80_FR_59247 80 FR 59057 - Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2014 (FY 2015); Correction

80 FR 59057 - Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System-Update for Fiscal Year Beginning October 1, 2014 (FY 2015); Correction

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 80, Issue 190 (October 1, 2015)

Page Range59057-59064
FR Document2015-24998

This document corrects technical errors that appeared in the final rule published in the Federal Register on August 6, 2014 entitled ``Inpatient Psychiatric Facilities Prospective Payment System--Update for Fiscal Year Beginning October 1, 2014 (FY 2015); Final Rule.''

Federal Register, Volume 80 Issue 190 (Thursday, October 1, 2015)
[Federal Register Volume 80, Number 190 (Thursday, October 1, 2015)]
[Rules and Regulations]
[Pages 59057-59064]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24998]


=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 412

[CMS-1606-CN]
RIN 0938-AS08


Medicare Program; Inpatient Psychiatric Facilities Prospective 
Payment System--Update for Fiscal Year Beginning October 1, 2014 (FY 
2015); Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Correction of final rule.

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

SUMMARY: This document corrects technical errors that appeared in the 
final rule published in the Federal Register on August 6, 2014 entitled 
``Inpatient Psychiatric Facilities Prospective Payment System--Update 
for Fiscal Year Beginning October 1, 2014 (FY 2015); Final Rule.''

DATES: Effective October 1, 2015.

FOR FURTHER INFORMATION CONTACT: Katherine Lucas or Jana Lindquist,
    (410) 786-7723.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2014-18329 of August 6, 2014 (79 FR 45938), there were a 
number of technical errors that are identified in the Summary of Errors 
section (section II), and corrected in the Correction of Errors section 
(section IV). The provisions in this correction document, which relate 
to the inpatient psychiatric facilities (IPF) prospective payment 
system (PPS) ICD-10-CM diagnosis coding conversion for comorbidities, 
are effective as if they had been included in the document published 
August 06, 2014 (FY 2015 IPF PPS final rule). While the FY 2015 IPF PPS 
final rule had an effective date of October 1, 2014, the implementation 
of the ICD-10 code sets does not occur until October 1, 2015. 
Accordingly, the corrections in this document will be effective on the 
October 1, 2015 ICD-10 implementation date.
    The FY 2015 IPF PPS final rule was effective October 1, 2014 for 
all updates and changes, except for the conversion of ICD-9-CM codes to 
ICD-10-CM codes. We noted in that final rule (79 FR 45945) that on 
April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) 
(Pub. L. 113-93) was enacted. Section 212 of PAMA, titled ``Delay in 
Transition from ICD-9 to ICD-10 Code Sets,'' provides that ``[t]he 
Secretary of Health and Human Services may not, prior to October 1, 
2015, adopt ICD-10 code sets as the standard for code sets under 
section 1173(c) of the Social Security Act (42 U.S.C. 1320d-2(c)) and 
section 162.1002 of title 45, Code of Federal Regulations.'' We 
indicated that, in light of PAMA, the effective date of changes from 
ICD-9 to ICD-10 for the IPF PPS would be the date when ICD-10 becomes 
the required medical data code set for use on Medicare claims.
    In that FY 2015 IPF PPS final rule (79 FR 45945), we also stated 
that on May 1, 2014, the Department announced that, in light of section 
212 of PAMA, ``the U.S. Department of Health and Human Services expects 
to release an interim final rule in the near future that will include a 
new compliance date that would require the use of ICD-10 beginning 
October 1, 2015.'' The Department asserted that the interim final rule 
would also require HIPAA covered entities to continue to use ICD-9-CM 
through September 30, 2015. Therefore, we explained that we will 
continue to require use of the ICD-9-CM codes for reporting the MS-DRG 
and comorbidity adjustment factors for IPF services through FY 2015, 
and that we will require the use of ICD-10 codes beginning October 1, 
2015 (79 FR 45945). The final rule ``Administrative Simplification: 
Change to the Compliance Date for the International Classification of 
Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) Medical Data Code 
Sets'' was published in the Federal Register on August 4, 2014, and 
finalized the compliance date for ICD-10 as October 1, 2015 (79 FR 
45128).

II. Summary of Errors

Payment for Comorbid Conditions

    The IPF PPS includes a comorbidity payment adjustment. The intent 
of the comorbidity adjustment is to recognize the increased costs 
associated with comorbid conditions by providing additional payments 
for certain concurrent medical or psychiatric conditions that are 
expensive to treat. In the May 2011 IPF PPS final rule (76 FR 26451 
through 26452), we explained that the IPF PPS includes 17 comorbidity 
categories and identified the new, revised, and deleted ICD-9-CM 
diagnosis codes that generated a comorbid condition payment adjustment 
under the IPF PPS for RY 2012 (76 FR 26451).
    In Table 7 of the FY 2015 IPF PPS final rule, the 17 comorbidity 
categories defined using ICD-9-CM codes were converted to ICD-10-CM 
codes (79 FR 45953). We discovered the following eight technical errors 
in ICD-10-CM codes or code ranges listed in Table 7 of the FY 2015 IPF 
PPS final rule, which we are correcting. These eight errors were 
typographic errors which we are correcting to conform to the policies 
adopted in the FY 2015 IPF PPS final rule, and do not reflect any 
substantive policy changes:
    (1) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``C000 through C4002'' should read ``C000 through C399, C4001, 
C4002.
    (2) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``C44191'' is being removed.
    (3) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``D225 through D2261'' should read ``D225, D2261,''
    (4) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``D3192 through D485'' should read ``D3192 through D471.''
    (5) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``D4861 through D471'' should read ``D4861 through D499.''

[[Page 59058]]

    (6) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``D479 through D499'' should read ``D479.''
    (7) From the ``Oncology Treatment'' comorbidity category on page 
45953, ``D47Z1 through D47Z9'' should read ``D47Z1, D47Z9.''
    (8) From the ``Infectious Disease'' comorbidity category on page 
45954, ``R1111'' is being removed.
    Additionally, IPF providers and software companies asked us to make 
the table more user-friendly by listing each ICD-10-CM code 
individually, rather than showing the ICD-10-CM code ranges, as 
originally presented in Table 7 of the FY 2015 IPF PPS final rule. As 
such, we are republishing Table 7 in its entirety with each ICD-10-CM 
code listed individually rather than shown in a range, after 
incorporating the eight corrections noted above. We have also posted 
Table 7 on the IPF PPS Web site, under the ``Tools and Worksheets'' 
link at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientPsychFacilPPS/tools.html.

III. Waiver of Proposed Rulemaking

    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 this 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 therefor in the notice.
    Section 553(d) of the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication in 
the Federal Register. 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.
    In our view, this correction document does not constitute a 
rulemaking that would be subject to these requirements. This correction 
document corrects technical errors in a table included in the FY 2015 
IPF PPS final rule. The corrections contained in this document are 
consistent with, and do not make substantive changes to, the policies 
and payment methodologies that were adopted and subjected to notice and 
comment procedures in the FY 2015 IPF PPS final rule. As a result, the 
corrections made through this correction document are intended to 
ensure that the FY 2015 IPF PPS final rule accurately reflects the 
policies adopted in that rule.
    Even if this were a rulemaking to which the notice and comment and 
delayed effective date requirements applied, we find there is good 
cause to waive such requirements. Undertaking further notice and 
comment procedures to incorporate the corrections in this document into 
the FY 2015 IPF PPS final rule or delaying the effective date would be 
contrary to the public interest because it is in the public's interest 
for providers and suppliers to receive appropriate payments in as 
timely a manner as possible, and to ensure that the FY 2015 IPF PPS 
final rule accurately reflects our policies as of the date they take 
effect and are applicable. Further, such procedures would be 
unnecessary, because we are not altering the payment methodologies or 
policies, but rather, we are simply correctly implementing the policies 
that we previously proposed, received comment on, and subsequently 
finalized. This correction document is intended solely to ensure that 
the FY 2015 IPF PPS final rule accurately reflects these payment 
methodologies and policies. For these reasons, we believe we have good 
cause to waive the notice and comment and effective date requirements.

IV. Correction of Errors

    In FR Doc. 2014-18329 of August 6, 2014 (79 FR 45938), make the 
following corrections:
    1. On pages 45953 through 45955, ``Table 7--FY 2015 Diagnosis Codes 
and Adjustment Factors for Comorbidity Categories,'' the table is 
corrected to read as follows:

               Table 7--FY 2015 Diagnosis Codes and Adjustment Factors for Comorbidity Categories
----------------------------------------------------------------------------------------------------------------
                                                                                                    Adjustment
        Description of comorbidity                       ICD-10-CM diagnoses codes                    factor
----------------------------------------------------------------------------------------------------------------
Developmental Disabilities...............  F70, F71, F72, F73, F78, and F79.....................            1.04
Coagulation Factor Deficits..............  D66, D67, D680, D681, and D682.......................            1.13
Tracheostomy.............................  J9500, J9501, J9502, J9503, J9504, J9509, and Z930...            1.06
Renal Failure, Acute.....................  N170, N171, N172, N178, N179, O0482, O0732, O084,                1.11
                                            O904, and T795XXA.
Renal Failure, Chronic...................  I120, I1311, I132, N183, N184, N185, N186, N189, N19,            1.11
                                            Z4901, Z4902, Z4931, Z9115, and Z992.

