[Federal Register Volume 75, Number 90 (Tuesday, May 11, 2010)] [Rules and Regulations] [Pages 26350-26641] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2010-10814] [[Page 26349]] ----------------------------------------------------------------------- Part II Department of Health and Human Services ----------------------------------------------------------------------- Centers for Medicare & Medicaid Services ----------------------------------------------------------------------- 42 CFR Parts 410, 411, 414 et al. Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Corrections; Final Rule Federal Register / Vol. 75, No. 90 / Tuesday, May 11, 2010 / Rules and Regulations [[Page 26350]] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 410, 411, 414, 415, 485, and 498 [CMS-1413-CN4] RIN 0938-AP40 Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Corrections AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule; corrections. ----------------------------------------------------------------------- SUMMARY: This document corrects several technical and typographical errors in the final rule with comment period that appeared in the November 25, 2009 Federal Register entitled ``Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Final Rule'' (74 FR 61738), as well as errors in the December 10, 2009 correction notice to the ``Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2010; Corrections'' (74 FR 65449). DATES: Effective Date: This correction notice is effective January 1, 2010. FOR FURTHER INFORMATION CONTACT: Rebecca Cole, (410) 786-4497. SUPPLEMENTARY INFORMATION: I. Background In FR Doc. E9-26502 of November 25, 2009 (74 FR 61738) (hereinafter referred to as the CY 2010 PFS final rule with comment period), there were a number of technical and typographical errors. Some of these errors were corrected in FR Doc. E9-29256 of December 10, 2009 (74 FR 65449) (hereinafter referred to as the December 10, 2009 correction notice). We note that on December 19, 2009, the Department of Defense Appropriations Act, 2010 (Pub. L. 111-118) was signed into law. Section 1011 of Pub. L. 111-118 provided a 2-month zero percent update to the CY 2010 Medicare physician fee schedule (PFS) effective only for dates of service from January 1, 2010 through February 28, 2010. Further, on March 2, 2010, the Temporary Extension Act of 2010 (Pub. L. 111-144) was signed into law. Section 2 of Pub. L. 111-144 extended through March 31, 2010 the zero percent update to the PFS that was in effect for claims with dates of service from January 1, 2010 through February 28, 2010. In addition, on April 15, 2010, the Continuing Extension Act of 2010 (Pub. L. 111-157) was signed into law. Section 4 of Pub. L. 111-157 extended through May 31, 2010 the zero percent update to the PFS that was in effect for claims with dates of services from January 1, 2010 through March 31, 2010. The provisions of this notice are effective as if they had been included in the CY 2010 PFS final rule with comment period. Accordingly, the corrections are effective January 1, 2010. II. The December 10, 2009 Correction Notice A. Summary of Errors in the December 10, 2009 Correction Notice On page 65450, we are correcting the figure for the CY 2010 CF by substituting the CF that should have been included in the CY 2010 PFS final rule with comment period. Under the current statute, this CF is effective for services furnished from June 1, 2010 through December 31, 2010. This correction to the CF results from corrections to the practice expense (PE) and malpractice (MP) relative value units (RVUs) to align their values with the final CY 2010 PFS policies for PE and MP RVUs, taking into consideration comments from the public and our further review following display of the final rule with comment period. We are also correcting the note referencing the CF used in Table 1: Calculation of PE RVUs under Methodology for Selected Codes. On pages 65451 and 65452, we are replacing Table 1: Calculation of PE RVUs under Methodology for Selected Codes. On page 65453, we are correcting the figures for the CY 2010 PFS CF and national anesthesia CF for the reasons indicated above. We are also correcting the discussion concerning the CY 2010 CF for the reasons indicated above. We are also correcting Table 44 concerning the CY 2010 CF budget neutrality adjustment and CY 2010 CF to reflect the net impact of the RVU changes discussed in this correction notice on the CF. In Table 45, we are correcting the lines concerning the CY 2010 anesthesia adjustment and the CY 2010 anesthesia CF contained in the table for the reasons indicated above. We are replacing Table 50 entitled ``Impact of the