is the 

highest. 

pat_acuity_desc The description of Patient Acuity Category (0 through 6) which represents the severity 

of patient condition related to the level of nursing care for a patient. 0 represents the 

lowest and 6 is the highest. An example is “Patient Acuity Category 0.” 

patient_cnt The total number of patients reported monthly for specific categories such as patient 

acuity or beneficiary category enrollment in managed care. 

patient_number The total number of patients reported monthly for specific categories such as patient 

acuity or beneficiary category enrollment in managed care. 

perf_dataset_id The Performing Data Set Identifier associates the data set with the FCC and ranges 

from “000” and “999.” 

personnel_ctgy Personnel Category for personnel FTEs, e.g., C – Civilian; E – Enlisted; 

L – Local National; O – Officer; T – Other; V – Volunteer; and X – Contractor. 

personnel_ctgy_desc The description of a personnel category code, e.g., C = Civilian; E = Enlisted; L = 

Local; O = Officer; T = Other; V = Volunteer; W = Red Cross Volunteer; and 

X = Contractor. 

prcs_job_id The unique serial processing number created when a job is started or scheduled. 

prcs_job_type_cd Description: The code that identifies the processing job type, e.g., Net = Net Month 

Processing, Ytd = Fiscal Year-To-Date Processing, 12M = 12 Month Processing 

Across Fiscal Years. 

prcs_job_type_desc The description of the processing job type code, e.g., Net= Net Month Processing, 

Ytd = Fiscal Year-To-Date Processing, 12M = 12 Month Processing Across Fiscal 

Years. 

prcs_months The number of months processed in the processing job. 

prcs_run_id The unique serial processing number created when a one or more processing jobs are 

started or scheduled. 

previous_value The previous value assigned to a system setting_key. 

process_id Unique identifier for EAS IV functional processes such as Initialize New Year and 

Allocation. 

prvd_dmis_id The DMIS ID of the facility that provides services to another facility. 

prvd_fcc_excl A list of providing FCC to exclude. 

prvd_fcc_incl A list of providing FCC to include. 
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DATA ELEMENT NAME DESCRIPTION

prvd_func_cost_cd The FCC account used to identify work centers that provide services to other work 

centers such as ancillary services providing services to inpatient work centers. 

pure_record_id Unique record ID for Diagnosis-Related Group pure data. 

raw_count The unit of measure that identifies workload by the raw number. 

rccc Responsibility cost/center code (RC/CC) map to an FCC and are used by the Air 

Force to record expenses and obligations. The RC/CC includes a shred in the RC/CC 

value. 

reactivation_dt Calendar date in MMDDYYYY format on which a particular action becomes 

reactivated after a period of inactivation (i.e., reactivation of a work center that was 

temporarily closed down). 

rec_type The value of a record type designator in a source system file of fixed format type. 

rec_type_start_pos The starting position of the record type value of the source system file of fixed format 

type. 

record_id The generic record identifier from the source table. 

release_num The software release number in the format of ##.##.## (e.g., 09.01.01). 

release_type The type of software release classified as either major, minor, or maintenance. 

repeating_ind The indicator that identifies whether the record repeats in the file or occurs only once.

reporting_ctgy The reporting category code of a pathology subsystem to which an FCC pertains. 

Codes range from 0 to 4. Valid values are: 0 – Invalid Requesting Center, 1 – 

Inpatient, 2 – Outpatient, 3 – QC, 4 – Other. 

reporting_ctgy_desc The description of a reporting category code of a pathology subsystem to which an 

FCC pertains. Codes range from 0 to 4. Valid values are0 – Invalid Requesting 

Center, 1 – Inpatient, 2 – Outpatient, 3 – QC, 4 – Other. 

resp_pulm_audit_id The unique internal serial number that identifies a respiratory therapy/pulmonary 

function audit record. 

resp_pulm_proc_cd The code that identifies a Respiratory Therapy, Pulmonary Function, or 

Cardiovascular procedure as defined by the AARC Uniform Reporting Manual. It is 

the basis to credit respiratory/inhalation therapy workload and allocate resources 

within the DoD MHS. 

resp_pulm_proc_wt The weight of a Respiratory Therapy, Pulmonary Function, or Cardiovascular 

procedure code as defined by the AARC Uniform Reporting Manual. It is the basis to 

credit respiratory/inhalation therapy workload and allocate resources within the DoD 

MHS. 

resp_pulm_procdesc The description of a Respiratory Therapy, Pulmonary Function, or Cardiovascular 

procedure code as defined by the AARC Uniform Reporting Manual. It is the basis to 

credit respiratory/inhalation therapy workload and allocate resources within the DoD 

MHS. 
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 APPENDIX 2 245

DATA ELEMENT NAME DESCRIPTION

right_desc The description of a user’s security rights that are used to determine system access 

privileges. 

s_fiscal_month_mm The start fiscal month of processing, in MM format, the first of which is October. 