[[Page 59059]]

 
Oncology Treatment.......................  C000, C001, C002, C003, C004, C005, C006, C008, C01,             1.07
                                            C020, C021, C022, C023, C024, C028, C030, C031,
                                            C040, C041, C048, C050, C051, C052, C058, C060,
                                            C061, C062, C0680, C0689, C07, C080, C081, C089,
                                            C090, C091, C098, C099, C100, C101, C102, C103,
                                            C104, C108, C109, C110, C111, C112, C113, C118,
                                            C119, C12, C130, C131, C132, C138, C139, C140, C142,
                                            C148, C153, C154, C155, C158, C159, C160, C161,
                                            C162, C163, C164, C165, C166, C168, C169, C170,
                                            C171, C172, C173, C178, C179, C180, C181, C182,
                                            C183, C184, C185, C186, C187, C188, C189, C19, C20,
                                            C210, C211, C212, C218, C220, C221, C222, C223,
                                            C224, C227, C228, C229, C23, C240, C241, C248, C249,
                                            C250, C251, C252, C253, C254, C257, C258, C259,
                                            C260, C261, C269, C300, C301, C310, C311, C312,
                                            C313, C318, C319, C320, C321, C322, C323, C328,
                                            C329, C33, C3400, C3401, C3402, C3410, C3411, C3412,
                                            C342, C3430, C3431, C3432, C3480, C3481, C3482,
                                            C3491, C3492, C37, C380, C381, C382, C383, C384,
                                            C388, C390, C399, C4001, C4002, C4011, C4012, C4021,
                                            C4022, C4031, C4032, C4081, C4082, C4091, C4092,
                                            C410, C411, C412, C413, C414, C419, C430, C4311,
                                            C4312, C4321, C4322, C4330, C4331, C4339, C434,
                                            C4351, C4352, C4359, C4361, C4362, C4371, C4372,
                                            C438, C4400, C4401, C4402, C4409, C44102, C44109,
                                            C44112, C44119, C44122, C44129, C44192, C44199,
                                            C44202, C44209, C44212, C44219, C44222, C44229,
                                            C44291, C44292, C44299, C44300, C44301, C44309,
                                            C44310, C44311, C44319, C44320, C44321, C44329,
                                            C44390, C44391, C44399, C4440, C4441, C4442, C4449,
                                            C44500, C44501, C44509, C44510, C44511, C44519,
                                            C44520, C44521, C44529, C44590, C44591, C44599,
                                            C44602, C44609, C44612, C44619, C44622, C44629,
                                            C44692, C44699, C44702, C44709, C44712, C44719,
                                            C44722, C44729, C44792, C44799, C4480, C4481, C4482,
                                            C4489, C450, C451, C452, C457, C459, C460, C461,
                                            C462, C463, C464, C4650, C4651, C4652, C467, C469,
                                            C470, C4711, C4712, C4721, C4722, C473, C474, C475,
                                            C476, C478, C480, C481, C482, C488, C490, C4911,
                                            C4912, C4921, C4922, C493, C494, C495, C496, C498,
                                            C4A0, C4A11, C4A12, C4A21, C4A22, C4A30, C4A31,
                                            C4A39, C4A4, C4A51, C4A52, C4A59, C4A61, C4A62,
                                            C4A71, C4A72, C4A8, C50011, C50012, C50021, C50022,
                                            C50111, C50112, C50121, C50122, C50211, C50212,
                                            C50221, C50222, C50311, C50312, C50321, C50322,
                                            C50411, C50412, C50421, C50422, C50511, C50512,
                                            C50521, C50522, C50611, C50612, C50621, C50622,
                                            C50811, C50812, C50821, C50822, C50911, C50912,
                                            C50921, C50922, C510, C511, C512, C518, C519, C52,
                                            C530, C531, C538, C539, C540, C541, C542, C543,
                                            C548, C549, C55, C561, C562, C569, C5700, C5701,
                                            C5702, C5710, C5711, C5712, C5720, C5721, C5722,
                                            C573, C574, C577, C578, C58, C600, C601, C602, C608,
                                            C609, C61, C6200, C6201, C6202, C6210, C6211, C6212,
                                            C6291, C6292, C6300, C6301, C6302, C6310, C6311,
                                            C6312, C632, C637, C638, C641, C642, C651, C652,
                                            C659, C661, C662, C669, C670, C671, C672, C673,
                                            C674, C675, C676, C677, C678, C679, C680, C681,
                                            C688, C689, C6901, C6902, C6911, C6912, C6920,
                                            C6921, C6922, C6930, C6931, C6932, C6940, C6941,
                                            C6942, C6951, C6952, C6961, C6962, C6981, C6982,
                                            C6991, C6992, C700, C701, C709, C710, C711, C712,
                                            C713, C714, C715, C716, C717, C718, C719, C720,
                                            C721, C7220, C7221, C7222, C7230, C7231, C7232,
                                            C7240, C7241, C7242, C7250, C7259, C73, C7400,
                                            C7401, C7402, C7410, C7411, C7412, C7491, C7492,
                                            C750, C751, C752, C753, C754, C755, C758, C759,
                                            C760, C761, C762, C763, C7641, C7642, C7651, C7652,
                                            C768, C770, C771, C772, C773, C774, C775, C778,
                                            C7800, C7801, C7802, C781, C782, C7830, C7839, C784,
                                            C785, C786, C787, C7880, C7889, C7900, C7901, C7902,
                                            C7910, C7911, C7919, C792, C7931, C7932, C7940,
                                            C7949, C7951, C7952, C7960, C7961, C7962, C7970,
                                            C7971, C7972, C7981, C7982, C7989, C7A00, C7A010,
                                            C7A011, C7A012, C7A019, C7A020, C7A021, C7A022,
                                            C7A023, C7A024, C7A025, C7A026, C7A029, C7A090,
                                            C7A091, C7A092, C7A093, C7A094, C7A095, C7A096,
                                            C7A098, C7A1, C7A8, C7B00, C7B01, C7B02, C7B03,
                                            C7B04, C7B09, C7B1, C7B8, C800, C801, C802, C8100,
                                            C8101, C8102, C8103, C8104, C8105, C8106, C8107,
                                            C8108, C8109, C8110, C8111, C8112, C8113, C8114,
                                            C8115, C8116, C8117, C8118, C8119, C8120, C8121,
                                            C8122, C8123, C8124, C8125, C8126, C8127, C8128,
                                            C8129, C8130, C8131, C8132, C8133, C8134, C8135,
                                            C8136, C8137, C8138, C8139, C8140, C8141, C8142,
                                            C8143, C8144, C8145, C8146, C8147, C8148, C8149,
                                            C8170, C8171, C8172, C8173, C8174, C8175, C8176,
                                            C8177, C8178, C8179, C8190, C8191, C8192, C8193,
                                            C8194, C8195, C8196, C8197, C8198, C8199, C8200,
                                            C8201, C8202, C8203, C8204, C8205, C8206, C8207,
                                            C8208, C8209, C8210, C8211, C8212, C8213, C8214,
                                            C8215, C8216, C8217, C8218, C8219, C8220, C8221,
                                            C8222, C8223, C8224, C8225, C8226, C8227, C8228,
                                            C8229, C8230, C8231, C8232, C8233, C8234, C8235,
                                            C8236, C8237, C8238, C8239, C8240, C8241, C8242,
                                            C8243, C8244, C8245, C8246, C8247, C8248, C8249,
                                            C8250, C8251, C8252, C8253, C8254, C8255, C8256,
                                            C8257, C8258, C8259, C8260, C8261, C8262, C8263,
                                            C8264, C8265, C8266, C8267, C8268, C8269, C8280,
                                            C8281, C8282, C8283, C8284, C8285, C8286, C8287,
                                            C8288, C8289, C8290, C8291, C8292, C8293, C8294,
                                            C8295, C8296, C8297, C8298, C8299, C8300, C8301,
                                            C8302, C8303, C8304, C8305, C8306, C8307, C8308,
                                            C8309, C8310, C8311, C8312, C8313, C8314, C8315,
                                            C8316, C8317, C8318, C8319, C8330, C8331, C8332,
                                            C8333, C8334, C8335, C8336, C8337, C8338, C8339,
                                            C8350, C8351, C8352, C8353, C8354, C8355, C8356,
                                            C8357, C8358, C8359, C8370, C8371, C8372, C8373,
                                            C8374, C8375, C8376, C8377, C8378, C8379, C8380,
                                            C8381, C8382, C8383, C8384, C8385, C8386, C8387,
                                            C8388, C8389, C8390, C8391, C8392, C8393, C8394,
                                            C8395, C8396, C8397, C8398, C8399, C8400, C8401,
                                            C8402, C8403, C8404, C8405, C8406, C8407, C8408,
                                            C8409, C8410, C8411, C8412, C8413, C8414, C8415,
                                            C8416, C8417, C8418, C8419, C8440, C8441, C8442,
                                            C8443, C8444, C8445, C8446, C8447, C8448, C8449,
                                            C8460, C8461, C8462, C8463, C8464, C8465, C8466,
                                            C8467, C8468, C8469, C8470, C8471, C8472, C8473,
                                            C8474, C8475, C8476, C8477, C8478, C8479, C8490,
                                            C8491, C8492, C8493, C8494, C8495, C8496, C8497,
                                            C8498, C8499, C84A0, C84A1, C84A2, C84A3, C84A4,
                                            C84A5, C84A6, C84A7, C84A8, C84A9, C84Z0, C84Z1,
                                            C84Z2, C84Z3, C84Z4, C84Z5, C84Z6, C84Z7, C84Z8,
                                            C84Z9, C8510, C8511, C8512, C8513, C8514, C8515,
                                            C8516, C8517, C8518, C8519, C8520, C8521, C8522,
                                            C8523, C8524, C8525, C8526, C8527, C8528, C8529,
                                            C8580, C8581, C8582, C8583, C8584, C8585, C8586,
                                            C8587, C8588, C8589, C8590, C8591, C8592, C8593,
                                            C8594, C8595, C8596, C8597, C8598, C8599, C860,
                                            C861, C862, C863, C864, C865, C866, C882, C883,
                                            C884, C888, C889, C9000, C9001, C9002, C9010, C9011,
                                            C9012, C9020, C9021, C9022, C9030, C9031, C9032,
                                            C9100, C9101, C9102, C9110, C9111, C9112, C9130,
                                            C9131, C9132, C9140, C9141, C9142, C9150, C9151,
                                            C9152, C9160, C9161, C9162, C9190, C9191, C9192,
                                            C91A0, C91A1, C91A2, C91Z0, C91Z1, C91Z2, C9200,
                                            C9201, C9202, C9210, C9211, C9212, C9220, C9221,
                                            C9222, C9230, C9231, C9232, C9240, C9241, C9242,
                                            C9250, C9251, C9252, C9260, C9261, C9262, C9290,
                                            C9291, C9292, C92A0, C92A1, C92A2, C92Z0, C92Z1,
                                            C92Z2, C9300, C9301, C9302, C9310, C9311, C9312,
                                            C9330, C9331, C9332, C9390, C9391, C9392, C93Z0,
                                            C93Z1, C93Z2, C9400, C9401, C9402, C9420, C9421,
                                            C9422, C9430, C9431, C9432, C9440, C9441, C9442,
                                            C946, C9480, C9481, C9482, C9500, C9501, C9502,
                                            C9510, C9511, C9512, C9590, C9591, C9592, C960,
                                            C962, C964, C969, C96A, C96Z, D0000, D0001, D0002,
                                            D0003, D0004, D0005, D0006, D0007, D0008, D001,
                                            D002, D010, D011, D012, D013, D0140, D0149, D015,
                                            D017, D019, D020, D021, D0220, D0221, D0222, D023,