Final Rule with Comment Period and Estimated Physician Update on 2010 Payment for Selected Procedures'' in its entirety to correct the payment amounts for CY 2010. The corrections to Table 50 also reflect the removal of CPT code 78465-26, Heart image (3d), multiple, which was inadvertently included. This is not a procedure commonly furnished by a broad spectrum of physician specialties, the criterion for inclusion in Table 50. On page 65455, we are correcting the CY 2010 payment amounts associated with CPT code 99203 for the reasons indicated above. B. Correction of Errors in the December 10, 2009 Correction Notice In FR Doc. E9-29256 of December 10, 2009 (74 FR 65449), make the following corrections: 1. On page 65450, in the 3rd column, a. In the 3rd full paragraph, line 5, the figure ``$28.3895'' is corrected to read ``$28.3868.'' b. In the 4th full paragraph, line 4, the figure ``$36.0666'' is corrected to read ``$36.0791.'' 2. On pages 65451 and 65452, Table 1 is corrected to read as follows: BILLING CODE 4120-01-P [[Page 26351]] [GRAPHIC] [TIFF OMITTED] TR11MY10.000 [[Page 26352]] [GRAPHIC] [TIFF OMITTED] TR11MY10.001 [[Page 26353]] 3. On page 65453, a. Middle of the page, (1) In the 2nd column, 2nd full paragraph, line 2, the figure ``$28.3895'' is corrected to read ``$28.3868''. (2) In the 3rd column, (a) Second paragraph, line 2, the figure $16.6108'' is corrected to read ``$16.6058''. (b) Fourth paragraph, line 3, the figure ``1.000445'' is corrected to read ``1.000347''. b. Bottom 3rd of the page, (1) In Table 44: Calculation of the CY 2010 PFS CF the last two lines are corrected to read as follows: Table 44--Calculation of the CY 2010 PFS CF ------------------------------------------------------------------------ ------------------------------------------------------------------------ CY 2010 CF Budget Neutrality 0.0347 percent Adjustment. (1.000347). CY 2010 Conversion Factor........ ................... $28.3868 ------------------------------------------------------------------------ (2) In Table 45: Calculation of the CY 2010 Anesthesia Conversion Factor, the last two lines are corrected to read as follows: Table 45--Calculation of the CY 2010 Anesthesia Conversion Factor ------------------------------------------------------------------------ ------------------------------------------------------------------------ CY 2010 Anesthesia Adjustment.... 0.91 percent (1.0091). CY 2010 Anesthesia Conversion ................... $16.6058 Factor. ------------------------------------------------------------------------ 4. On pages 65453 through 65455, in Table 50: Impact of the Final Rule with Comment Period and Physician Update on 2010 Payment for Selected Procedures, table is corrected to read as follows: [[Page 26354]] [GRAPHIC] [TIFF OMITTED] TR11MY10.002 [[Page 26355]] [GRAPHIC] [TIFF OMITTED] TR11MY10.003 [[Page 26356]] BILLING CODE 4120-01-C 5. On page 65455, in the bottom 3rd of the page, in the 2nd column, the partial paragraph, a. Line 7, the figure ``$76.94'' is corrected to read ``$76.93'' b. Line 9, the figure ``$15.38'' is corrected to read ``$15.39'' III. The CY 2010 PFS Final Rule With Comment Period A. Summary of Errors in the CY 2010 PFS Final Rule With Comment Period On page 61760, we are correcting typographical errors in the list of codes that have the surgical risk factor assigned for CY 2010. On page 61808, we are removing reference to Medicare Part A. On pages 61822 through 61826, we are correcting typographical errors in the titles of six Physician Quality Reporting Initiative (PQRI) measures listed in Table 11: 2010 Measures Selected from the 2009 PQRI Quality Measure Set Available for Either Claims-based Reporting or Registry-based Reporting. On page 61827, we are correcting a typographical error in the title of one PQRI measure listed in Table 12: 2010 Measures Selected from the 2009 PQRI Quality Measure Set Available for Registry-based Reporting Only. On page 61842, we are correcting a typographical error in the title of one PQRI measure and the Measure Developer for two PQRI measures listed in Table 28: Measures for Physician Groups Participating in the 2010 PQRI Group Practice Reporting Option. On page 61883, in the first column in the second paragraph, we are correcting a typographical error in the third response. On page 61956, we are adding a discussion of CPT code 92520, Laryngeal function studies, that was inadvertently omitted. On page 61957, we are correcting Table 31: Additions to the Physician Self-Referral List of CPT\1\/HCPCS Codes to include CPT code 92520, Laryngeal function studies. On pages 61983 and 61984, we are replacing Table 49: CY 2010 Total Allowed Charge Impact