Valid values are: 01 = October, 02 = November, 03 = December, 04 = January, 

05 = February, 06 = March, 07 = April, 08 = May, 09 = June, 10 = July, 11 = August, 

12 = September. 

s_fiscal_year The start fiscal year of an event or process. 

schedule_type_cd The code that identifies the schedule type which defines the source of the expense data 

(e.g., F – Financial, P – Personnel, or M – Manual). 

schedule_type_desc The description of the schedule type code that defines the source of the expense data 

(e.g., F – Financial, P – Personnel, or M – Manual). 

sec_right The security rights of the system user that determines access privileges. 

severity The classification of a business rule exception as either an error or warning. 

sid The user’s security identifier. 

skilltype_cd Categorization of personnel FTEs by Skill Type (e.g., 1 – Clinician, 2 – Direct Care 

Professional, 3 – Registered Nurse, 4 – Direct Care Paraprofessional, 5 – 

Administrative/Clerical). 

skilltype_desc The description of the skill type code, e.g., 1 – Clinician, 2 – Direct Care 

Professional, 3 – Registered Nurse, 4 – Direct Care Paraprofessional, 5 – 

Administrative/Clerical). 

skilltype_excl Skill type codes to exclude to select records from another table. 

skilltype_incl Skill type codes to include to select records from another table. 

skilltype_map_desc The description of the skill type and skill type suffix mapping. Skill type suffixes are 

discrete in their mapping to a skill type. The first release in EAS IV, only skill type 1 

codes will map to skill type suffixes. Skill types that do not map to a skill type suffix 

will contain the value “X” to indicate no mapping. Beginning fiscal year 1999, the 

following values are valid: 1P – Physician, 1D – Dentist, 1N – Intern, 1F – Fellow, 

1R – Resident, 1V – Veterinarian, 2A – Nurse Anesthetist, 2C – Community Health 

Nurse, 2H – Occupational Health Nurse, 2M – Nurse Midwife, 2N – Nurse 

Practitioner, 2P – Physician Assistant, 2S – Clinical Nurse Specialist, 3R – Registered 

Nurse, 4A – Nursing Assistant, 4L – LPN/LVN, 5A – Administrators, 5L – Logistics, 

5C – Clerical. 

skilltype_suf_cd Sub-categorization of personnel FTEs in relation to skill type. Valid values for skill 

subtype are: P – Physicians, D – Dentist, N – Intern, F – Fellow, R – Resident, 

V – Veterinarians. Skill type suffixes for skill types 2, 3, 4, and 5 are not allowed. 

skilltype_suf_desc The description of the skill type suffix code that identifies a sub-categorization of 

personnel, e.g., 1P – Physician, 1D – Dentist, 1N – Intern, 1F – Fellow, 

1R – Resident, 1V – Veterinarian. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 246

DATA ELEMENT NAME DESCRIPTION

skilltype_suf_excl Skill type suffix codes to exclude to select records from another table. 

skilltype_suf_incl Skill type suffix codes to include to select records from another table. 

sof The indicator that identifies the source of funds of the data (i.e., D – Direct or R – 

Reimbursable). 

sof_desc The description of the source of funds of the data (i.e., direct or reimbursable). 

sql error The native Informix error number. 

start_date The start date and time of a processing event. 

stat_amt Statistical amount for a data set. 

status The condition that identifies the a status of a job or step with values, e.g., Scheduled, 

Pending, Running, Completed, Completed With Errors, Aborted. 

step_action The step action or message that is displayed in message windows. 

step_cd The code that defines the steps performed in a function process. 

