80_FR_52212 80 FR 52046 - National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards Staff; Meeting

80 FR 52046 - National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards Staff; Meeting

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 166 (August 27, 2015)

Page Range52046-52047
FR Document2015-21160

Federal Register, Volume 80 Issue 166 (Thursday, August 27, 2015)
[Federal Register Volume 80, Number 166 (Thursday, August 27, 2015)]
[Notices]
[Pages 52046-52047]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-21160]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


National Center for Health Statistics (NCHS), Classifications and 
Public Health Data Standards Staff; Meeting

    Name: ICD-10 Coordination and Maintenance (C&M) Committee 
meeting.
    Times and Dates: 9 a.m.-5 p.m., September 22-23, 2015.
    Place: Centers for Medicare and Medicaid Services (CMS) 
Auditorium, 7500 Security Boulevard, Baltimore, Maryland 21244.
    Status: Open to the public, limited only by the space available. 
The meeting room accommodates approximately 240 people. We will be 
broadcasting the meeting live via Webcast at hhtp://www.cms.gov/live/.
    Security Considerations: Due to increased security requirements 
CMS has instituted stringent procedures for entrance into the 
building by non-government employees. Attendees will need to present 
valid government-issued picture identification, and sign-in at the 
security desk upon entering the building.
    Attendees who wish to attend the September 22-23, 2015 ICD-10-CM 
C&M meeting must submit their name and organization by September 11, 
2015 for inclusion on the visitor list. This visitor list will be 
maintained at the front desk of the CMS building and used by the 
guards to admit visitors to the meeting.
    Please register to attend the meeting on-line at: http://www.cms.hhs.gov/apps/events/ events/. Please contact Mady Hue (410-786-4510 
or [email protected]), for questions about the registration 
process.
    Participants who attended previous Coordination and Maintenance 
meetings will no longer be automatically added to the visitor list. 
You must request inclusion of your name prior to each meeting you 
wish attend.
    Purpose: The ICD-10 Coordination and Maintenance (C&M) Committee 
is a public forum for the presentation of proposed modifications to 
the International Classification of Diseases, Tenth Revision, 
Clinical Modification and ICD-10 Procedure Coding System.
    Matters To Be Discussed: Agenda items include:

September 22-23, 2015

    ICD-10-PCS Topics:
Branched and Fenestrated Endograft Repair of Aortic Aneurysms
Cerebral Embolic Protection during Transcatheter Aortic Valve 
Replacement (TAVR)
Endovascular Repair of Aortic Aneurysm via Entire Sac-Sealing
Leadless Pacemakers
Repair of Total Anomalous Pulmonary Venous Return (TAPVR) Addenda 
Updates
    ICD-10-CM Diagnosis Topics:
Acute Kidney Injury (AKI)
Amyotrophic Lateral Sclerosis (ALS)
Amblyopia
Asthma
Blindness/Low vision
Caries Risk Levels
Chronic kidney disease (CKD)
Epilepsy
External cause codes for over exertion; repetitive motion
Heart Failure
Hypophosphatasia
Lysosomal acid lipase
Non-exudative AMD
Prolapse vaginal vault
ICD-10-CM Addendum
    Agenda items are subject to change as priorities dictate.
    Note: CMS and NCHS no longer provide paper copies of handouts 
for the meeting. Electronic copies of all meeting materials will be 
posted on the CMS and NCHS Web sites prior to the meeting at http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/03_meetings.asp#TopOfPage and http://www.cdc.gov/nchs/icd/icd9cm_maintenance.htm.

[[Page 52047]]

    Contact Persons For Additional Information: Donna Pickett, 
Medical Systems Administrator, Classifications and Public Health 
Data Standards Staff, NCHS, 3311 Toledo Road, Hyattsville, Maryland 
20782, email [email protected], telephone 301-458-4434 (diagnosis); Mady 
Hue, Health Insurance Specialist, Division of Acute Care, CMS, 7500 
Security Boulevard, Baltimore, Maryland 21244, email 
[email protected], telephone 410-786-4510 (procedures).
    The Director, Management Analysis and Services Office, has been 
delegated the authority to sign Federal Register notices pertaining 
to announcements of meetings and other committee management 
activities, for both the Centers for Disease Control and Prevention, 
and the Agency for Toxic Substances and Disease Registry.

