Institution furnishing health-related care and services to individuals who do not require the amount of care provided by hospitals or skilled nursing facilities.

1. Medical facility that primarily provides health-related care and services above the level of custodial care to mentally retarded and developmentally disabled individuals but does not provide the level of care available in a hospital or skilled nursing facility. 2. Optional Medicaid service. Each state defines its level of ICF MR care.

Entities that contract between a managed care organization (MCO) or one of its subcontractors and a physician or physician group, other than physician groups themselves. An independent practice association (IPA) is considered to be an intermediate entity if it contracts with one or more physician groups in addition to contracting with individual physicians.

Physical restoration of damaged tissue when the wound requires layered closure of one or more of the deeper layers of subcutaneous tissue and superficial (nonmuscle) fascia, in addition to the skin (epidermal and dermal) closure. Single-layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter also constitutes intermediate repair and can be coded as such.

Hospital unit where patients are kept who do not require intensive care but who are not yet ready to be kept in a regular medical-surgical unit or are not ready to be released to independent care at home. Also called step-down unit .

In a workers’ compensation case, pain approximately 50% of the time.