for Work, Practice Expense, and Malpractice Changes in its entirety to correct the impacts for CY 2010. On pages 62017 through 62146, technical errors result in corrections to the work and/or PE and/or MP RVUs for certain existing and new and revised CY 2010 CPT codes in both Addendum B: Relative Value Units and Related Information Used in Determining Medicare Payments for 2010 and Addendum C: Codes With Interim RVUs. The PE corrections are made to ensure that the values are consistent with our interim acceptance of the American Medical Association (AMA) Relative (Value) Update Committee (RUC) recommendations for these codes as stated in the CY 2010 PFS final rule with comment period (74 FR 61955). We are also correcting the budget neutrality factor associated with the elimination of the use of the facility consultation codes to reflect the final rule policy. These include the following:CY 2010 New and Revised Codes: PE Corrections--The PE RVUs for 27 CPT codes are corrected due to technical errors. In the CY 2010 final rule with comment period, we provided interim acceptance of the RUC PE recommendations for the following CPT codes: 14301, 51728, 51728-TC, 51729, 51729-TC, 64490, 64491, 64492, 64493, 64494, 64495, 75571, 75571-TC, 75572, 75572-TC, 75573, 75573-TC, 75574, 75574-TC, 78451, 78451-TC, 78452, 78452-TC, 78453, 78453-TC, 78454, and 78454-TC. However, due to technical errors, we did not apply the correct PE values to these codes in Addendum B. The PE RVUs in Addendum B reflect these corrections. Malpractice Corrections--There were technical errors in the MP RVUs for certain codes, primarily due to the assignment of risk factors associated with technical component (TC) services and the assignment of risk factors to selected codes that were inconsistent with the policies described in the CY 2010 PFS final rule with comment period or the prior policies left unchanged by the final rule. The MP RVUs in Addendum B reflect these corrections. Other Corrections-- ++ On pages 62017 through 62143 we are correcting a typographical error in the title of the last column in Addendum B. ++ On pages 62017 through 62143 we are correcting typographical errors in the global period information for CPT\1\/HCPCS codes 0016T through 23472. ++ On page 62023, the work RVUs for CPT code 19340 are corrected due to a technical error. ++ On page 62059, the work RVUs for CPT code 42145 are corrected due to a technical error. On pages 62150, 62151, 62153, 62156, 62159, 62161, and 62170 of Addendum G: CY 2010 ESRD Wage Index for Urban Areas Based on CBSA Labor Market Areas, the wage index values for eight CBSAs are corrected. In order to be consistent with the accurate CY 2010 wage index values provided in the ESRD PRICER, we have corrected the CY 2010 wage index table values in this correction notice. On page 62178 of Addendum I: List of CPT\1\/HCPCS used to Define Certain Designated Health Categories\2\ under Section 1877 of the Social Security Act, we are adding CPT 92520, Laryngeal function studies. B. Correction of Errors in the CY 2010 PFS Final Rule With Comment Period In FR Doc. E9-26502 of November 25, 2009 (74 FR 61738), make the following corrections: 1. On page 61746, in the 3rd column, the last paragraph, line 4, the date ``January 1, 2010'' is corrected to read ``January 1, 2009.'' 2. On page 61760, in the 3rd column, the 1st full paragraph, lines 5 through 12, the phrase beginning ``ranges: Surgery'' and ending ``(all other CPT codes)'' is corrected to read ``ranges: Surgery (CPT code range 10000 through 69999; 92973 through 92975; 92980 through 92998; 93501 through 93533; 93580 through 93581; 93600 through 93613; 93618 through 93641; 93650 through 93652); and nonsurgery (all other CPT codes).'' 3. On page 61808, in the 3rd column, in the 2nd paragraph, in the 3rd bullet, lines 1 and 2, the phrase ``Medicare Part A and Part B'' is corrected to read ``Medicare Part B.'' 4. On pages 61822 through 61826, in Table 11: 2010 Measures Selected From the 2009 PQRI Quality Measure Set Available for Either Claims-based Reporting or Registry-based Reporting, the measure title for the listed entries are corrected to read as follows: ---------------------------------------------------------------------------------------------------------------- Measure No. Measure title Measure developer ---------------------------------------------------------------------------------------------------------------- 91...................................... Acute Otitis Externa (AOE): AMA-PCPI Topical Therapy. 92...................................... Acute Otitis Externa (AOE): Pain AMA-PCPI Assessment. 