Catherine Ramadei,
Acting Director, Management Analysis and Services Office, Centers for 
Disease Control and Prevention.
[FR Doc. 2015-21160 Filed 8-26-15; 8:45 am]
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                                               52046                        Federal Register / Vol. 80, No. 166 / Thursday, August 27, 2015 / Notices

                                               Promotion (NCCDPHP), Centers for                          care and women without health                              CDC is requesting OMB approval to
                                               Disease Control and Prevention (CDC).                     insurance.                                               collect MDE information for an
                                                                                                           The CDC’s National Breast and                          additional three years. There are no
                                               Background and Brief Description                          Cervical Cancer Early Detection Program                  changes to the currently approved
                                                  Many cancer-related deaths in women                    (NBCCEDP) provides screening services                    minimum data elements, electronic data
                                                                                                         to underserved women through                             collection procedures, or the estimated
                                               could be avoided by increased
                                                                                                         cooperative agreements with 50 States,                   burden. Because NBCCEDP awardees
                                               utilization of appropriate screening and
                                                                                                         the District of Columbia, 5 U.S.                         already collect and aggregate data at the
                                               early detection tests for breast and                      Territories, and 11 American Indian/
                                               cervical cancer. Mammography is                                                                                    state, territory and tribal level, the
                                                                                                         Alaska Native tribal programs. The                       additional burden of submitting data to
                                               extremely valuable as an early detection                  program was established in response to
                                               tool because it can detect breast cancer                                                                           CDC will be modest. CDC will use the
                                                                                                         the Breast and Cervical Cancer Mortality                 information to monitor and evaluate
                                               well before the woman can feel the                        Prevention Act of 1990. Screening
                                               lump, when the cancer is still in an                                                                               NBCCEDP awardees; improve the
                                                                                                         services include clinical breast
                                               early and more treatable stage.                                                                                    availability and quality of screening and
                                                                                                         examinations, mammograms and Pap
                                               Similarly, a substantial proportion of                                                                             diagnostic services for underserved
                                                                                                         tests, as well as timely and adequate
                                               cervical cancer-related deaths could be                                                                            women; develop outreach strategies for
                                                                                                         diagnostic testing for abnormal results,
                                               prevented through the detection and                       and referrals to treatment for cancers                   women who are never or rarely screened
                                               treatment of precancerous lesions. The                    detected. NBCCEDP awardees collect                       for breast and cervical cancer, and
                                               Papanicolaou (Pap) test is the primary                    patient-level screening and tracking data                report program results to Congress and
                                               method of detecting both precancerous                     to manage the program and clinical                       other legislative authorities.
                                               cervical lesions as well as invasive                      services. A de-identified subset of data                   There are no costs to respondents
                                               cervical cancer. Mammography and Pap                      on patient demographics, screening tests                 other than their time. The total
                                               tests are underused by women who have                     and outcomes are reported by each                        estimated annualized burden hours are
                                               no source or no regular source of health                  awardee to CDC twice per year.                           536.

                                                                                                        ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                     Average
                                                                                                                                                                                     Number of
                                                                                                                                                                  Number of                        burden per
                                                             Type of respondents                                            Form name                                              responses per
                                                                                                                                                                 respondents                        response
                                                                                                                                                                                     respondent      (in hrs.)