 

step_desc The description of the processing step codes. Valid values are: 

Lock: Lock Processing Tables 

Preallocval: Pre-Allocation Validation 

Acc_Datasets: Accumulate Data Sets 

Acc_Pers: Accumulate Personnel Data 

Pur_Pers: Purify Personnel Data 

Gen_Datasets: Generate Custom Data Sets 

Acc_Exp: Accumulate Expense Data 

Cp_Pers2exp: Copy Personnel Allocated To Expense 

Pur_Exp: Purify Expense Data 

Step_Exp: Stepdown Support Services Expense Data 

Dist_Anc_Exp: Distribute Ancillary Expense Data 

Upd_Svc_Unit_Map: Update Service Unit Cost Mappings 

Calc_Drg: Calculate Drg Cost Data 

step_order Indicates the order in which a processing step is performed relative to the other 

processes. 

sub code Contains the low byte of the Borland database engine error code in Delphi. 

succ_alloc_ind The indicator that identifies whether the allocation process was successful. 

succ_alloc_val_ind The indicator that identifies whether the pre-allocation validation process was 

successful. 

succ_drg_ind The indicator that identifies whether Diagnosis-Related Group processing was 

successful. 

succ_sum_gen_ind The indicator that identifies whether the summary table generation was successful. 

succ_svc_unit_ind The indicator that identifies whether the service unit costing process was successful. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 247

DATA ELEMENT NAME DESCRIPTION

succ_val_ind The indicator that identifies if data has been successfully validated. 

svc_bsl_cd The Service-Unique Basic Symbol/Limit Code (Appropriation) valid for a specified 

fiscal year and used for reporting purposes. It represents a high-level funding category 

for each Military Service. Service-Unique basic symbol/limit codes map to DoD basic 

symbol/limit codes. The Air Force uses a fund code in place of a basic symbol/limit.

svc_bsl_desc The description of the Service-Unique Basic Symbol/Limit Code (Appropriation) 

valid for a specified fiscal year and used for reporting purposes. It represents a highlevel funding category for each Military Service. Service-Unique basic symbol/limit 

codes map to DoD basic symbol/limit codes. The Air Force uses a fund code in place 

of a basic symbol/limit. 

svc_cd Facility Service Code definitions are A (Army), N (Navy), F (Air Force), 

C (Coast Guard), J (Misc Admin), O (PHS/VA/NATL Guard), 

S (Non-Catchment Area), T (USTF – Uniform Services Treatment Facility), X (N/A).

svc_desc The description for the branch of Service of the facility (i.e., Army, Air Force, and 

Navy). 

svc_ee_cd The SUEE code used in reporting financial data. The codes map to the Health Affairs 

Standard Expense Element Codes and represent an Expense Element Code for the 

Navy; an Element of Resource Code for the Army; and an Element of Expense and 

Investment Code for the Air Force. 

svc_ee_desc The description of the SUEE code used in reporting financial data. The codes map to 

the Health Affairs Standard Expense Element Codes and represent an Expense 

Element Code for the Navy; an Element of Resource Code for the Army; and an 

Element of Expense and Investment Code for the Air Force. 

svc_occupation_cd Sevice Unique Occupation Code for personnel FTEs. 

svc_occupation_desc The description of the Service Occupation Code prescribed by directive that uniquely 

identifies a vocation and is used in reporting personnel FTEs and work hours. 

svc_pec The Service-Unique PEC prescribed by directive that identifies an account which 

integrates a combination of personnel, equipment, and facilities constituting military 

or support capability and is used in reporting financial data (e.g., AMSCO = Army 

Management Structure Code). 

svc_pec_desc The description of the Service-Unique PEC prescribed by directive that identifies an 

account which integrates a combination of personnel, equipment, and facilities 

constituting military or support capability and is used in reporting financial data. 

svc_unit_cd The service unit code for EAS IV Service units such as OBDs with professional. 

svc_unit_desc The service unit description for EAS IV Service units such as OBDs with 

professional. 

system_audit_id The unique internal serial number assigned to a system audit event. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 2 248

DATA ELEMENT NAME DESCRIPTION

system_event_cd The system audit event code uniquely represents a user event that requires an audit log 

entry. Examples of system event codes and their descriptions in the security database 

are: 1 – Successful Login, 2 – Accessed System Services, 3 – Added New User, 

4 – Updated User Information, 5 – Added New Group, 6 – Changed Rights in a 

Group, 7 – Deleted Group, 8 – Copied Group, 9 – Renamed Group. 

system_event_desc The description of a system audit event code that uniquely represents a user event and 

requires an audit log entry. Examples of system event codes and their descriptions in 

the security database are: 1 – Successful Login, 2 – Accessed System Services, 3 – 