93...................................... Acute Otitis Externa (AOE): AMA-PCPI Systemic Antimicrobial Therapy-- Avoidance of Inappropriate Use. 100..................................... Colorectal Cancer Resection AMA-PCPI/CAP Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade. [[Page 26357]] 109..................................... Osteoarthritis (OA): Function AMA-PCPI and Pain Assessment. 141..................................... Primary Open-Angle Glaucoma AMA-PCPI/NCQA (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care. ---------------------------------------------------------------------------------------------------------------- 5. On page 61827, Table 12: 2010 Measures Selected From the 2009 PQRI Quality Measure Set Available for Registry-based Reporting Only, the measure title for the listed entry (measure number 118) is corrected to read as follows: ---------------------------------------------------------------------------------------------------------------- Measure No. Measure title Measure developer ---------------------------------------------------------------------------------------------------------------- 118..................................... Coronary Artery Disease (CAD): AMA-PCPI Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Patients with CAD and Diabetes and/or Left Ventricular Systolic Dysfunction (LVSD). ---------------------------------------------------------------------------------------------------------------- 6. On page 61842, Table 28: Measures for Physician Groups Participating in the 2010 PQRI Group Practice Reporting Option, the listed entries are corrected to read as follows: ---------------------------------------------------------------------------------------------------------------- Measure No. Measure title Measure developer ---------------------------------------------------------------------------------------------------------------- 2....................................... Diabetes Mellitus: Low Density NCQA Lipoprotein (LDL-C) Control in Diabetes Mellitus. 113..................................... Preventive Care and Screening: NCQA Colorectal Cancer Screening. TBD..................................... Hypertension (HTN): Blood NCQA Pressure Control. ---------------------------------------------------------------------------------------------------------------- 7. On page 61883, in the 1st column, in the 7th paragraph, lines 1 through 7, the sentence that begins with the phrase ``'(B) provides at least the following'' and ends ``(Emphasis Added)'' is corrected to read `` ``(B) provides at least the following comprehensive outpatient rehabilitative (i) physicians' services (rendered by physicians, as defined in section 1861 (r)(1) of the Act who are available at the facility on a full or part-time basis;'' (Emphasis added).'' 8. On page 61956: a. In the 2nd column, last partial paragraph, line 5, that begins with the phrase ``We are also adding'' is corrected to read ``We also are adding HCPCS codes G0416 through G0419 and CPT code 92520. HCPCS codes G0416 through G0419 represent pathology codes for prostate needle saturation biopsy sampling that we are adding to the ``Clinical Laboratory Services'' category of the Code List.'' b. In the 3rd column, the 1st partial paragraph, at the end of the last sentence, the paragraph is corrected by adding the following sentences: ``Additionally, we are adding CPT code 92520 that represents laryngeal function studies to the ``Physical Therapy, Occupational Therapy and Outpatient Speech-Language Pathology'' category of the Code List. The addition of this code reflects Medicare's recognition of this service on the Therapy List issued for 2010 (see CMS Internet-Only Manual, Pub 100-04, Chapter 5, section 20 or http://www.cms.hhs.gov/TherapyServices/05_Annual_Therapy_Update.asp).'' 9. On page 61957, Table 31: Additions to the Physician Self- Referral List of CPT\1\/HCPCS Codes, under the heading of ``Physical Therapy, Occupational Therapy, and Outpatient Speech-Language Pathology Services'', the entry ``[no additions]'' is corrected to read ``92520 Laryngeal function studies.'' 