                                               NBCCEDP Awardees .....................................   Minimum Data Elements ................................       67                 2              4



                                               Leroy A. Richardson,                                      Attendees will need to present valid                     Cerebral Embolic Protection during
                                               Chief, Information Collection Review Office,              government-issued picture identification,                   Transcatheter Aortic Valve Replacement
                                               Office of Scientific Integrity, Office of the             and sign-in at the security desk upon                       (TAVR)
                                               Associate Director for Science, Office of the             entering the building.                                   Endovascular Repair of Aortic Aneurysm via
                                               Director, Centers for Disease Control and                    Attendees who wish to attend the                         Entire Sac-Sealing
                                               Prevention.                                               September 22–23, 2015 ICD–10–CM C&M                      Leadless Pacemakers
                                               [FR Doc. 2015–21248 Filed 8–26–15; 8:45 am]
                                                                                                         meeting must submit their name and                       Repair of Total Anomalous Pulmonary
                                                                                                         organization by September 11, 2015 for                      Venous Return (TAPVR) Addenda Updates
                                               BILLING CODE 4163–18–P
                                                                                                         inclusion on the visitor list. This visitor list            ICD–10–CM Diagnosis Topics:
                                                                                                         will be maintained at the front desk of the              Acute Kidney Injury (AKI)
                                                                                                         CMS building and used by the guards to                   Amyotrophic Lateral Sclerosis (ALS)
                                               DEPARTMENT OF HEALTH AND                                  admit visitors to the meeting.                           Amblyopia
                                               HUMAN SERVICES                                               Please register to attend the meeting on-             Asthma
                                                                                                         line at: http://www.cms.hhs.gov/apps/                    Blindness/Low vision
                                               Centers for Disease Control and                           events/. Please contact Mady Hue (410–786–               Caries Risk Levels
                                               Prevention                                                4510 or Marilu.hue@cms.hhs.gov), for                     Chronic kidney disease (CKD)
                                                                                                         questions about the registration process.                Epilepsy
                                               National Center for Health Statistics                        Participants who attended previous                    External cause codes for over exertion;
                                               (NCHS), Classifications and Public                        Coordination and Maintenance meetings will                  repetitive motion
                                               Health Data Standards Staff; Meeting                      no longer be automatically added to the                  Heart Failure
                                                                                                         visitor list. You must request inclusion of              Hypophosphatasia
                                                  Name: ICD–10 Coordination and                          your name prior to each meeting you wish                 Lysosomal acid lipase
                                               Maintenance (C&M) Committee meeting.                      attend.                                                  Non-exudative AMD
                                                  Times and Dates: 9 a.m.–5 p.m., September                 Purpose: The ICD–10 Coordination and                  Prolapse vaginal vault
                                               22–23, 2015.                                              Maintenance (C&M) Committee is a public                  ICD–10–CM Addendum
                                                  Place: Centers for Medicare and Medicaid               forum for the presentation of proposed                      Agenda items are subject to change as
                                               Services (CMS) Auditorium, 7500 Security                  modifications to the International                       priorities dictate.
                                               Boulevard, Baltimore, Maryland 21244.                     Classification of Diseases, Tenth Revision,                 Note: CMS and NCHS no longer provide
                                                  Status: Open to the public, limited only by            Clinical Modification and ICD–10 Procedure               paper copies of handouts for the meeting.
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                                               the space available. The meeting room                     Coding System.                                           Electronic copies of all meeting materials
                                               accommodates approximately 240 people.                       Matters To Be Discussed: Agenda items                 will be posted on the CMS and NCHS Web
                                               We will be broadcasting the meeting live via              include:                                                 sites prior to the meeting at http://
                                               Webcast at hhtp://www.cms.gov/live/.                                                                               www.cms.hhs.gov/
                                                  Security Considerations: Due to increased              September 22–23, 2015                                    ICD9ProviderDiagnosticCodes/03_
                                               security requirements CMS has instituted                    ICD–10–PCS Topics:                                     meetings.asp#TopOfPage and http://
                                               stringent procedures for entrance into the                Branched and Fenestrated Endograft Repair                www.cdc.gov/nchs/icd/icd9cm_
                                               building by non-government employees.                       of Aortic Aneurysms                                    maintenance.htm.