Added New User, 4 – Updated User Information, 5 – Added New Group, 

6 – Changed Rights in a Group, 7 – Deleted Group, 8 – Copied Group, 9 – Renamed 

Group 

time_stamp The date and time of a logged event. 

to_func_cost_cd The FCC that is mapped from a previously utilized FCC. 

to_svc_ee_cd The SUEE Code that is mapped from a previously utilized SUEE Code. 

tot_prvd_stat_amt The total Statistical Amount from a Data Set relative to the Providing Function Cost 

Code only. 

uic The Unit Identification Code is a unique six-character alphanumeric code assigned to 

each reporting facility. 

unit_name The name of the reporting facility. 

us_flag_cd The code that identifies whether a reporting facility is located in the United States or 

not. Valid values are Y or N. 

user_correct_desc The description for a user correction record. 

user_correction_id The identifier for a user correction record. 

user_id User identifier derived from security. 

val_attempts The number of times validation has been run on the data. 

val_job_id The unique serial validation number created when a validation job is started. 

validation_required_ind The indicator that identifies whether or not the data needs to be validated. 

True = Data needs to be validated, False = Data does not need to be validated. 

value The amount of the expense. 

warning_over_cnt The total number of warnings that were overridden for a specified month/year for a 

particular data source. 

weekday_ind The indicator that identifies whether or not a date falls on a weekday such as Monday, 

Tuesday, Wednesday, Thursday, or Friday. 

wt_value The unit of measure that identifies workload by the weighted value. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 249

AP3. APPENDIX 3

SPECIFIC RULES FOR REPORTING AVAILABLE AND

NON-AVAILABLE TIME/HOURS FOR MEPRS/EAS

AP3.1. PURPOSE

This section provides detailed guidelines for collecting and reporting available and non-available 

time/hours for personnel working in support of the Defense Health Program. In the first section, 

definitions that pertain to the business rule matrix are provided. These definitions should be 

consistent with other MHS documents and guidelines such as the DoD Healthcare Glossary. The 

business rules matrix includes the common scenarios or activities that occur at the MTF, the 

personnel types to which the rule applies, how the time should be classified and where the time 

should be captured. 

AP3.2. PROCEDURES

AP3.2.1. Available Time/Hours. Those hours worked or expensed in support of the 

healthcare and readiness missions regardless of the type of personnel. Available hours are 

reported for all personnel types, assigned and borrowed, to include military, reservists, civilians, 

contractors, and volunteers. Available hours are charged to the assigned work center or 

benefiting work center(s). Available hours may not be charged to Special Program FCCs that 

accumulate expenses/cost only (e.g., FCA, FDA, and FDH). 

 AP3.2.1.1. The assigned work center is determined based on the facility’s 

manpower documents or the assignment made by the commanding officer. 

 AP3.2.1.2. The benefiting work center is determined based on where the person’s 

time contributes to accomplishing the overall operation and function of the work center 

regardless of the assigned work center. 

 AP3.2.1.3. Available time/hours for privileged providers (MEPRS/EAS skill 

types 1 and 2) includes clinical work time/hours (direct patient care time) and non-clinical or 

administrative work time/hours. (Skill types and suffixes can be found on the MEPRS/EAS IV 

occupational code table.) 

AP3.2.1.3.1. Clinical work time/hours includes time/hours the provider devotes to 

patient care and supporting activities, such as medical records update, preparation for clinical 

and surgical procedures, and patient phone contact. 

AP3.2.1.3.2. Non-clinical work time/hours includes teaching, research, writing, and 

management administration according to Medical Group Management Association guidelines. 

For MEPRS/EAS, teaching activities shall be reported in FCCs other than the clinical work 

center. (See Table AP3.T1.) Administration is management of the clinic, supervisory activities, 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 250

and similar activities. Non-clinical activities that are performed within a practice (specialty) 

should be excluded from the clinical work time calculation. (Source: RVUs Applications for 

Medical Practice Success, Kathryn P. Glass, 2003.) 

AP3.2.2. Non-Available Time/Hours. Time/hours expensed not in direct support of the 

healthcare or readiness mission. Non-available hours include authorized leave (annual, sick, 

other) and UA (e.g., AWOL). Non-available hours are reported for assigned military and 

civilian staff only. 