[[Page 59060]]

 
                                            D024, D030, D0311, D0312, D0321, D0322, D0330,
                                            D0339, D034, D0351, D0352, D0359, D0361, D0362,
                                            D0371, D0372, D038, D039, D040, D0411, D0412, D0421,
                                            D0422, D0430, D0439, D044, D045, D0461, D0462,
                                            D0471, D0472, D048, D049, D0501, D0502, D0511,
                                            D0512, D0581, D0582, D0591, D0592, D060, D061, D067,
                                            D069, D070, D071, D072, D0730, D0739, D074, D075,
                                            D0760, D0761, D0769, D090, D0910, D0919, D0921,
                                            D0922, D093, D098, D099, D100, D101, D102, D1030,
                                            D1039, D104, D105, D106, D107, D109, D110, D117,
                                            D119, D120, D121, D122, D123, D124, D125, D126,
                                            D127, D128, D129, D130, D131, D132, D1330, D1339,
                                            D134, D135, D136, D137, D139, D140, D141, D142,
                                            D1430, D1431, D1432, D144, D150, D151, D152, D157,
                                            D159, D1601, D1602, D1611, D1612, D1621, D1622,
                                            D1631, D1632, D164, D165, D166, D167, D168, D169,
                                            D170, D171, D1721, D1722, D1723, D1724, D1730,
                                            D1739, D174, D175, D176, D1771, D1772, D1779, D179,
                                            D1800, D1801, D1802, D1803, D1809, D181, D190, D191,
                                            D197, D199, D200, D201, D210, D2111, D2112, D2121,
                                            D2122, D213, D214, D215, D216, D219, D220, D2211,
                                            D2212, D2221, D2222, D2230, D2239, D224, D225,
                                            D2261, D2262, D2271, D2272, D229, D230, D2311,
                                            D2312, D2321, D2322, D2330, D2339, D234, D235,
                                            D2361, D2362, D2371, D2372, D239, D241, D242, D250,
                                            D251, D252, D259, D260, D261, D267, D269, D270,
                                            D271, D279, D280, D281, D282, D287, D289, D290,
                                            D291, D2920, D2921, D2922, D2930, D2931, D2932,
                                            D294, D298, D299, D3000, D3001, D3002, D3010, D3011,
                                            D3012, D3020, D3021, D3022, D303, D304, D308, D309,
                                            D3101, D3102, D3110, D3111, D3112, D3120, D3121,
                                            D3122, D3130, D3131, D3132, D3140, D3141, D3142,
                                            D3151, D3152, D3161, D3162, D3191, D3192, D320,
                                            D321, D329, D330, D331, D332, D333, D334, D337,
                                            D339, D34, D3500, D3501, D3502, D351, D352, D353,
                                            D354, D355, D356, D357, D359, D360, D3610, D3611,
                                            D3612, D3613, D3614, D3615, D3616, D3617, D367,
                                            D369, D3701, D3702, D37030, D37031, D37032, D37039,
                                            D3704, D3705, D3709, D371, D372, D373, D374, D375,
                                            D376, D378, D379, D380, D381, D382, D383, D384,
                                            D385, D386, D390, D3910, D3911, D3912, D392, D398,
                                            D399, D3A00, D3A010, D3A011, D3A012, D3A019, D3A020,
                                            D3A021, D3A022, D3A023, D3A024, D3A025, D3A026,
                                            D3A029, D3A090, D3A091, D3A092, D3A093, D3A094,
                                            D3A095, D3A096, D3A098, D3A8, D400, D4010, D4011,
                                            D4012, D408, D409, D4100, D4101, D4102, D4110,
                                            D4111, D4112, D4120, D4121, D4122, D413, D414, D418,
                                            D419, D420, D421, D429, D430, D431, D432, D433,
                                            D434, D438, D439, D440, D4410, D4411, D4412, D442,
                                            D443, D444, D445, D446, D447, D449, D45, D460, D461,
                                            D4620, D4621, D4622, D464, D469, D46A, D46B, D46C,
                                            D46Z, D470, D471, D473, D479, D47Z1, D47Z9, D480,
                                            D481, D482, D483, D484, D485, D4861, D4862, D487,
                                            D489, D490, D491, D492, D493, D494, D495, D496,
                                            D497, D4981, D4989, D499, K317, K635, Q8500, Q8501,
                                            Q8502, Q8503, and Q8509, with a radiation therapy or
                                            chemotherapy code from ICD-10-PCS: 08H031Z, 08H0X1Z,
                                            08H131Z, 08H1X1Z, 0BH001Z, 0BH031Z, 0BH041Z,
                                            0BH071Z, 0BH081Z, 0BHK01Z, 0BHK31Z, 0BHK41Z,
                                            0BHK71Z, 0BHK81Z, 0BHL01Z, 0BHL31Z, 0BHL41Z,
                                            0BHL71Z, 0BHL81Z, 0CH701Z, 0CH731Z, 0CH7X1Z,
                                            0DH501Z, 0DH531Z, 0DH541Z, 0DH571Z, 0DH581Z,
                                            0DHP01Z, 0DHP31Z, 0DHP41Z, 0DHP71Z, 0DHP81Z,
                                            0FHB01Z, 0FHB31Z, 0FHB41Z,0FHB71Z, 0FHB81Z, 0FHD01Z,
                                            0FHD31Z, 0FHD41Z, 0FHD71Z, 0FHD81Z, 0HHT01Z,
                                            0HHT31Z, 0HHT71Z, 0HHT81Z, 0HHTX1Z, 0HHU01Z,
                                            0HHU31Z, 0HHU71Z, 0HHU81Z, 0HHUX1Z, 0HHV01Z,
                                            0HHV31Z, 0HHV71Z, 0HHV81Z, 0HHVX1Z, 0HHW01Z,
                                            0HHW31Z, 0HHW71Z, 0HHW81Z, 0HHWX1Z, 0HHX01Z,
                                            0HHX31Z, 0HHX71Z, 0HHX81Z, 0HHXX1Z, 0JHS01Z,
                                            0JHS31Z, 0JHT01Z, 0JHT31Z, 0JHV01Z, 0JHV31Z,
                                            0JHW01Z, 0JHW31Z, 0UHC01Z, 0UHC31Z, 0UHC41Z,
                                            0UHC71Z, 0UHC81Z, 0UHG01Z, 0UHG31Z, 0UHG41Z,
                                            0UHG71Z, 0UHG81Z, 0UHGX1Z, 0VH001Z, 0VH031Z,
                                            0VH041Z, 0VH071Z, 0VH081Z, 0WH001Z, 0WH031Z,
                                            0WH041Z, 0WH101Z, 0WH131Z, 0WH141Z, 0WH201Z,
                                            0WH231Z, 0WH241Z, 0WH301Z, 0WH331Z, 0WH341Z,
                                            0WH401Z, 0WH431Z, 0WH441Z, 0WH501Z, 0WH531Z,
                                            0WH541Z, 0WH601Z, 0WH631Z, 0WH641Z, 0WH801Z,
                                            0WH831Z, 0WH841Z, 0WH901Z, 0WH931Z, 0WH941Z,
                                            0WHB01Z, 0WHB31Z, 0WHB41Z, 0WHC01Z, 0WHC31Z,
                                            0WHC41Z, 0WHD01Z, 0WHD31Z, 0WHD41Z, 0WHF01Z,
                                            0WHF31Z, 0WHF41Z, 0WHG01Z, 0WHG31Z, 0WHG41Z,
                                            0WHH01Z, 0WHH31Z, 0WHH41Z, 0WHJ01Z, 0WHJ31Z,
                                            0WHJ41Z, 0WHK01Z, 0WHK31Z, 0WHK41Z, 0WHL01Z,
                                            0WHL31Z, 0WHL41Z, 0WHM01Z, 0WHM31Z, 0WHM41Z,
                                            0WHN01Z, 0WHN31Z, 0WHN41Z, 0WHP01Z, 0WHP31Z,
                                            0WHP41Z, 0WHP71Z, 0WHP81Z, 0WHQ01Z, 0WHQ31Z,
                                            0WHQ41Z, 0WHQ71Z, 0WHQ81Z, 0WHR01Z, 0WHR31Z,
                                            0WHR41Z, 0WHR71Z, 0WHR81Z, 0XH201Z, 0XH231Z,
                                            0XH241Z, 0XH301Z, 0XH331Z, 0XH341Z, 0XH401Z,
                                            0XH431Z, 0XH441Z, 0XH501Z, 0XH531Z, 0XH541Z,
                                            0XH601Z, 0XH631Z, 0XH641Z, 0XH701Z, 0XH731Z,
                                            0XH741Z, 0XH801Z, 0XH831Z, 0XH841Z, 0XH901Z,
                                            0XH931Z, 0XH941Z, 0XHB01Z, 0XHB31Z, 0XHB41Z,
                                            0XHC01Z, 0XHC31Z, 0XHC41Z, 0XHD01Z, 0XHD31Z,
                                            0XHD41Z, 0XHF01Z, 0XHF31Z, 0XHF41Z, 0XHG01Z,
                                            0XHG31Z, 0XHG41Z, 0XHH01Z, 0XHH31Z, 0XHH41Z,
                                            0XHJ01Z, 0XHJ31Z, 0XHJ41Z, 0XHK01Z, 0XHK31Z,
                                            0XHK41Z, 0YH001Z, 0YH031Z, 0YH041Z, 0YH101Z,
                                            0YH131Z, 0YH141Z, 0YH501Z, 0YH531Z, 0YH541Z,
                                            0YH601Z, 0YH631Z, 0YH641Z, 0YH701Z, 0YH731Z,
                                            0YH741Z, 0YH801Z, 0YH831Z, 0YH841Z, 0YH901Z,
                                            0YH931Z, 0YH941Z, 0YHB01Z, 0YHB31Z, 0YHB41Z,
                                            0YHC01Z, 0YHC31Z, 0YHC41Z, 0YHD01Z, 0YHD31Z,
                                            0YHD41Z, 0YHF01Z, 0YHF31Z, 0YHF41Z, 0YHG01Z,
                                            0YHG31Z, 0YHG41Z, 0YHH01Z, 0YHH31Z, 0YHH41Z,
                                            0YHJ01Z, 0YHJ31Z, 0YHJ41Z, 0YHK01Z, 0YHK31Z,
                                            0YHK41Z, 0YHL01Z, 0YHL31Z, 0YHL41Z, 0YHM01Z,
                                            0YHM31Z, 0YHM41Z, 0YHN01Z, 0YHN31Z, 0YHN41Z,
                                            3E00X05, 3E01305, 3E02305, 3E03005, 3E03305,
                                            3E04005, 3E04305, 3E05005, 3E05305, 3E06005,
                                            3E06305, 3E09305, 3E09705, 3E09X05, 3E0A305,
                                            3E0B305, 3E0B705, 3E0BX05, 3E0C305, 3E0C705,
                                            3E0CX05, 3E0D305, 3E0D705, 3E0DX05, 3E0E305,
                                            3E0E705, 3E0E805, 3E0F305, 3E0F705, 3E0F805,
                                            3E0G305, 3E0G705, 3E0G805, 3E0H305, 3E0H705,
                                            3E0H805, 3E0J305, 3E0J705, 3E0J805, 3E0K305,
                                            3E0K705, 3E0K805, 3E0L305, 3E0L705, 3E0M305,
                                            3E0M705, 3E0N305, 3E0N705, 3E0N805, 3E0P305,
                                            3E0P705, 3E0P805, 3E0Q305, 3E0Q705, 3E0R305,
                                            3E0S305, 3E0U305, 3E0V305, 3E0W305, 3E0Y305,
                                            3E0Y705, CW70NZZ, CW70YZZ, CW73NZZ, CW73YZZ,
                                            CW7GGZZ, CW7GYZZ, CW7N8ZZ, CW7NGZZ, CW7NNZZ,
                                            CW7NPZZ, CW7NYZZ, CW7YYZZ, D0000ZZ, D0001ZZ,
                                            D0002ZZ, D0003Z0, D0003ZZ, D0004ZZ, D0005ZZ,
                                            D0006ZZ, D0010ZZ, D0011ZZ, D0012ZZ, D0013Z0,
                                            D0013ZZ, D0014ZZ, D0015ZZ, D0016ZZ, D0060ZZ,
                                            D0061ZZ, D0062ZZ, D0063Z0, D0063ZZ, D0064ZZ,
                                            D0065ZZ, D0066ZZ, D0070ZZ, D0071ZZ, D0072ZZ,
                                            D0073Z0, D0073ZZ, D0074ZZ, D0075ZZ, D0076ZZ,
                                            D01097Z, D01098Z, D01099Z, D0109BZ, D0109CZ,
                                            D0109YZ, D010B7Z, D010B8Z, D010B9Z, D010BBZ,
                                            D010BCZ, D010BYZ, D01197Z, D01198Z, D01199Z,
                                            D0119BZ, D0119CZ, D0119YZ, D011B7Z, D011B8Z,
                                            D011B9Z, D011BBZ, D011BCZ, D011BYZ, D01697Z,
                                            D01698Z, D01699Z, D0169BZ, D0169CZ, D0169YZ,
                                            D016B7Z, D016B8Z, D016B9Z, D016BBZ, D016BCZ,
                                            D016BYZ, D01797Z, D01798Z, D01799Z, D0179BZ,
                                            D0179CZ, D0179YZ, D017B7Z, D017B8Z, D017B9Z,
                                            D017BBZ, D017BCZ, D017BYZ, D0Y07ZZ, D0Y08ZZ,
                                            D0Y0FZZ, D0Y0KZZ, D0Y17ZZ, D0Y18ZZ, D0Y1FZZ,
                                            D0Y1KZZ, D0Y67ZZ, D0Y68ZZ, D0Y6FZZ, D0Y6KZZ,
                                            D0Y77ZZ, D0Y78ZZ, D0Y7FZZ, D0Y7KZZ, D7000ZZ,
                                            D7001ZZ, D7002ZZ, D7003Z0, D7003ZZ, D7004ZZ,
                                            D7005ZZ, D7006ZZ, D7010ZZ, D7011ZZ, D7012ZZ,
                                            D7013Z0, D7013ZZ, D7014ZZ, D7015ZZ, D7016ZZ,
                                            D7020ZZ, D7021ZZ, D7022ZZ, D7023Z0,