10. On pages 61983 through 61984, in Table 49: CY 2010 Total Allowed Charge Impact for Work, Practice Expense, and Malpractice Changes, the table is corrected to read as follows: BILLING CODE 4120-01-P [[Page 26358]] [GRAPHIC] [TIFF OMITTED] TR11MY10.004 [[Page 26359]] [GRAPHIC] [TIFF OMITTED] TR11MY10.005 11. On pages 62017 through 62143 and as corrected in the December 10, 2009 correction notice (74 FR 65455 through 65457), in Addendum B: Relative Value Units and Related Information Used in Determining Medicare Payments for 2010, the addendum is corrected to read as follows: [[Page 26360]] [GRAPHIC] [TIFF OMITTED] TR11MY10.006 [[Page 26361]] [GRAPHIC] [TIFF OMITTED] TR11MY10.007 [[Page 26362]] [GRAPHIC] [TIFF OMITTED] TR11MY10.008 [[Page 26363]] [GRAPHIC] [TIFF OMITTED] TR11MY10.009 [[Page 26364]] [GRAPHIC] [TIFF OMITTED] TR11MY10.010 [[Page 26365]] [GRAPHIC] [TIFF OMITTED] TR11MY10.011 [[Page 26366]] [GRAPHIC] [TIFF OMITTED] TR11MY10.012 [[Page 26367]] [GRAPHIC] [TIFF OMITTED] TR11MY10.013 [[Page 26368]] [GRAPHIC] [TIFF OMITTED] TR11MY10.014 [[Page 26369]] [GRAPHIC] [TIFF OMITTED] TR11MY10.015 [[Page 26370]] [GRAPHIC] [TIFF OMITTED] TR11MY10.016 [[Page 26371]] [GRAPHIC] [TIFF OMITTED] TR11MY10.017 [[Page 26372]] [GRAPHIC] [TIFF OMITTED] TR11MY10.018 [[Page 26373]] [GRAPHIC] [TIFF OMITTED] TR11MY10.019 [[Page 26374]] [GRAPHIC] [TIFF OMITTED] TR11MY10.020 [[Page 26375]] [GRAPHIC] [TIFF OMITTED] TR11MY10.021 [[Page 26376]] [GRAPHIC] [TIFF OMITTED] TR11MY10.022 [[Page 26377]] [GRAPHIC] [TIFF OMITTED] TR11MY10.023 [[Page 26378]] [GRAPHIC] [TIFF OMITTED] TR11MY10.024 [[Page 26379]] [GRAPHIC] [TIFF OMITTED] TR11MY10.025 [[Page 26380]] [GRAPHIC] [TIFF OMITTED] TR11MY10.026 [[Page 26381]] [GRAPHIC] [TIFF OMITTED] TR11MY10.027 [[Page 26382]] [GRAPHIC] [TIFF OMITTED] TR11MY10.028 [[Page 26383]] [GRAPHIC] [TIFF OMITTED] TR11MY10.029 [[Page 26384]] [GRAPHIC] [TIFF OMITTED] TR11MY10.030 [[Page 26385]] [GRAPHIC] [TIFF OMITTED] TR11MY10.031 [[Page 26386]] [GRAPHIC] [TIFF OMITTED] TR11MY10.032 [[Page 26387]] [GRAPHIC] [TIFF OMITTED] TR11MY10.033 [[Page 26388]] [GRAPHIC] [TIFF OMITTED] TR11MY10.034 [[Page 26389]] [GRAPHIC] [TIFF OMITTED] TR11MY10.035 [[Page 26390]] [GRAPHIC] [TIFF OMITTED] TR11MY10.036 [[Page 26391]] [GRAPHIC] [TIFF OMITTED] TR11MY10.037 [[Page 26392]] [GRAPHIC] [TIFF OMITTED] TR11MY10.038 [[Page 26393]] [GRAPHIC] [TIFF OMITTED] TR11MY10.039 [[Page 26394]] [GRAPHIC] [TIFF OMITTED] TR11MY10.040 [[Page 26395]] [GRAPHIC] [TIFF OMITTED] TR11MY10.041 [[Page 26396]] [GRAPHIC] [TIFF OMITTED] TR11MY10.042 [[Page 26397]] [GRAPHIC] [TIFF OMITTED] TR11MY10.043 [[Page 26398]] [GRAPHIC] [TIFF OMITTED] TR11MY10.044 [[Page 26399]] [GRAPHIC] [TIFF OMITTED] TR11MY10.045 [[Page 26400]] [GRAPHIC] [TIFF OMITTED] TR11MY10.046 [[Page 26401]] [GRAPHIC] [TIFF OMITTED] TR11MY10.047 [[Page 26402]] [GRAPHIC] [TIFF OMITTED] TR11MY10.048 [[Page 26403]] [GRAPHIC] [TIFF OMITTED] TR11MY10.049 [[Page 26404]] [GRAPHIC] [TIFF OMITTED] TR11MY10.050 [[Page 26405]] [GRAPHIC] [TIFF OMITTED] TR11MY10.051 [[Page 26406]] [GRAPHIC] [TIFF OMITTED] TR11MY10.052 [[Page 26407]] [GRAPHIC] [TIFF OMITTED] TR11MY10.053 [[Page 26408]] [GRAPHIC] [TIFF OMITTED] TR11MY10.054 [[Page 26409]] [GRAPHIC] [TIFF OMITTED] TR11MY10.055 [[Page 26410]] [GRAPHIC] [TIFF OMITTED] TR11MY10.056 [[Page 26411]] [GRAPHIC] [TIFF OMITTED] TR11MY10.057 [[Page 26412]] [GRAPHIC] [TIFF OMITTED] TR11MY10.058 [[Page 26413]] [GRAPHIC] [TIFF OMITTED] TR11MY10.059 [[Page 26414]] [GRAPHIC] [TIFF OMITTED] TR11MY10.060 [[Page 26415]] [GRAPHIC] [TIFF OMITTED] TR11MY10.061 [[Page 26416]] [GRAPHIC] [TIFF OMITTED] TR11MY10.062 [[Page 26417]] [GRAPHIC] [TIFF OMITTED] TR11MY10.063 [[Page 26418]] [GRAPHIC] [TIFF OMITTED] TR11MY10.064 [[Page 26419]] [GRAPHIC] [TIFF OMITTED] TR11MY10.065 [[Page 26420]] [GRAPHIC] [TIFF OMITTED] TR11MY10.066 [[Page 26421]] [GRAPHIC] [TIFF OMITTED] TR11MY10.067 [[Page 26422]] [GRAPHIC] [TIFF OMITTED] TR11MY10.068 [[Page 26423]] [GRAPHIC] [TIFF OMITTED] TR11MY10.069 [[Page 26424]] [GRAPHIC] [TIFF OMITTED] TR11MY10.070 [[Page 26425]] [GRAPHIC] [TIFF OMITTED] TR11MY10.071 [[Page 26426]] [GRAPHIC] [TIFF OMITTED] TR11MY10.072 [[Page 26427]] [GRAPHIC] [TIFF OMITTED] TR11MY10.073 [[Page 26428]] [GRAPHIC] [TIFF OMITTED] TR11MY10.074 [[Page 26429]] [GRAPHIC] [TIFF OMITTED] TR11MY10.075 [[Page 26430]] [GRAPHIC] [TIFF OMITTED] TR11MY10.076 [[Page 26431]] [GRAPHIC] [TIFF OMITTED] TR11MY10.077 [[Page 26432]] [GRAPHIC] [TIFF OMITTED] TR11MY10.078 [[Page 26433]] [GRAPHIC] [TIFF OMITTED] TR11MY10.079 [[Page 26434]] [GRAPHIC] [TIFF OMITTED] TR11MY10.080 [[Page 26435]] [GRAPHIC] [TIFF OMITTED] TR11MY10.081 [[Page 26436]] [GRAPHIC] [TIFF OMITTED] TR11MY10.082 [[Page 26437]] [GRAPHIC] [TIFF OMITTED] TR11MY10.083 [[Page 26438]] [GRAPHIC] [TIFF OMITTED] TR11MY10.084 [[Page 26439]] [GRAPHIC] [TIFF OMITTED] TR11MY10.085 [[Page 26440]] [GRAPHIC] [TIFF OMITTED] TR11MY10.086 [[Page 26441]] [GRAPHIC] [TIFF OMITTED] TR11MY10.087 [[Page 26442]] [GRAPHIC] [TIFF OMITTED] TR11MY10.088 [[Page 26443]] [GRAPHIC] [TIFF OMITTED] TR11MY10.089 [[Page 26444]] [GRAPHIC] [TIFF OMITTED] TR11MY10.090 [[Page 26445]] [GRAPHIC] [TIFF OMITTED] TR11MY10.091 [[Page 26446]] [GRAPHIC] [TIFF OMITTED] TR11MY10.092 [[Page 26447]] [GRAPHIC] [TIFF OMITTED] TR11MY10.093 [[Page 26448]] [GRAPHIC] [TIFF OMITTED] TR11MY10.094 [[Page 