AP3.2.3. Non-Reportable Time/Hours. Those hours not accounted for by an MTF of 

assignment because another facility has reporting responsibility or such hours are already 

excluded by the use of the work month (168) used by MEPRS/EAS, such as regularly scheduled 

days off (e.g., Saturday and Sunday), meal breaks, and other breaks. 

AP3.3. GENERAL RULES

AP3.3.1. An individual’s hours may be recorded as either “Available” or “Non-Available” 

but not both for the same period of time at one facility. Likewise, the same hours cannot be 

recorded as available to different work centers; e.g., if a provider works on a Monday from 

0800–1000 in the Cardiology Clinic, but is assigned to the Internal Medicine Clinic, the two 

productive hours cannot be reported as both non-available to the Internal Medicine Clinic and 

available to the Cardiology Clinic. If an individual works in the clinic from 0730–1630 and is 

also listed on the provider call roster for the ER for the same time period, the individual records 

only the time spent in the clinic or time spent in the ER as available time—not available time to 

both. 

AP3.3.2. An individual’s available hours can be reported in as many benefiting FCCs as 

applicable for the monthly reporting period. 

AP3.3.3. Individuals should not report their time in overhead/administrative FCCs for the 

purpose of looking more productive. These salary expenses are spread across multiple FCCs. 

Overhead administrative accounts should be used appropriately based on their function 

descriptions. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 251

Table AP3.T1. Specific Rules for Reporting Available and Non-Available Time

in Fixed Medical and Dental Facilities

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

1 At work in the facility (including 

when on call at the facility (rule 3b 

below), approved telecommuting, 

pre-approved overtime, or earned 

comp time for civilians) 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Benefiting 

work 

center/FCC 

2a Performing research during the 

normal duty day and by authorized 

and assigned MTF personnel who 

are hired by the MTF for this 

specific mission 

This type of research is not 

specific to a single patient as part 

of patient care delivery; e.g., this 

type of research is conducted 

during normal working hours or 

approved telecommuting hours. 

Research performed by 

GME/GDE or other formal student 

programs should be recorded in 

the respective student MEPRS 

code; i.e., FAK, FAM, FAN, FAO, 

FAP, and FAQ, and should not be 

recorded in FAH. 

Research performed during the 

official duty day by credentialed 

or licensed personnel to meet their 

annual professional requirement to 

earn CE units should be reported 

in FAL. This research is not 

normally performed as part of the 

normal duty day for credentialed 

providers, but if this type of 

research is performed during the 

official duty day, it should be 

considered CE. 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time FAH* 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 252

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

2b Performing research at an MTF 

that has agreements with external 

organizations/agencies (e.g., 

Vaccine Healthcare Center, 

Jackson Foundation, ISR) 

This type of external research, 

which is performed “outside” the 

MTF mission, should not be 

reported in MEPRS. Specifically, 

the work hours, workload, and 

expenses for external research and 

external clinical trials should not 

be reported in MEPRS. 

Although the external work hours, 

workload, and expenses of the 

external research agencies should 

not be reported in MEPRS, 

support from the MTF to the 

external research agencies should 

be reported. If the MTF loans 

personnel, office space, or 

provides ancillary support to an 

external research agency, this 

support should be reported in the 

approved FBZ MEPRS code to 

record “support” to external 

research agencies. 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time FBZ 

2c From an external research agency 

working in the MTF to maintain 

his or her professional credentials/ 

license 

The person should be reported as a 

volunteer and his or her work 

hours and workload should be 

reported in the benefiting work 

center. 

Volunteer Available time Benefiting 

work 

center/FCC 

2d At an MTF with a formal 

agreement to borrow personnel 

from external research agencies to 

support the MTF mission 

The person should be reported as 

borrowed personnel and his or her 

work hours and workload should 

be reported in the benefiting work 

center. 

Contractor, 

volunteer, 

reservist, 

borrowed 

foreign 

national, or 

borrowed 

military 

Available time Benefiting 

work 

center/FCC 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 253

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

3a A privileged provider (skill types 

1 and 2) performing clinical 

(direct patient care) tasks 

Assigned 

military or 

assigned 

civilian, 

contractor, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time – 

clinical 

Benefiting 

work 

center/FCC 

Hours/time is 

entered in the 

personnel 

system as 

clinical 

(direct patient 

care) time 

3b A privileged provider (skill types 

1 and 2), on call within the facility 

when: 

1. Performing clinical work. 

2. Performing non-clinical work. 

Do not report the same time period 

twice to different work centers.