[[Page 59061]]

 
                                            D7023ZZ, D7024ZZ, D7025ZZ, D7026ZZ, D7030ZZ,
                                            D7031ZZ, D7032ZZ, D7033Z0, D7033ZZ, D7034ZZ,
                                            D7035ZZ, D7036ZZ, D7040ZZ, D7041ZZ, D7042ZZ,
                                            D7043Z0, D7043ZZ, D7044ZZ, D7045ZZ, D7046ZZ,
                                            D7050ZZ, D7051ZZ, D7052ZZ, D7053Z0, D7053ZZ,
                                            D7054ZZ, D7055ZZ, D7056ZZ, D7060ZZ, D7061ZZ,
                                            D7062ZZ, D7063Z0, D7063ZZ, D7064ZZ, D7065ZZ,
                                            D7066ZZ, D7070ZZ, D7071ZZ, D7072ZZ, D7073Z0,
                                            D7073ZZ, D7074ZZ, D7075ZZ, D7076ZZ, D7080ZZ,
                                            D7081ZZ, D7082ZZ, D7083Z0, D7083ZZ, D7084ZZ,
                                            D7085ZZ, D7086ZZ, D71097Z, D71098Z, D71099Z,
                                            D7109BZ, D7109CZ, D7109YZ, D710B7Z, D710B8Z,
                                            D710B9Z, D710BBZ, D710BCZ, D710BYZ, D71197Z,
                                            D71198Z, D71199Z, D7119BZ, D7119CZ, D7119YZ,
                                            D711B7Z, D711B8Z, D711B9Z, D711BBZ, D711BCZ,
                                            D711BYZ, D71297Z, D71298Z, D71299Z, D7129BZ,
                                            D7129CZ, D7129YZ, D712B7Z, D712B8Z, D712B9Z,
                                            D712BBZ, D712BCZ, D712BYZ, D71397Z, D71398Z,
                                            D71399Z, D7139BZ, D7139CZ, D7139YZ, D713B7Z,
                                            D713B8Z, D713B9Z, D713BBZ, D713BCZ, D713BYZ,
                                            D71497Z, D71498Z, D71499Z, D7149BZ, D7149CZ,
                                            D7149YZ, D714B7Z, D714B8Z, D714B9Z, D714BBZ,
                                            D714BCZ, D714BYZ, D71597Z, D71598Z, D71599Z,
                                            D7159BZ, D7159CZ, D7159YZ, D715B7Z, D715B8Z,
                                            D715B9Z, D715BBZ, D715BCZ, D715BYZ, D71697Z,
                                            D71698Z, D71699Z, D7169BZ, D7169CZ, D7169YZ,
                                            D716B7Z, D716B8Z, D716B9Z, D716BBZ, D716BCZ,
                                            D716BYZ, D71797Z, D71798Z, D71799Z, D7179BZ,
                                            D7179CZ, D7179YZ, D717B7Z, D717B8Z, D717B9Z,
                                            D717BBZ, D717BCZ, D717BYZ, D71897Z, D71898Z,
                                            D71899Z, D7189BZ, D7189CZ, D7189YZ, D718B7Z,
                                            D718B8Z, D718B9Z, D718BBZ, D718BCZ, D718BYZ,
                                            D7Y08ZZ, D7Y0FZZ, D7Y18ZZ, D7Y1FZZ, D7Y28ZZ,
                                            D7Y2FZZ, D7Y38ZZ, D7Y3FZZ, D7Y48ZZ, D7Y4FZZ,
                                            D7Y58ZZ, D7Y5FZZ, D7Y68ZZ, D7Y6FZZ, D7Y78ZZ,
                                            D7Y7FZZ, D7Y88ZZ, D7Y8FZZ, D8000ZZ, D8001ZZ,
                                            D8002ZZ, D8003Z0, D8003ZZ, D8004ZZ, D8005ZZ,
                                            D8006ZZ, D81097Z, D81098Z, D81099Z, D8109BZ,
                                            D8109CZ, D8109YZ, D810B7Z, D810B8Z, D810B9Z,
                                            D810BBZ, D810BCZ, D810BYZ, D8Y07ZZ, D8Y08ZZ,
                                            D8Y0FZZ, D9000ZZ, D9001ZZ, D9002ZZ, D9003Z0,
                                            D9003ZZ, D9004ZZ, D9005ZZ, D9006ZZ, D9010ZZ,
                                            D9011ZZ, D9012ZZ, D9013Z0, D9013ZZ, D9014ZZ,
                                            D9015ZZ, D9016ZZ, D9030ZZ, D9031ZZ, D9032ZZ,
                                            D9033Z0, D9033ZZ, D9034ZZ, D9035ZZ, D9036ZZ,
                                            D9040ZZ, D9041ZZ, D9042ZZ, D9043Z0, D9043ZZ,
                                            D9044ZZ, D9045ZZ, D9046ZZ, D9050ZZ, D9051ZZ,
                                            D9052ZZ, D9053Z0, D9053ZZ, D9054ZZ, D9055ZZ,
                                            D9056ZZ, D9060ZZ, D9061ZZ, D9062ZZ, D9063Z0,
                                            D9063ZZ, D9064ZZ, D9065ZZ, D9066ZZ, D9070ZZ,
                                            D9071ZZ, D9072ZZ, D9073Z0, D9073ZZ, D9074ZZ,
                                            D9075ZZ, D9076ZZ, D9080ZZ, D9081ZZ, D9082ZZ,
                                            D9083Z0, D9083ZZ, D9084ZZ, D9085ZZ, D9086ZZ,
                                            D9090ZZ, D9091ZZ, D9092ZZ, D9093Z0, D9093ZZ,
                                            D9094ZZ, D9095ZZ, D9096ZZ, D90B0ZZ, D90B1ZZ,
                                            D90B2ZZ, D90B3Z0, D90B3ZZ, D90B4ZZ, D90B5ZZ,
                                            D90B6ZZ, D90D0ZZ, D90D1ZZ, D90D2ZZ, D90D3Z0,
                                            D90D3ZZ, D90D4ZZ, D90D5ZZ, D90D6ZZ, D90F0ZZ,
                                            D90F1ZZ, D90F2ZZ, D90F3Z0, D90F3ZZ, D90F4ZZ,
                                            D90F5ZZ, D90F6ZZ, D91097Z, D91098Z, D91099Z,
                                            D9109BZ, D9109CZ, D9109YZ, D910B7Z, D910B8Z,
                                            D910B9Z, D910BBZ, D910BCZ, D910BYZ, D91197Z,
                                            D91198Z, D91199Z, D9119BZ, D9119CZ, D9119YZ,
                                            D911B7Z, D911B8Z, D911B9Z, D911BBZ, D911BCZ,
                                            D911BYZ, D91397Z, D91398Z, D91399Z, D9139BZ,
                                            D9139CZ, D9139YZ, D913B7Z, D913B8Z, D913B9Z,
                                            D913BBZ, D913BCZ, D913BYZ, D91497Z, D91498Z,
                                            D91499Z, D9149BZ, D9149CZ, D9149YZ, D914B7Z,
                                            D914B8Z, D914B9Z, D914BBZ, D914BCZ, D914BYZ,
                                            D91597Z, D91598Z, D91599Z, D9159BZ, D9159CZ,
                                            D9159YZ, D915B7Z, D915B8Z, D915B9Z, D915BBZ,
                                            D915BCZ, D915BYZ, D91697Z, D91698Z, D91699Z,
                                            D9169BZ, D9169CZ, D9169YZ, D916B7Z, D916B8Z,
                                            D916B9Z, D916BBZ, D916BCZ, D916BYZ, D91797Z,
                                            D91798Z, D91799Z, D9179BZ, D9179CZ, D9179YZ,