26449]] [GRAPHIC] [TIFF OMITTED] TR11MY10.095 [[Page 26450]] [GRAPHIC] [TIFF OMITTED] TR11MY10.096 [[Page 26451]] [GRAPHIC] [TIFF OMITTED] TR11MY10.097 [[Page 26452]] [GRAPHIC] [TIFF OMITTED] TR11MY10.098 [[Page 26453]] [GRAPHIC] [TIFF OMITTED] TR11MY10.099 [[Page 26454]] [GRAPHIC] [TIFF OMITTED] TR11MY10.100 [[Page 26455]] [GRAPHIC] [TIFF OMITTED] TR11MY10.101 [[Page 26456]] [GRAPHIC] [TIFF OMITTED] TR11MY10.102 [[Page 26457]] [GRAPHIC] [TIFF OMITTED] TR11MY10.103 [[Page 26458]] [GRAPHIC] [TIFF OMITTED] TR11MY10.104 [[Page 26459]] [GRAPHIC] [TIFF OMITTED] TR11MY10.105 [[Page 26460]] [GRAPHIC] [TIFF OMITTED] TR11MY10.106 [[Page 26461]] [GRAPHIC] [TIFF OMITTED] TR11MY10.107 [[Page 26462]] [GRAPHIC] [TIFF OMITTED] TR11MY10.108 [[Page 26463]] [GRAPHIC] [TIFF OMITTED] TR11MY10.109 [[Page 26464]] [GRAPHIC] [TIFF OMITTED] TR11MY10.110 [[Page 26465]] [GRAPHIC] [TIFF OMITTED] TR11MY10.111 [[Page 26466]] [GRAPHIC] [TIFF OMITTED] TR11MY10.112 [[Page 26467]] [GRAPHIC] [TIFF OMITTED] TR11MY10.113 [[Page 26468]] [GRAPHIC] [TIFF OMITTED] TR11MY10.114 [[Page 26469]] [GRAPHIC] [TIFF OMITTED] TR11MY10.115 [[Page 26470]] [GRAPHIC] [TIFF OMITTED] TR11MY10.116 [[Page 26471]] [GRAPHIC] [TIFF OMITTED] TR11MY10.117 [[Page 26472]] [GRAPHIC] [TIFF OMITTED] TR11MY10.118 [[Page 26473]] [GRAPHIC] [TIFF OMITTED] TR11MY10.119 [[Page 26474]] [GRAPHIC] [TIFF OMITTED] TR11MY10.120 [[Page 26475]] [GRAPHIC] [TIFF OMITTED] TR11MY10.121 [[Page 26476]] [GRAPHIC] [TIFF OMITTED] TR11MY10.122 [[Page 26477]] [GRAPHIC] [TIFF OMITTED] TR11MY10.123 [[Page 26478]] [GRAPHIC] [TIFF OMITTED] TR11MY10.124 [[Page 26479]] [GRAPHIC] [TIFF OMITTED] TR11MY10.125 [[Page 26480]] [GRAPHIC] [TIFF OMITTED] TR11MY10.126 [[Page 26481]] [GRAPHIC] [TIFF OMITTED] TR11MY10.127 [[Page 26482]] [GRAPHIC] [TIFF OMITTED] TR11MY10.128 [[Page 26483]] [GRAPHIC] [TIFF OMITTED] TR11MY10.129 [[Page 26484]] [GRAPHIC] [TIFF OMITTED] TR11MY10.130 [[Page 26485]] [GRAPHIC] [TIFF OMITTED] TR11MY10.131 [[Page 26486]] [GRAPHIC] [TIFF OMITTED] TR11MY10.132 [[Page 26487]] [GRAPHIC] [TIFF OMITTED] TR11MY10.133 [[Page 26488]] [GRAPHIC] [TIFF OMITTED] TR11MY10.134 [[Page 26489]] [GRAPHIC] [TIFF OMITTED] TR11MY10.135 [[Page 26490]] [GRAPHIC] [TIFF OMITTED] TR11MY10.136 [[Page 26491]] [GRAPHIC] [TIFF OMITTED] TR11MY10.137 [[Page 26492]] [GRAPHIC] [TIFF OMITTED] TR11MY10.138 [[Page 26493]] [GRAPHIC] [TIFF OMITTED] TR11MY10.139 [[Page 26494]] [GRAPHIC] [TIFF OMITTED] TR11MY10.140 [[Page 26495]] [GRAPHIC] [TIFF OMITTED] TR11MY10.141 [[Page 26496]] [GRAPHIC] [TIFF OMITTED] TR11MY10.142 [[Page 26497]] [GRAPHIC] [TIFF OMITTED] TR11MY10.143 [[Page 26498]] [GRAPHIC] [TIFF OMITTED] TR11MY10.144 [[Page 26499]] [GRAPHIC] [TIFF OMITTED] TR11MY10.145 [[Page 26500]] [GRAPHIC] [TIFF OMITTED] TR11MY10.146 [[Page 26501]] [GRAPHIC] [TIFF OMITTED] TR11MY10.147 [[Page 26502]] [GRAPHIC] [TIFF OMITTED] TR11MY10.148 [[Page 26503]] [GRAPHIC] [TIFF OMITTED] TR11MY10.149 [[Page 26504]] [GRAPHIC] [TIFF OMITTED] TR11MY10.150 [[Page 26505]] [GRAPHIC] [TIFF OMITTED] TR11MY10.151 [[Page 26506]] [GRAPHIC] [TIFF OMITTED] TR11MY10.152 [[Page 26507]] [GRAPHIC] [TIFF OMITTED] TR11MY10.153 [[Page 26508]] [GRAPHIC] [TIFF OMITTED] TR11MY10.154 [[Page 26509]] [GRAPHIC] [TIFF OMITTED] TR11MY10.155 [[Page 26510]] [GRAPHIC] [TIFF OMITTED] TR11MY10.156 [[Page 26511]] [GRAPHIC] [TIFF OMITTED] TR11MY10.157 [[Page 26512]] [GRAPHIC] [TIFF OMITTED] TR11MY10.158 [[Page 26513]] [GRAPHIC] [TIFF OMITTED] TR11MY10.159 [[Page 26514]] [GRAPHIC] [TIFF OMITTED] TR11MY10.160 [[Page 26515]] [GRAPHIC] [TIFF OMITTED] TR11MY10.161 [[Page 26516]] [GRAPHIC] [TIFF OMITTED] TR11MY10.162 [[Page 26517]] [GRAPHIC] [TIFF OMITTED] TR11MY10.163 [[Page 26518]] [GRAPHIC] [TIFF OMITTED] TR11MY10.164 [[Page 26519]] [GRAPHIC] [TIFF OMITTED] TR11MY10.165 [[Page 26520]] [GRAPHIC] [TIFF OMITTED] TR11MY10.166 [[Page 26521]] [GRAPHIC] [TIFF OMITTED] TR11MY10.167 [[Page 26522]] [GRAPHIC] [TIFF OMITTED] TR11MY10.168 [[Page 26523]] [GRAPHIC] [TIFF OMITTED] TR11MY10.169 [[Page 26524]] [GRAPHIC] [TIFF OMITTED] TR11MY10.170 [[Page 26525]] [GRAPHIC] [TIFF OMITTED] TR11MY10.171 [[Page 26526]] [GRAPHIC] [TIFF OMITTED] TR11MY10.172 [[Page 26527]] [GRAPHIC] [TIFF OMITTED] TR11MY10.173 [[Page 26528]] [GRAPHIC] [TIFF OMITTED] TR11MY10.174 [[Page 26529]] [GRAPHIC] [TIFF OMITTED] TR11MY10.175 [[Page 26530]] [GRAPHIC] [TIFF OMITTED] TR11MY10.176 [[Page 26531]] [GRAPHIC] [TIFF OMITTED] TR11MY10.177 [[Page 26532]] [GRAPHIC] [TIFF OMITTED] TR11MY10.178 [[Page 26533]] [GRAPHIC] [TIFF OMITTED] TR11MY10.179 [[Page 26534]] [GRAPHIC] [TIFF OMITTED] TR11MY10.180 [[Page 26535]] [GRAPHIC] [TIFF OMITTED] TR11MY10.181 [[Page 26536]] [GRAPHIC] [TIFF OMITTED] TR11MY10.182 [[Page 26537]] [GRAPHIC] [TIFF OMITTED] TR11MY10.183 [[Page 