Assigned 

military or 

assigned 

civilian, 

contractor, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time: 

1. Clinical time/ 

hours spent providing 

patient care or 

associated patient 

care tasks shall be 

entered in the 

personnel system as 

clinical time. 

2. Non-clinical time/ 

hours spent in the 

clinic performing 

management tasks 

shall be entered in 

the personnel system 

as non-clinical time. 

Benefiting 

work 

center/FCC 

3c On call at home (not at the 

facility) and not working 

Assigned 

military or 

assigned 

civilian, 

contractor, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Non-reportable Any salary 

costs incurred 

will be 

charged to the 

benefiting 

work 

center/FCC 

without 

charging the 

hours 

4a Performing command 

administrative duties in the facility 

(e.g., Command Duty Officer, 

Officer of the Deck, NonCommissioned Officer of the Day, 

Field Officer of the Day, 

Administrative Officer of the Day) 

Collateral duty for military staff 

Assigned 

military, 

reservist, or 

borrowed 

military labor 

Available time Appropriate 

EBC* FCC 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 254

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

4b Performing detailed internal 

management control functions 

(linen inventories, cash count, 

controlled substances inventories, 

destruction of classified material, 

etc.) in support of the MTF/DTF 

when conducted by an individual 

who is not assigned to the work 

center and who has been appointed 

to perform disinterested/ 

independent inventory by MTF 

Commander 

Personnel who perform routine 

inventories in their work center 

should report their time to the 

benefiting work center FCC. 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Appropriate 

EBC* FCC 

4c Administrating the medical board 

process, to include attendance at 

medical boards at the parent 

facility 

Direct patient care performed in a 

clinic to document a patient’s 

condition should be recorded in 

the benefiting clinical work center 

FCC. Additionally, patient care 

administration associated with this 

rule should be charged to the 

assigned patient administration 

work center FCC. Personnel 

assigned to “E” overhead FCCs 

should report their work hours to 

their assigned “E” FCC work 

center. 

This rule applies to personnel 

assigned to clinical FCCs for all 

skill types. 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time FED*

4d Privileged providers (skill types 1 

and 2) who are assigned to “A,” 

“B,” or “EBD” FCCs and who 

attend Clinical Department 

meetings such as Department Risk 

Management Committee, 

Department Utilization 

Management Committee, and 

department management meetings 

within the same department they 

are assigned 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Appropriate 

EBD* FCC 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 255

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

 4e Privileged providers (skill types 1 

and 2) who are assigned to “A,” 

“B,” or “C” FCCs and who attend 

meetings outside their respective 

department (e.g., MTF Risk 

Management, MTF UM, MTF 

Morning Report)

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Appropriate 

EBC* FCC 

4f Assigned to an overhead 

administrative work center (e.g., 

RM, IMD, PAD) attending 

committee meetings

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Benefiting 

work 

center/FCC 

(typically the 

assigned 

work center) 

4g Conducting or attending JCAHO 

activities 

This rule applies to personnel 

assigned to clinical FCCs for all 

skill types. 

Personnel assigned to “E” 

overhead FCCs should report their 

work hours to their assigned work 

center.

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Appropriate 

EBB* 

5 Attending wartime, peacetime, or 

disaster preparedness readiness 

training 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time GBA* 

(readinesspeacetime/ 

wartime/ 

disaster 

preparedness 

training) 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 256

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

6a 1. TAD and/or TDY en route to 

PCS for civilians or military. 

2. Terminal leave for civilians or 

military. UA, AWOL 1 to 30 days 

or sentenced to confinement or 

suspension (regardless of the 

length of time). 

3. This account is to be used for 

assigned personnel who have 

permanently departed the MTF but 

have not yet been removed from 

the local manning documents. 

4. AWOL or absent without pay 

(AWOP) for civilians will not be 

charged to this account since this 

does not result in a disciplinary 

action or termination. 