                                            D917B7Z, D917B8Z, D917B9Z, D917BBZ, D917BCZ,
                                            D917BYZ, D91897Z, D91898Z, D91899Z, D9189BZ,
                                            D9189CZ, D9189YZ, D918B7Z, D918B8Z, D918B9Z,
                                            D918BBZ, D918BCZ, D918BYZ, D91997Z, D91998Z,
                                            D91999Z, D9199BZ, D9199CZ, D9199YZ, D919B7Z,
                                            D919B8Z, D919B9Z, D919BBZ, D919BCZ, D919BYZ,
                                            D91B97Z, D91B98Z, D91B99Z, D91B9BZ, D91B9CZ,
                                            D91B9YZ, D91BB7Z, D91BB8Z, D91BB9Z, D91BBBZ,
                                            D91BBCZ, D91BBYZ, D91D97Z, D91D98Z, D91D99Z,
                                            D91D9BZ, D91D9CZ, D91D9YZ, D91DB7Z, D91DB8Z,
                                            D91DB9Z, D91DBBZ, D91DBCZ, D91DBYZ, D91F97Z,
                                            D91F98Z, D91F99Z, D91F9BZ, D91F9CZ, D91F9YZ,
                                            D91FB7Z, D91FB8Z, D91FB9Z, D91FBBZ, D91FBCZ,
                                            D91FBYZ, D9Y07ZZ, D9Y08ZZ, D9Y0FZZ, D9Y17ZZ,
                                            D9Y18ZZ, D9Y1FZZ, D9Y37ZZ, D9Y38ZZ, D9Y47ZZ,
                                            D9Y48ZZ, D9Y4CZZ, D9Y4FZZ, D9Y57ZZ, D9Y58ZZ,
                                            D9Y5FZZ, D9Y67ZZ, D9Y68ZZ, D9Y6FZZ, D9Y77ZZ,
                                            D9Y78ZZ, D9Y7FZZ, D9Y87ZZ, D9Y88ZZ, D9Y8FZZ,
                                            D9Y97ZZ, D9Y98ZZ, D9Y9FZZ, D9YB7ZZ, D9YB8ZZ,
                                            D9YBCZZ, D9YBFZZ, D9YCCZZ, D9YCFZZ, D9YD7ZZ,
                                            D9YD8ZZ, D9YDCZZ, D9YDFZZ, D9YF7ZZ, D9YF8ZZ,
                                            DB000ZZ, DB001ZZ, DB002ZZ, DB003Z0, DB003ZZ,
                                            DB004ZZ, DB005ZZ, DB006ZZ, DB010ZZ, DB011ZZ,
                                            DB012ZZ, DB013Z0, DB013ZZ, DB014ZZ, DB015ZZ,
                                            DB016ZZ, DB020ZZ, DB021ZZ, DB022ZZ, DB023Z0,
                                            DB023ZZ, DB024ZZ, DB025ZZ, DB026ZZ, DB050ZZ,
                                            DB051ZZ, DB052ZZ, DB053Z0, DB053ZZ, DB054ZZ,
                                            DB055ZZ, DB056ZZ, DB060ZZ, DB061ZZ, DB062ZZ,
                                            DB063Z0, DB063ZZ, DB064ZZ, DB065ZZ, DB066ZZ,
                                            DB070ZZ, DB071ZZ, DB072ZZ, DB073Z0, DB073ZZ,
                                            DB074ZZ, DB075ZZ, DB076ZZ, DB080ZZ, DB081ZZ,
                                            DB082ZZ, DB083Z0, DB083ZZ, DB084ZZ, DB085ZZ,
                                            DB086ZZ, DB1097Z, DB1098Z, DB1099Z, DB109BZ,
                                            DB109CZ, DB109YZ, DB10B7Z, DB10B8Z, DB10B9Z,
                                            DB10BBZ, DB10BCZ, DB10BYZ, DB1197Z, DB1198Z,
                                            DB1199Z, DB119BZ, DB119CZ, DB119YZ, DB11B7Z,
                                            DB11B8Z, DB11B9Z, DB11BBZ, DB11BCZ, DB11BYZ,
                                            DB1297Z, DB1298Z, DB1299Z, DB129BZ, DB129CZ,
                                            DB129YZ, DB12B7Z, DB12B8Z, DB12B9Z, DB12BBZ,
                                            DB12BCZ, DB12BYZ, DB1597Z, DB1598Z, DB1599Z,
                                            DB159BZ, DB159CZ, DB159YZ, DB15B7Z, DB15B8Z,
                                            DB15B9Z, DB15BBZ, DB15BCZ, DB15BYZ, DB1697Z,
                                            DB1698Z, DB1699Z, DB169BZ, DB169CZ, DB169YZ,
                                            DB16B7Z, DB16B8Z, DB16B9Z, DB16BBZ, DB16BCZ,
                                            DB16BYZ, DB1797Z, DB1798Z, DB1799Z, DB179BZ,
                                            DB179CZ, DB179YZ, DB17B7Z, DB17B8Z, DB17B9Z,
                                            DB17BBZ, DB17BCZ, DB17BYZ, DB1897Z, DB1898Z,
                                            DB1899Z, DB189BZ, DB189CZ, DB189YZ, DB18B7Z,
                                            DB18B8Z, DB18B9Z, DB18BBZ, DB18BCZ, DB18BYZ,
                                            DBY07ZZ, DBY08ZZ, DBY0FZZ, DBY0KZZ, DBY17ZZ,
                                            DBY18ZZ, DBY1FZZ, DBY1KZZ, DBY27ZZ, DBY28ZZ,
                                            DBY2FZZ, DBY2KZZ, DBY57ZZ, DBY58ZZ, DBY5FZZ,
                                            DBY5KZZ, DBY67ZZ, DBY68ZZ, DBY6FZZ, DBY6KZZ,
                                            DBY77ZZ, DBY78ZZ, DBY7FZZ, DBY7KZZ, DBY87ZZ,
                                            DBY88ZZ, DBY8FZZ, DBY8KZZ, DD000ZZ, DD001ZZ,
                                            DD002ZZ, DD003Z0, DD003ZZ, DD004ZZ, DD005ZZ,
                                            DD006ZZ, DD010ZZ, DD011ZZ, DD012ZZ, DD013Z0,
                                            DD013ZZ, DD014ZZ, DD015ZZ, DD016ZZ, DD020ZZ,
                                            DD021ZZ, DD022ZZ, DD023Z0, DD023ZZ, DD024ZZ,
                                            DD025ZZ, DD026ZZ, DD030ZZ, DD031ZZ, DD032ZZ,
                                            DD033Z0, DD033ZZ, DD034ZZ, DD035ZZ, DD036ZZ,
                                            DD040ZZ, DD041ZZ, DD042ZZ, DD043Z0, DD043ZZ,
                                            DD044ZZ, DD045ZZ, DD046ZZ, DD050ZZ, DD051ZZ,
                                            DD052ZZ, DD053Z0, DD053ZZ, DD054ZZ, DD055ZZ,
                                            DD056ZZ, DD070ZZ, DD071ZZ, DD072ZZ, DD073Z0,
                                            DD073ZZ, DD074ZZ, DD075ZZ, DD076ZZ, DD1097Z,
                                            DD1098Z, DD1099Z, DD109BZ, DD109CZ, DD109YZ,
                                            DD10B7Z, DD10B8Z, DD10B9Z, DD10BBZ, DD10BCZ,
                                            DD10BYZ, DD1197Z, DD1198Z, DD1199Z, DD119BZ,
                                            DD119CZ, DD119YZ, DD11B7Z, DD11B8Z, DD11B9Z,
                                            DD11BBZ, DD11BCZ, DD11BYZ, DD1297Z, DD1298Z,
                                            DD1299Z, DD129BZ, DD129CZ, DD129YZ, DD12B7Z,
                                            DD12B8Z, DD12B9Z, DD12BBZ, DD12BCZ, DD12BYZ,
                                            DD1397Z, DD1398Z, DD1399Z, DD139BZ, DD139CZ,
                                            DD139YZ, DD13B7Z, DD13B8Z, DD13B9Z, DD13BBZ,