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                                                                           Federal Register / Vol. 80, No. 166 / Thursday, August 27, 2015 / Notices                                                 52047

                                                 Contact Persons For Additional                        Hampshire Ave., Bldg. 71, Rm. 3128,                   editorial changes were made to improve
                                               Information: Donna Pickett, Medical Systems             Silver Spring, MD 20993–0002. Send                    clarity. The guidance announced in this
                                               Administrator, Classifications and Public               one self-addressed adhesive label to                  notice finalizes the draft guidance of the
                                               Health Data Standards Staff, NCHS, 3311                 assist the office in processing your                  same title dated July 2014.
                                               Toledo Road, Hyattsville, Maryland 20782,
                                               email dfp4@cdc.gov, telephone 301–458–
                                                                                                       requests. The guidance may also be                       This guidance is being issued
                                               4434 (diagnosis); Mady Hue, Health                      obtained by mail by calling CBER at 1–                consistent with FDA’s good guidance
                                               Insurance Specialist, Division of Acute Care,           800–835–4709 or 240–402–8010. See                     practices regulation (21 CFR 10.115).
                                               CMS, 7500 Security Boulevard, Baltimore,                the SUPPLEMENTARY INFORMATION section                 The guidance represents the current
                                               Maryland 21244, email marilu.hue@                       for electronic access to the guidance                 thinking of FDA on design and analysis
                                               cms.hhs.gov, telephone 410–786–4510                     document.                                             of shedding studies for virus or bacteria-
                                               (procedures).                                             Submit electronic comments on the                   based gene therapy and oncolytic
                                                 The Director, Management Analysis and                 guidance to http://www.regulations.gov.
                                               Services Office, has been delegated the
                                                                                                                                                             products. It does not establish any rights
                                                                                                       Submit written comments to the                        for any person and is not binding on
                                               authority to sign Federal Register notices
                                               pertaining to announcements of meetings and
                                                                                                       Division of Dockets Management (HFA–                  FDA or the public. You can use an
                                               other committee management activities, for              305), Food and Drug Administration,                   alternative approach if it satisfies the
                                               both the Centers for Disease Control and                5630 Fishers Lane, Rm. 1061, Rockville,               requirements of the applicable statutes
                                               Prevention, and the Agency for Toxic                    MD 20852.                                             and regulations.
                                               Substances and Disease Registry.                        FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                             II. Paperwork Reduction Act of 1995
                                               Catherine Ramadei,                                      Tami Belouin, Center for Biologics
                                               Acting Director, Management Analysis and
                                                                                                       Evaluation and Research, Food and                       This guidance refers to previously
                                               Services Office, Centers for Disease Control            Drug Administration, 10903 New                        approved collections of information
                                               and Prevention.                                         Hampshire Ave., Bldg. 71, Rm. 7301,                   found in FDA regulations. These
                                               [FR Doc. 2015–21160 Filed 8–26–15; 8:45 am]             Silver Spring, MD 20993–0002, 240–                    collections of information are subject to
                                               BILLING CODE 4160–18–P
                                                                                                       402–7911.                                             review by the Office of Management and
                                                                                                       SUPPLEMENTARY INFORMATION:                            Budget (OMB) under the Paperwork
                                                                                                                                                             Reduction Act of 1995 (44 U.S.C. 3501–
                                                                                                       I. Background
                                               DEPARTMENT OF HEALTH AND                                                                                      3520). The collections of information in
                                               HUMAN SERVICES                                             FDA is announcing the availability of              21 CFR part 312 have been approved
                                                                                                       a document entitled ‘‘Design and                      under OMB control number 0910–0014;
                                               Food and Drug Administration                            Analysis of Shedding Studies for Virus                the collections of information in 21 CFR
                                                                                                       or Bacteria-Based Gene Therapy and                    part 600 have been approved under
                                               [Docket No. FDA–2014–D–0852]
                                                                                                       Oncolytic Products; Guidance for                      OMB control number 0910–0308; the