Assigned 

military or 

assigned 

civilian 

(In accordance 

with Joint 

Travel 

Regulations 

(Reference 

(q)) 

Available time FDG* 

DMHRSi 

WILL NOT 

ALLOW 

hours to be 

charged 

against FCC 

FDG* 

without 

calculating an 

associated 

expense 

6b TAD and/or TDY en route to work 

at another MTF/DTF 

Assigned 

military or 

assigned 

civilian 

Available time Appropriate 

support FCC 

(e.g., FCD*) 

at the losing/ 

loaning 

facility 

7 1. Attending non-readiness related 

CE, educational/training board 

certification exams, missionrelated conferences (e.g., resource 

management or patient 

administration conferences), or 

professional development courses 

related to primary duties outside 

the MTF/DTF and excluding 

readiness training. 

2. Attending in-house or local inservice and other proficiency 

training (e.g., CPR, ATLS, ACLS) 

outside the assigned work center. 

3. Attending locally conducted 

non-healthcare related training 

(e.g., equal employment 

opportunity, sexual harassment, 

risk management, safety). 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time FAL* 

(CE) 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 257

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

8 Deployed from the fixed MTF in 

support of military operations or 

operations other than war.

Assigned 

military, 

assigned 

civilian, or 

foreign 

national 

Available time GDA* 

Account to be 

charged at 

rate of 8 

hours/day (40 

hours/week) 

regardless of 

number of 

hours 

worked/day 

while 

deployed 

9 Conducting or attending in-service 

training or day-to-day proficiency 

training or performing on-the-jobtraining where they are working 

and in attendance for this training 

This rule excludes student or 

GME/GDE training program. 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time Benefiting 

work center 

where the 

individual is 

assigned or 

the work/cost 

center where 

the training is 

conducted 

10 Providing administrative/overhead 

support for authorized in-house 

training/educational programs 

including in-service, proficiency 

training or clinical GME / GDE 

programs outside of the assigned 

work center 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time EBF* 

(Education 

and Training 

Support 

Program); 

EBE* (GME 

support 

expenses -

physicians 

only), or 

EBI* (GDE 

support 

expenses -

dentists only) 

11 Conducting or supporting 

education and/or training in 

support of another organization 

outside of the assigned MTF/DTF 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, or 

foreign 

national 

Available time FCD* 

FCE* 

FCG* 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 258

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

12 Planning, administering, 

conducting, or attending NDMS 

exercises including SMART 

Teams; conducting or attending 

disaster preparedness exercises 

This rule does not include training. 

Assigned 

military, 

assigned 

civilian, 

contractor, 

volunteer, 

reservist, 

foreign 

national, or 

borrowed 

military labor 

Available time GGA* 

13 Participating in organized or 

approved readiness physical 

training or testing when conducted 

during scheduled duty hours 

Assigned 

military, 

reservist, or 

borrowed 

military labor 

Available time GFA* 

14 In official student status at 

assigned MTF/DTF for education 

and training or in-house 

GME/GDE (fellows, residents, 

and interns) and other students 

trained in the MTF as a result of 

agreements with local colleges, 

other MTFs, other Services, etc. 

Assigned 

military or 

borrowed 

labor (GME/ 

GDE officer), 

volunteer, or 

foreign 

national 

Available time FAM*, 

FAN*, 

FAO*, FAP* 

or FAQ* 

(GME/GDE 

officer only) 

and to the 

benefiting 

work center 

in accordance 

with fiscal 

guidelines for 

skill type 1 

students only. 

All others 

(skill types 2 

through 5) are 

appropriately 

charged to 

MEPRS code 

FAK.* 

15 In official student status at 

assigned MTF/DTF (outside of the 

individual’s assigned department) 

for education and training 

Rule excludes skill type 1 

personnel. 

Assigned 

military, 

assigned 

civilian, 

volunteer, 

borrowed 

labor, or 

foreign 

national 

Available time FAK* 

(trainee 

expenses 

other than 

GME/GDE 

program)