26538]] [GRAPHIC] [TIFF OMITTED] TR11MY10.184 [[Page 26539]] [GRAPHIC] [TIFF OMITTED] TR11MY10.185 [[Page 26540]] [GRAPHIC] [TIFF OMITTED] TR11MY10.186 [[Page 26541]] [GRAPHIC] [TIFF OMITTED] TR11MY10.187 [[Page 26542]] [GRAPHIC] [TIFF OMITTED] TR11MY10.188 [[Page 26543]] [GRAPHIC] [TIFF OMITTED] TR11MY10.189 [[Page 26544]] [GRAPHIC] [TIFF OMITTED] TR11MY10.190 [[Page 26545]] [GRAPHIC] [TIFF OMITTED] TR11MY10.191 [[Page 26546]] [GRAPHIC] [TIFF OMITTED] TR11MY10.192 [[Page 26547]] [GRAPHIC] [TIFF OMITTED] TR11MY10.193 [[Page 26548]] [GRAPHIC] [TIFF OMITTED] TR11MY10.194 [[Page 26549]] [GRAPHIC] [TIFF OMITTED] TR11MY10.195 [[Page 26550]] [GRAPHIC] [TIFF OMITTED] TR11MY10.196 [[Page 26551]] [GRAPHIC] [TIFF OMITTED] TR11MY10.197 [[Page 26552]] [GRAPHIC] [TIFF OMITTED] TR11MY10.198 [[Page 26553]] [GRAPHIC] [TIFF OMITTED] TR11MY10.199 [[Page 26554]] [GRAPHIC] [TIFF OMITTED] TR11MY10.200 [[Page 26555]] [GRAPHIC] [TIFF OMITTED] TR11MY10.201 [[Page 26556]] [GRAPHIC] [TIFF OMITTED] TR11MY10.202 [[Page 26557]] [GRAPHIC] [TIFF OMITTED] TR11MY10.203 [[Page 26558]] [GRAPHIC] [TIFF OMITTED] TR11MY10.204 [[Page 26559]] [GRAPHIC] [TIFF OMITTED] TR11MY10.205 [[Page 26560]] [GRAPHIC] [TIFF OMITTED] TR11MY10.206 [[Page 26561]] [GRAPHIC] [TIFF OMITTED] TR11MY10.207 [[Page 26562]] [GRAPHIC] [TIFF OMITTED] TR11MY10.208 [[Page 26563]] [GRAPHIC] [TIFF OMITTED] TR11MY10.209 [[Page 26564]] [GRAPHIC] [TIFF OMITTED] TR11MY10.210 [[Page 26565]] [GRAPHIC] [TIFF OMITTED] TR11MY10.211 [[Page 26566]] [GRAPHIC] [TIFF OMITTED] TR11MY10.212 [[Page 26567]] [GRAPHIC] [TIFF OMITTED] TR11MY10.213 [[Page 26568]] [GRAPHIC] [TIFF OMITTED] TR11MY10.214 [[Page 26569]] [GRAPHIC] [TIFF OMITTED] TR11MY10.215 [[Page 26570]] [GRAPHIC] [TIFF OMITTED] TR11MY10.216 [[Page 26571]] [GRAPHIC] [TIFF OMITTED] TR11MY10.217 [[Page 26572]] [GRAPHIC] [TIFF OMITTED] TR11MY10.218 [[Page 26573]] [GRAPHIC] [TIFF OMITTED] TR11MY10.219 [[Page 26574]] [GRAPHIC] [TIFF OMITTED] TR11MY10.220 [[Page 26575]] [GRAPHIC] [TIFF OMITTED] TR11MY10.221 [[Page 26576]] [GRAPHIC] [TIFF OMITTED] TR11MY10.222 [[Page 26577]] [GRAPHIC] [TIFF OMITTED] TR11MY10.223 [[Page 26578]] [GRAPHIC] [TIFF OMITTED] TR11MY10.224 [[Page 26579]] [GRAPHIC] [TIFF OMITTED] TR11MY10.225 [[Page 26580]] [GRAPHIC] [TIFF OMITTED] TR11MY10.226 [[Page 26581]] [GRAPHIC] [TIFF OMITTED] TR11MY10.227 [[Page 26582]] [GRAPHIC] [TIFF OMITTED] TR11MY10.228 [[Page 26583]] [GRAPHIC] [TIFF OMITTED] TR11MY10.229 [[Page 26584]] [GRAPHIC] [TIFF OMITTED] TR11MY10.230 [[Page 26585]] [GRAPHIC] [TIFF OMITTED] TR11MY10.231 [[Page 26586]] [GRAPHIC] [TIFF OMITTED] TR11MY10.232 [[Page 26587]] [GRAPHIC] [TIFF OMITTED] TR11MY10.233 [[Page 26588]] [GRAPHIC] [TIFF OMITTED] TR11MY10.234 [[Page 26589]] [GRAPHIC] [TIFF OMITTED] TR11MY10.235 [[Page 26590]] [GRAPHIC] [TIFF OMITTED] TR11MY10.236 [[Page 26591]] [GRAPHIC] [TIFF OMITTED] TR11MY10.237 [[Page 26592]] [GRAPHIC] [TIFF OMITTED] TR11MY10.238 [[Page 26593]] [GRAPHIC] [TIFF OMITTED] TR11MY10.239 [[Page 26594]] [GRAPHIC] [TIFF OMITTED] TR11MY10.240 [[Page 26595]] [GRAPHIC] [TIFF OMITTED] TR11MY10.241 [[Page 26596]] [GRAPHIC] [TIFF OMITTED] TR11MY10.242 [[Page 26597]] [GRAPHIC] [TIFF OMITTED] TR11MY10.243 [[Page 26598]] [GRAPHIC] [TIFF OMITTED] TR11MY10.244 [[Page 26599]] [GRAPHIC] [TIFF OMITTED] TR11MY10.245 [[Page 26600]] [GRAPHIC] [TIFF OMITTED] TR11MY10.246 [[Page 26601]] [GRAPHIC] [TIFF OMITTED] TR11MY10.247 [[Page 26602]] [GRAPHIC] [TIFF OMITTED] TR11MY10.248 [[Page 26603]] [GRAPHIC] [TIFF OMITTED] TR11MY10.249 [[Page 26604]] [GRAPHIC] [TIFF OMITTED] TR11MY10.250 [[Page 26605]] [GRAPHIC] [TIFF OMITTED] TR11MY10.251 [[Page 26606]] [GRAPHIC] [TIFF OMITTED] TR11MY10.252 [[Page 26607]] [GRAPHIC] [TIFF OMITTED] TR11MY10.253 [[Page 26608]] [GRAPHIC] [TIFF OMITTED] TR11MY10.254 [[Page 26609]] [GRAPHIC] [TIFF OMITTED] TR11MY10.255 [[Page 26610]] [GRAPHIC] [TIFF OMITTED] TR11MY10.256 [[Page 26611]] [GRAPHIC] [TIFF OMITTED] TR11MY10.257 [[Page 26612]] [GRAPHIC] [TIFF OMITTED] TR11MY10.258 [[Page 26613]] [GRAPHIC] [TIFF OMITTED] TR11MY10.259 [[Page 26614]] [GRAPHIC] [TIFF OMITTED] TR11MY10.260 [[Page 26615]] [GRAPHIC] [TIFF OMITTED] TR11MY10.261 [[Page 26616]] [GRAPHIC] [TIFF OMITTED] TR11MY10.262 [[Page 26617]] [GRAPHIC] [TIFF OMITTED] TR11MY10.263 [[Page 26618]] [GRAPHIC] [TIFF OMITTED] TR11MY10.264 [[Page 26619]] [GRAPHIC] [TIFF OMITTED] TR11MY10.265 [[Page 26620]] [GRAPHIC] [TIFF OMITTED] TR11MY10.266 [[Page 26621]] [GRAPHIC] [TIFF OMITTED] TR11MY10.267 [[Page 26622]] [GRAPHIC] [TIFF OMITTED] TR11MY10.268 [[Page 26623]] [GRAPHIC] [TIFF OMITTED] TR11MY10.269 [[Page 26624]] [GRAPHIC] [TIFF OMITTED] TR11MY10.270 [[Page 26625]] [GRAPHIC] [TIFF OMITTED] TR11MY10.271 [[Page 26626]] [GRAPHIC] [TIFF OMITTED] TR11MY10.272 [[Page 26627]] [GRAPHIC] [TIFF OMITTED] TR11MY10.273 [[Page 26628]] [GRAPHIC] [TIFF OMITTED] TR11MY10.274 [[Page 26629]] [GRAPHIC] [TIFF OMITTED] TR11MY10.275 [[Page 26630]] [GRAPHIC] [TIFF OMITTED] TR11MY10.276 [[Page 26631]] [GRAPHIC] [TIFF OMITTED] TR11MY10.277 [[Page 26632]] [GRAPHIC] [TIFF OMITTED] TR11MY10.278 [[Page 26633]] [GRAPHIC] [TIFF OMITTED] TR11MY10.279 [[Page 26634]] 12. On pages 620144 through 620147 and as corrected in the December 10, 2009 correction notice (74 FR 65457), in Addendum C: Codes With Interim RVUs is corrected to read as follows: [[Page 26635]] [GRAPHIC] [TIFF OMITTED] TR11MY10.282 [[Page 26636]] [GRAPHIC] [TIFF OMITTED] TR11MY10.283 [[Page 26637]] [GRAPHIC] [TIFF OMITTED] TR11MY10.284 [[Page 26638]] [GRAPHIC] [TIFF OMITTED] TR11MY10.285 [[Page 26639]] [GRAPHIC] [TIFF OMITTED] TR11MY10.286 [[Page 26640]] [GRAPHIC] [TIFF OMITTED] TR11MY10.287 BILLING CODE 4120-01-C 13. On pages 62150, 62151, 62153, 62156, 62159, 62161, and 62170, Addendum G: CY 2010 ESRD Wage Index for Urban Areas Based on CBSA [[Page 26641]] Labor Market Areas, we are correcting the following wage index values: ------------------------------------------------------------------------ CBSA Code Wage index ------------------------------------------------------------------------ 11340................................................... 0.9544 12580................................................... 1.0804 16020................................................... 0.9569 16180................................................... 1.1139 21500................................................... 0.9286 27860................................................... 0.8168 31140................................................... 0.9482 47300................................................... 1.0811 ------------------------------------------------------------------------ 14. On page 62178, Addendum I: List of CPT \1\/HCPCS Used To Define Certain Designated Health Categories\2\ Under Section 1877 of the Social Security Act, the addendum is corrected by adding the following entry in numerical order after the entry ``92508 Speech/hearing therapy'': ------------------------------------------------------------------------ ------------------------------------------------------------------------ 92520............................. Laryngeal function studies ------------------------------------------------------------------------ IV. Waiver of Proposed Rulemaking and Delay in Effective Date We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive the notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons for it in the rule. Section 553(d) of the APA ordinarily requires a 30-day delay in the effective date of final rules after the date of their publication. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued. This document merely corrects typographical and technical errors made in FR Doc. E9-26502, the CY 2010 PFS final rule with comment period (74 FR 61738) and in FR Doc. E9-29256, the December 10, 2009 correction notice (74 FR 65449), and is (with limited exceptions not relevant to these corrections, but noted in the rule), effective on January 1, 2010. The provisions of the final rule with comment period have been subjected previously to notice and comment procedures. The corrections contained in this document are consistent with, and do not make substantive changes to, the payment methodologies and policies adopted in the CY 2010 PFS final rule with comment period. As such, these corrections are being made to ensure the CY 2010 PFS final rule with comment period accurately reflects the policies adopted in that rule. Therefore, we find for good cause that it is unnecessary and would be contrary to the public interest to undertake further notice and comment procedures to incorporate these corrections into the CY 2010 PFS final rule with comment period. For the same reasons, we are also waiving the 30-day delay in effective date for these corrections. We believe that it is in the public interest to ensure that the CY 2010 PFS final rule with comment period accurately states our policies as of the date they take effect. Therefore, we find that delaying the effective date of these corrections beyond the effective date of the final rule with comment period would be contrary to the public interest. In so doing, we find good cause to waive the 30-day delay in the effective date. Authority: (Catalog of Federal Domestic Assistance Program No. 93.774, Medicare--Supplementary Medical Insurance Program) Dated: May 3, 2010. Dawn L. Smalls, Executive Secretary to the Department. [FR Doc. 2010-10814 Filed 5-5-10; 11:15 am] BILLING CODE 4120-01-P