[[Page 59062]]

 
                                            DD13BCZ, DD13BYZ, DD1497Z, DD1498Z, DD1499Z,
                                            DD149BZ, DD149CZ, DD149YZ, DD14B7Z, DD14B8Z,
                                            DD14B9Z, DD14BBZ, DD14BCZ, DD14BYZ, DD1597Z,
                                            DD1598Z, DD1599Z, DD159BZ, DD159CZ, DD159YZ,
                                            DD15B7Z, DD15B8Z, DD15B9Z, DD15BBZ, DD15BCZ,
                                            DD15BYZ, DD1797Z, DD1798Z, DD1799Z, DD179BZ,
                                            DD179CZ, DD179YZ, DD17B7Z, DD17B8Z, DD17B9Z,
                                            DD17BBZ, DD17BCZ, DD17BYZ, DDY07ZZ, DDY08ZZ,
                                            DDY0FZZ, DDY0KZZ, DDY17ZZ, DDY18ZZ, DDY1CZZ,
                                            DDY1FZZ, DDY1KZZ, DDY27ZZ, DDY28ZZ, DDY2CZZ,
                                            DDY2FZZ, DDY2KZZ, DDY37ZZ, DDY38ZZ, DDY3CZZ,
                                            DDY3FZZ, DDY3KZZ, DDY47ZZ, DDY48ZZ, DDY4CZZ,
                                            DDY4FZZ, DDY4KZZ, DDY57ZZ, DDY58ZZ, DDY5CZZ,
                                            DDY5FZZ, DDY5KZZ, DDY77ZZ, DDY78ZZ, DDY7CZZ,
                                            DDY7FZZ, DDY7KZZ, DDY8CZZ, DDY8FZZ, DDY8KZZ,
                                            DF000ZZ, DF001ZZ, DF002ZZ, DF003Z0, DF003ZZ,
                                            DF004ZZ, DF005ZZ, DF006ZZ, DF010ZZ, DF011ZZ,
                                            DF012ZZ, DF013Z0, DF013ZZ, DF014ZZ, DF015ZZ,
                                            DF016ZZ, DF020ZZ, DF021ZZ, DF022ZZ, DF023Z0,
                                            DF023ZZ, DF024ZZ, DF025ZZ, DF026ZZ, DF030ZZ,
                                            DF031ZZ, DF032ZZ, DF033Z0, DF033ZZ, DF034ZZ,
                                            DF035ZZ, DF036ZZ, DF1097Z, DF1098Z, DF1099Z,
                                            DF109BZ, DF109CZ, DF109YZ, DF10B7Z, DF10B8Z,
                                            DF10B9Z, DF10BBZ, DF10BCZ, DF10BYZ, DF1197Z,
                                            DF1198Z, DF1199Z, DF119BZ, DF119CZ, DF119YZ,
                                            DF11B7Z, DF11B8Z, DF11B9Z, DF11BBZ, DF11BCZ,
                                            DF11BYZ, DF1297Z, DF1298Z, DF1299Z, DF129BZ,
                                            DF129CZ, DF129YZ, DF12B7Z, DF12B8Z, DF12B9Z,
                                            DF12BBZ, DF12BCZ, DF12BYZ, DF1397Z, DF1398Z,
                                            DF1399Z, DF139BZ, DF139CZ, DF139YZ, DF13B7Z,
                                            DF13B8Z, DF13B9Z, DF13BBZ, DF13BCZ, DF13BYZ,
                                            DFY07ZZ, DFY08ZZ, DFY0CZZ, DFY0FZZ, DFY0KZZ,
                                            DFY17ZZ, DFY18ZZ, DFY1CZZ, DFY1FZZ, DFY1KZZ,
                                            DFY27ZZ, DFY28ZZ, DFY2CZZ, DFY2FZZ, DFY2KZZ,
                                            DFY37ZZ, DFY38ZZ, DFY3CZZ, DFY3FZZ, DFY3KZZ,
                                            DG000ZZ, DG001ZZ, DG002ZZ, DG003Z0, DG003ZZ,
                                            DG005ZZ, DG006ZZ, DG010ZZ, DG011ZZ, DG012ZZ,
                                            DG013Z0, DG013ZZ, DG015ZZ, DG016ZZ, DG020ZZ,
                                            DG021ZZ, DG022ZZ, DG023Z0, DG023ZZ, DG025ZZ,
                                            DG026ZZ, DG040ZZ, DG041ZZ, DG042ZZ, DG043Z0,
                                            DG043ZZ, DG045ZZ, DG046ZZ, DG050ZZ, DG051ZZ,
                                            DG052ZZ, DG053Z0, DG053ZZ, DG055ZZ, DG056ZZ,
                                            DG1097Z, DG1098Z, DG1099Z, DG109BZ, DG109CZ,
                                            DG109YZ, DG10B7Z, DG10B8Z, DG10B9Z, DG10BBZ,
                                            DG10BCZ, DG10BYZ, DG1197Z, DG1198Z, DG1199Z,
                                            DG119BZ, DG119CZ, DG119YZ, DG11B7Z, DG11B8Z,
                                            DG11B9Z, DG11BBZ, DG11BCZ, DG11BYZ, DG1297Z,
                                            DG1298Z, DG1299Z, DG129BZ, DG129CZ, DG129YZ,
                                            DG12B7Z, DG12B8Z, DG12B9Z, DG12BBZ, DG12BCZ,
                                            DG12BYZ, DG1497Z, DG1498Z, DG1499Z, DG149BZ,
                                            DG149CZ, DG149YZ, DG14B7Z, DG14B8Z, DG14B9Z,
                                            DG14BBZ, DG14BCZ, DG14BYZ, DG1597Z, DG1598Z,
                                            DG1599Z, DG159BZ, DG159CZ, DG159YZ, DG15B7Z,
                                            DG15B8Z, DG15B9Z, DG15BBZ, DG15BCZ, DG15BYZ,
                                            DGY07ZZ, DGY08ZZ, DGY0FZZ, DGY0KZZ, DGY17ZZ,
                                            DGY18ZZ, DGY1FZZ, DGY1KZZ, DGY27ZZ, DGY28ZZ,
                                            DGY2FZZ, DGY2KZZ, DGY47ZZ, DGY48ZZ, DGY4FZZ,
                                            DGY4KZZ, DGY57ZZ, DGY58ZZ, DGY5FZZ, DGY5KZZ,
                                            DH020ZZ, DH021ZZ, DH022ZZ, DH023Z0, DH023ZZ,
                                            DH024ZZ, DH025ZZ, DH026ZZ, DH030ZZ, DH031ZZ,
                                            DH032ZZ, DH033Z0, DH033ZZ, DH034ZZ, DH035ZZ,
                                            DH036ZZ, DH040ZZ, DH041ZZ, DH042ZZ, DH043Z0,
                                            DH043ZZ, DH044ZZ, DH045ZZ, DH046ZZ, DH060ZZ,
                                            DH061ZZ, DH062ZZ, DH063Z0, DH063ZZ, DH064ZZ,
                                            DH065ZZ, DH066ZZ, DH070ZZ, DH071ZZ, DH072ZZ,
                                            DH073Z0, DH073ZZ, DH074ZZ, DH075ZZ, DH076ZZ,
                                            DH080ZZ, DH081ZZ, DH082ZZ, DH083Z0, DH083ZZ,
                                            DH084ZZ, DH085ZZ, DH086ZZ, DH090ZZ, DH091ZZ,
                                            DH092ZZ, DH093Z0, DH093ZZ, DH094ZZ, DH095ZZ,
                                            DH096ZZ, DH0B0ZZ, DH0B1ZZ, DH0B2ZZ, DH0B3Z0,
                                            DH0B3ZZ, DH0B4ZZ, DH0B5ZZ, DH0B6ZZ, DHY27ZZ,
                                            DHY28ZZ, DHY2FZZ, DHY37ZZ, DHY38ZZ, DHY3FZZ,
                                            DHY47ZZ, DHY48ZZ, DHY4FZZ, DHY5FZZ, DHY67ZZ,
                                            DHY68ZZ, DHY6FZZ, DHY77ZZ, DHY78ZZ, DHY7FZZ,
                                            DHY87ZZ, DHY88ZZ, DHY8FZZ, DHY97ZZ, DHY98ZZ,
                                            DHY9FZZ, DHYB7ZZ, DHYB8ZZ, DHYBFZZ, DHYCFZZ,