                                               Design and Analysis of Shedding                         Industry.’’ The guidance provides                     collections of information in 21 CFR
                                               Studies for Virus or Bacteria-Based                     sponsors of VBGT and oncolytic                        part 601 have been approved under
                                               Gene Therapy and Oncolytic Products;                    products with recommendations on how                  OMB control number 0910–0338; and
                                               Guidance for Industry; Availability                     to conduct shedding studies during                    the collections of information in 21 CFR
                                                                                                       preclinical and clinical development.                 part 50 have been approved under OMB
                                               AGENCY:    Food and Drug Administration,                VBGT and oncolytic products are                       control number 0910–0755.
                                               HHS.                                                    derived from infectious viruses or
                                               ACTION:   Notice.                                       bacteria. In general, these product-based             III. Comments
                                                                                                       viruses and bacteria are not as infectious               Interested persons may submit either
                                               SUMMARY:   The Food and Drug                            or as virulent as the parent strain of                electronic comments regarding this
                                               Administration (FDA or Agency) is                       virus or bacterium. Nonetheless, FDA is               document to http://www.regulations.gov
                                               announcing the availability of a                        issuing this guidance because the                     or written comments to the Division of
                                               document entitled ‘‘Design and Analysis                 possibility that infectious product-based             Dockets Management (see ADDRESSES). It
                                               of Shedding Studies for Virus or                        viruses and bacteria may be shed by a                 is only necessary to send one set of
                                               Bacteria-Based Gene Therapy and                         patient raises safety concerns related to             comments. Identify comments with the
                                               Oncolytic Products; Guidance for                        the risk of transmission to untreated                 docket number found in brackets in the
                                               Industry.’’ The guidance document                       individuals. To understand the risk                   heading of this document. Received
                                               provides sponsors of virus or bacteria-                 associated with product shedding,                     comments may be seen in the Division
                                               based gene therapy products (VBGT                       sponsors should collect data in the                   of Dockets Management between 9 a.m.
                                               products) and oncolytic viruses or                      target patient population in clinical                 and 4 p.m., Monday through Friday, and
                                               bacteria (oncolytic products) with                      trials before licensure.                              will be posted to the docket at http://
                                               recommendations on how to conduct                          In the Federal Register of July 9, 2014            www.regulations.gov.
                                               shedding studies during preclinical and                 (79 FR 38908), FDA announced the
                                               clinical development. The guidance                      availability of the draft guidance of the             IV. Electronic Access
                                               announced in this notice finalizes the                  same title. FDA received a few
                                               draft guidance of the same title dated                                                                          Persons with access to the Internet
                                                                                                       comments on the draft guidance and                    may obtain the guidance at either http://
                                               July 2014.                                              those comments were considered as the                 www.fda.gov/BiologicsBloodVaccines/
                                               DATES: Submit either electronic or                      guidance was finalized. A summary of                  GuidanceComplianceRegulatory
                                               written comments on Agency guidances                    changes includes reorganization of and                Information/Guidances/default.htm or
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                                               at any time.                                            within certain sections of the guidance,              http://www.regulations.gov.
                                               ADDRESSES: Submit written requests for                  and addition of new bullet points and
                                               single copies of the guidance to the                    information to address specific                         Dated: August 21, 2015.
                                               Office of Communication, Outreach and                   questions raised in the comments and at               Leslie Kux,
                                               Development, Center for Biologics                       the November 6, 2014, meeting of the                  Associate Commissioner for Policy.
                                               Evaluation and Research (CBER), Food                    Cellular, Tissue, and Gene Therapies                  [FR Doc. 2015–21235 Filed 8–26–15; 8:45 am]
                                               and Drug Administration, 10903 New                      Advisory Committee. In addition,                      BILLING CODE 4164–01–P




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Document Created: 2015-12-15 10:53:08
Document Modified: 2015-12-15 10:53:08
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
Dates9 a.m.-5 p.m., September 22-23, 2015.
FR Citation80 FR 52046 

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