16 Providing support for internal 

promotion boards, military-related 

organizational activities, (i.e., 

parades and formations); loaned in 

support of external promotion 

boards, military courts, base/post 

details 

All MTF/DTF 

personnel 

Available time FCG*
DoD 6010.13-M, April 7, 2008 

 APPENDIX 3 259

RULE IF AN 

INDIVIDUAL IS AND IS 

THEN THAT 

PERIOD OF TIME 

IS CONSIDERED 

AND IS 

CHARGED 

TO 

17a Earning compensatory time Assigned 

civilian or 

foreign 

national direct 

hire 

Available time Benefiting 

work 

center/FCC 

17b Taking approved compensatory 

time 

Assigned 

civilian or 

foreign 

national direct 

hire 

Non-available time Benefiting 

work 

center/FCC 

18 Emergency leave, annual leave, 

sick leave, and furlough 

Assigned 

military, 

assigned 

civilian, or 

foreign 

national direct 

hire 

Non-available time Assigned 

work center 

19 On pass, furlough, special liberty, 

administrative leave, time off for 

awards, civilians on annual 

Reserve Component training, 

civilians that are in an AWOL or 

AWOP status 

Assigned 

military, 

assigned 

civilian, or 

foreign 

national direct 

hire 

Non-available time Assigned 

work center 

20 Participating in administrative 

activities associated with in/out 

processing, e.g., obtaining an ID 

badge or in orientation 

Assigned 

military, 

assigned 

civilian, 

contractor, or 

foreign 

national direct 

hire 

Available time FCG*

21 Absent for medical and/or dental 

visits, treatment, SIQ, cure leave, 

on-the-job injury, 

family/maternity/sick leave 

Assigned 

military, 

assigned 

civilian, or 

foreign 

national direct 

hire 

Non-available time 

(sick) 

Assigned 

work center 

22 On meal or other breaks Assigned 

military, 

assigned 

civilian, or 

foreign 

national direct 

hire 

Non-reportable 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 4 260

AP4. APPENDIX 4

MEPRS ISSUE RESOLUTION FORMAT

Below are instructions for using the sample issuance resolution paper format on the following 

pages to assist in submitting an issue for resolution. The format is recommended but not 

required. 

AP4.1. DoD Issue #. Please leave this field blank. The MEPRS Program Office will assign a 

DoD issue number upon receipt of the issue resolution paper. 

AP4.2. Date of Issue. Please insert the date on which the completed issue paper will be sent to 

the MEPRS Program Office. 

AP4.3. Originator of Issue. Please insert your name, title, and phone number. 

AP4.4. Issue/Problem Title. Please provide a short (one or two sentence) description of the 

issue. State the problem simply and what it affects in a quantifiable way; e.g.: “Currently, (this 

is happening), resulting in (these quantifiable symptoms).” Please identify the systems that are 

affected by this issue. 

AP4.5. Supporting Documentation/Attachments. Please be sure to provide any supporting 

documentation that may assist in analysis of the issue. 

AP4.6. Issue Type. Identify the appropriate type(s) of issue(s). 

AP4.7. Description of Issue/Problem. Provide a detailed description of the problem that will 

allow an in-depth analysis and understanding of the issue. 

AP4.8. Recommended Solution. Please provide your recommended solutions for the issue. If 

possible, also provide the pros and cons for the issue and, if multiple recommendations are 

provided, identify the solution that you feel is best. Provide workable improvements or 

recommendations and identify the expected outcomes and measurements. 

AP4.9. Impact. Please provide any potential impacts of not resolving the issue. 

AP4.10. Date Resolution Required. Please provide your best estimate of the date by which the 

issue must be resolved. 
DoD 6010.13-M, April 7, 2008 

 APPENDIX 4 261

ISSUE PAPER RESOLUTION FORMAT 

DoD Issue #: ______________________ Date of Issue: 

_____________________ 

Originator of Issue:_______________________________ 

Phone Number: __________________________________ 

Recommended Priority (Low, Medium, High):_______________ 

Issue/Problem Title: __________________________________________________________ 

Systems Affected (EAS IV, ADS, CHCS, AHLTA, etc.):_____________________________ 

Supporting Documentation / Attachments: _______________________________________ 

____________________________________________________________________________ 

Issue Type (check one): ___ Functional ___ Interpretational ___ Systems 

Description of Issue/Problem: 

Recommended Solution: 

Page 1 of 2
DoD 6010.13-M, April 7, 2008 

 APPENDIX 4 262

ISSUE PAPER RESOLUTION FORMAT 

Impact If Not Resolved: 

Date Resolution Required: _____________________ 

For TMA/MEPRS Program Office Use Only: 

Reviewer: ____________________________________ Review Date: ____________ 

Recommendation (check one): 

___ Accept ___ Defer ___ Need Additional Information ___ Reject 

Reviewer Comments: 

Approvals: 

Air Force Representative_______________________________ Date: ____________ 

Army Representative__________________________________ Date: ____________ 

Navy Representative__________________________________ Date: ____________ 

TMA Representative_________________________________ Date: ____________

Page 2 of 2