                                            DM000ZZ, DM001ZZ, DM002ZZ, DM003Z0, DM003ZZ,
                                            DM004ZZ, DM005ZZ, DM006ZZ, DM010ZZ, DM011ZZ,
                                            DM012ZZ, DM013Z0, DM013ZZ, DM014ZZ, DM015ZZ,
                                            DM016ZZ, DM1097Z, DM1098Z, DM1099Z, DM109BZ,
                                            DM109CZ, DM109YZ, DM10B7Z, DM10B8Z, DM10B9Z,
                                            DM10BBZ, DM10BCZ, DM10BYZ, DM1197Z, DM1198Z,
                                            DM1199Z, DM119BZ, DM119CZ, DM119YZ, DM11B7Z,
                                            DM11B8Z, DM11B9Z, DM11BBZ, DM11BCZ, DM11BYZ,
                                            DMY07ZZ, DMY08ZZ, DMY0FZZ, DMY0KZZ, DMY17ZZ,
                                            DMY18ZZ, DMY1FZZ, DMY1KZZ, DP000ZZ, DP001ZZ,
                                            DP002ZZ, DP003Z0, DP003ZZ, DP004ZZ, DP005ZZ,
                                            DP006ZZ, DP020ZZ, DP021ZZ, DP022ZZ, DP023Z0,
                                            DP023ZZ, DP024ZZ, DP025ZZ, DP026ZZ, DP030ZZ,
                                            DP031ZZ, DP032ZZ, DP033Z0, DP033ZZ, DP034ZZ,
                                            DP035ZZ, DP036ZZ, DP040ZZ, DP041ZZ, DP042ZZ,
                                            DP043Z0, DP043ZZ, DP044ZZ, DP045ZZ, DP046ZZ,
                                            DP050ZZ, DP051ZZ, DP052ZZ, DP053Z0, DP053ZZ,
                                            DP054ZZ, DP055ZZ, DP056ZZ, DP060ZZ, DP061ZZ,
                                            DP062ZZ, DP063Z0, DP063ZZ, DP064ZZ, DP065ZZ,
                                            DP066ZZ, DP070ZZ, DP071ZZ, DP072ZZ, DP073Z0,
                                            DP073ZZ, DP074ZZ, DP075ZZ, DP076ZZ, DP080ZZ,
                                            DP081ZZ, DP082ZZ, DP083Z0, DP083ZZ, DP084ZZ,
                                            DP085ZZ, DP086ZZ, DP090ZZ, DP091ZZ, DP092ZZ,
                                            DP093Z0, DP093ZZ, DP094ZZ, DP095ZZ, DP096ZZ,
                                            DP0B0ZZ, DP0B1ZZ, DP0B2ZZ, DP0B3Z0, DP0B3ZZ,
                                            DP0B4ZZ, DP0B5ZZ, DP0B6ZZ, DP0C0ZZ, DP0C1ZZ,
                                            DP0C2ZZ, DP0C3Z0, DP0C3ZZ, DP0C4ZZ, DP0C5ZZ,
                                            DP0C6ZZ, DPY07ZZ, DPY08ZZ, DPY0FZZ, DPY27ZZ,
                                            DPY28ZZ, DPY2FZZ, DPY37ZZ, DPY38ZZ, DPY3FZZ,
                                            DPY47ZZ, DPY48ZZ, DPY4FZZ, DPY57ZZ, DPY58ZZ,
                                            DPY5FZZ, DPY67ZZ, DPY68ZZ, DPY6FZZ, DPY77ZZ,
                                            DPY78ZZ, DPY7FZZ, DPY87ZZ, DPY88ZZ, DPY8FZZ,
                                            DPY97ZZ, DPY98ZZ, DPY9FZZ, DPYB7ZZ, DPYB8ZZ,
                                            DPYBFZZ, DPYC7ZZ, DPYC8ZZ, DPYCFZZ, DT000ZZ,
                                            DT001ZZ, DT002ZZ, DT003Z0, DT003ZZ, DT004ZZ,
                                            DT005ZZ, DT006ZZ, DT010ZZ, DT011ZZ, DT012ZZ,
                                            DT013Z0, DT013ZZ, DT014ZZ, DT015ZZ, DT016ZZ,
                                            DT020ZZ, DT021ZZ, DT022ZZ, DT023Z0, DT023ZZ,
                                            DT024ZZ, DT025ZZ, DT026ZZ, DT030ZZ, DT031ZZ,
                                            DT032ZZ, DT033Z0, DT033ZZ, DT034ZZ, DT035ZZ,
                                            DT036ZZ, DT1097Z, DT1098Z, DT1099Z, DT109BZ,
                                            DT109CZ, DT109YZ, DT10B7Z, DT10B8Z, DT10B9Z,
                                            DT10BBZ, DT10BCZ, DT10BYZ, DT1197Z, DT1198Z,
                                            DT1199Z, DT119BZ, DT119CZ, DT119YZ, DT11B7Z,
                                            DT11B8Z, DT11B9Z, DT11BBZ, DT11BCZ, DT11BYZ,
                                            DT1297Z, DT1298Z, DT1299Z, T129BZ, DT129CZ, DT129YZ,
                                            DT12B7Z, DT12B8Z, DT12B9Z, DT12BBZ, DT12BCZ,
                                            DT12BYZ, DT1397Z, DT1398Z, DT1399Z, DT139BZ,
                                            DT139CZ, DT139YZ, DT13B7Z, DT13B8Z, DT13B9Z,
                                            DT13BBZ, DT13BCZ, DT13BYZ, DTY07ZZ, DTY08ZZ,
                                            DTY0CZZ, DTY0FZZ, DTY17ZZ, DTY18ZZ, DTY1CZZ,
                                            DTY1FZZ, DTY27ZZ, DTY28ZZ, DTY2CZZ, DTY2FZZ,
                                            DTY37ZZ, DTY38ZZ, DTY3CZZ, DTY3FZZ, DU000ZZ,
                                            DU001ZZ, DU002ZZ, DU003Z0, DU003ZZ, DU004ZZ,
                                            DU005ZZ, DU006ZZ, DU010ZZ, DU011ZZ, DU012ZZ,
                                            DU013Z0, DU013ZZ, DU014ZZ, DU015ZZ, DU016ZZ,
                                            DU020ZZ, DU021ZZ, DU022ZZ, DU023Z0, DU023ZZ,
                                            DU024ZZ, DU025ZZ, DU026ZZ, DU1097Z, DU1098Z,
                                            DU1099Z, DU109BZ, DU109CZ, DU109YZ, DU10B7Z,
                                            DU10B8Z, DU10B9Z, DU10BBZ, DU10BCZ, DU10BYZ,
                                            DU1197Z, DU1198Z, DU1199Z, DU119BZ, DU119CZ,
                                            DU119YZ, DU11B7Z, DU11B8Z, DU11B9Z, DU11BBZ,
                                            DU11BCZ, DU11BYZ, DU1297Z, DU1298Z, DU1299Z,
                                            DU129BZ, DU129CZ, DU129YZ, DU12B7Z, DU12B8Z,
                                            DU12B9Z, DU12BBZ, DU12BCZ, DU12BYZ, DUY07ZZ,
                                            DUY08ZZ, DUY0CZZ, DUY0FZZ, DUY17ZZ, DUY18ZZ,
                                            DUY1CZZ, DUY1FZZ, DUY27ZZ, DUY28ZZ, DUY2CZZ,
                                            DUY2FZZ, DV000ZZ, DV001ZZ, DV002ZZ, DV003Z0,
                                            DV003ZZ, DV004ZZ, DV005ZZ, DV006ZZ, DV010ZZ,
                                            DV011ZZ, DV012ZZ, DV013Z0, DV013ZZ, DV014ZZ,
                                            DV015ZZ, DV016ZZ, DV1097Z, DV1098Z, DV1099Z,
                                            DV109BZ, DV109CZ, DV109YZ, DV10B7Z, DV10B8Z,
                                            DV10B9Z, DV10BBZ, DV10BCZ, DV10BYZ, DV1197Z,
                                            DV1198Z, DV1199Z, DV119BZ, DV119CZ, DV119YZ,
                                            DV11B7Z, DV11B8Z, DV11B9Z, DV11BBZ, DV11BCZ,
                                            DV11BYZ, DVY07ZZ, DVY08ZZ, DVY0CZZ, DVY0FZZ,
                                            DVY0KZZ, DVY17ZZ, DVY18ZZ, DVY1FZZ, DW010ZZ,

[[Page 59063]]

 
                                            DW011ZZ, DW012ZZ, DW013Z0, DW013ZZ, DW014ZZ,
                                            DW015ZZ, DW016ZZ, DW020ZZ, DW021ZZ, DW022ZZ,
                                            DW023Z0, DW023ZZ, DW024ZZ, DW025ZZ, DW026ZZ,
                                            DW030ZZ, DW031ZZ, DW032ZZ, DW033Z0, DW033ZZ,
                                            DW034ZZ, DW035ZZ, DW036ZZ, DW040ZZ, DW041ZZ,
                                            DW042ZZ, DW043Z0, DW043ZZ, DW044ZZ, DW045ZZ,
                                            DW046ZZ, DW050ZZ, DW051ZZ, DW052ZZ, DW053Z0,
                                            DW053ZZ, DW054ZZ, DW055ZZ, DW056ZZ, DW060ZZ,
                                            DW061ZZ, DW062ZZ, DW063Z0, DW063ZZ, DW064ZZ,
                                            DW065ZZ, DW066ZZ, DW1197Z, DW1198Z, DW1199Z,
                                            DW119BZ, DW119CZ, DW119YZ, DW11B7Z, DW11B8Z,
                                            DW11B9Z, DW11BBZ, DW11BCZ, DW11BYZ, DW1297Z,
                                            DW1298Z, DW1299Z, DW129BZ, DW129CZ, DW129YZ,
                                            DW12B7Z, DW12B8Z, DW12B9Z, DW12BBZ, DW12BCZ,
                                            DW12BYZ, DW1397Z, DW1398Z, DW1399Z, DW139BZ,
                                            DW139CZ, DW139YZ, DW13B7Z, DW13B8Z, DW13B9Z,
                                            DW13BBZ, DW13BCZ, DW13BYZ, DW1697Z, DW1698Z,
                                            DW1699Z, DW169BZ, DW169CZ, DW169YZ, DW16B7Z,
                                            DW16B8Z, DW16B9Z, DW16BBZ, DW16BCZ, DW16BYZ,
                                            DWY17ZZ, DWY18ZZ, DWY1FZZ, DWY27ZZ, DWY28ZZ,
                                            DWY2FZZ, DWY37ZZ, DWY38ZZ, DWY3FZZ, DWY47ZZ,
                                            DWY48ZZ, DWY4FZZ, DWY57ZZ, DWY58ZZ, DWY5FZZ,
                                            DWY5GDZ, DWY5GFZ, DWY5GGZ, DWY5GHZ, DWY5GYZ,
                                            DWY67ZZ, DWY68ZZ, and DWY6FZZ
Uncontrolled Diabetes Mellitus with or     E1065 and E1165......................................            1.05
 without complications.
Severe Protein Calorie Malnutrition......  E40, E41, E42, and E43...............................            1.13
Eating and Conduct Disorders.............  F5000, F5001, F5002, F509, F631, F6381, and F911.....            1.12
Infectious Disease.......................  A150, A154, A155, A156, A157, A158, A159, A170, A171,            1.07
                                            A1781, A1782, A1783, A1789, A179, A1801, A1802,
                                            A1803, A1809, A1810, A1811, A1812, A1813, A1814,
                                            A1815, A1816, A1817, A1818, A182, A1831, A1832,
                                            A1839, A184, A1850, A1851, A1852, A1853, A1854,
                                            A1859, A186, A187, A1881, A1882, A1883, A1884,
                                            A1885, A1889, A190, A191, A192, A198, A199, A200,
                                            A201, A202, A203, A207, A208, A209, A210, A211,
                                            A212, A213, A217, A218, A219, A220, A221, A222,
                                            A227, A228, A229, A230, A231, A232, A233, A238,
                                            A239, A240, A241, A242, A243, A249, A250, A251,
                                            A259, A260, A267, A268, A269, A280, A281, A282,
                                            A288, A289, A300, A301, A302, A303, A304, A305,
                                            A308, A309, A310, A311, A312, A318, A319, A320,
                                            A3211, A3212, A327, A3281, A3282, A3289, A329, A35,
                                            A360, A361, A362, A363, A3681, A3682, A3683, A3684,
                                            A3685, A3686, A3689, A369, A3700, A3701, A3710,
                                            A3711, A3780, A3781, A3790, A3791, A380, A381, A388,
                                            A389, A390, A391, A392, A393, A394, A3950, A3951,
                                            A3952, A3953, A3981, A3982, A3983, A3984, A3989,
                                            A399, A400, A401, A403, A408, A409, A4101, A4102,
                                            A411, A412, A413, A414, A4150, A4151, A4152, A4153,
                                            A4159, A4181, A4189, A419, A420, A421, A422, A427,
                                            A4281, A4282, A4289, A429, A430, A431, A438, A439,
                                            A46, A480, A482, A483, A484, A4851, A4852, A488,
                                            A491, A70, A710, A711, A719, A740, A7489, A800,
                                            A801, A802, A8030, A8039, A804, A809, A8100, A8101,
                                            A8109, A811, A812, A8181, A8182, A8183, A8189, A819,
                                            A820, A821, A829, A830, A831, A832, A833, A834,
                                            A835, A836, A838, A839, A840, A841, A848, A849,
                                            A850, A851, A852, A858, A86, A870, A871, A872, A878,
                                            A879, A880, A881, A888, A89, A90, A91, A920, A921,
                                            A922, A9230, A9231, A9232, A9239, A924, A928, A929,
                                            A930, A931, A932, A938, A94, A950, A951, A959, A960,
                                            A961, A962, A968, A969, A980, A981, A982, A983,
                                            A984, A985, A988, A99, B0050, B0051, B0052, B0053,
                                            B0059, B010, B0111, B0112, B012, B0181, B0189, B019,
                                            B020, B021, B0221, B0222, B0223, B0224, B0229, B03,
                                            B04, B050, B051, B052, B053, B054, B0581, B0589,
                                            B059, B0600, B0601, B0602, B0609, B0681, B0682,
                                            B0689, B069, B08010, B08011, B0802, B0803, B0804,
                                            B0809, B0820, B0821, B0822, B083, B084, B085, B0860,
                                            B0861, B0862, B0869, B0870, B0871, B0872, B0879,
                                            B088, B09, B1001, B1009, B1081, B1082, B1089, B150,
                                            B159, B160, B161, B162, B169, B170, B1710, B1711,
                                            B172, B178, B179, B180, B181, B182, B188, B189,
                                            B190, B1910, B1911, B1920, B1921, B199, B20, B250,
                                            B251, B252, B258, B259, B260, B261, B262, B263,
                                            B2681, B2682, B2683, B2684, B2685, B2689, B269,
                                            B2700, B2701, B2702, B2709, B2710, B2711, B2712,
                                            B2719, B2780, B2781, B2782, B2789, B2790, B2791,
                                            B2792, B2799, B330, B331, B3320, B3321, B3322,
                                            B3323, B3324, B333, B338, B341, B471, B479, B950,
                                            B951, B952, B953, B954, B955, B958, B9730, B9731,
                                            B9732, B9733, B9734, B9735, B9739, G032, I673, J020,
                                            J0300, J0301, J202, K9081, L081, L444, and M60009.
Drug and/or Alcohol Induced Mental         F10121, F10220, F10221, F10229, F10231, F10921,                  1.03
 Disorders.                                 F11151, F1120, F11220, F11221, F11222, F11229,
                                            F1123, F1124, F11250, F11251, F11259, F11281,
                                            F11282, F11288, F1129, F11920, F11921, F11922,
                                            F11929, F1193, F11951, F12120, F12121, F12122,
                                            F12129, F12151, F12220, F12221, F12222, F12229,
                                            F12251, F12920, F12921, F12922, F12929, F12951,
                                            F13120, F13121, F13129, F13151, F13220, F13221,
                                            F13229, F13230, F13231, F13232, F13239, F13251,
                                            F13920, F13921, F13929, F13930, F13931, F13932,
                                            F13939, F13951, F14120, F14121, F14122, F14129,
                                            F14151, F14220, F14221, F14222, F14229, F1423,
                                            F14251, F14920, F14921, F14922, F14929, F14951,
                                            F15120, F15121, F15122, F15129, F15151, F15220,
                                            F15221, F15222, F15229, F1523, F15251, F15920,
                                            F15921, F15922, F15929, F1593, F15951, F16120,
                                            F16121, F16122, F16129, F16151, F16220, F16221,
                                            F16229, F16251, F16920, F16921, F16929, F16951,
                                            F17203, F17213, F17223, F17293, F18120, F18121,
                                            F18129, F18151, F18220, F18221, F18229, F18251,
                                            F18920, F18921, F18929, F18951, F19120, F19121,
                                            F19122, F19129, F19151, F19220, F19221, F19222,
                                            F19229, F19230, F19231, F19232, F19239, F19251,
                                            F19920, F19921, F19922, F19929, F19930, F19931,
                                            F19932, F19939, and F19951.
Cardiac Conditions.......................  I010, I011, I012, I110, I270, I330, I339, and I39....            1.11
Gangrene.................................  E0852, E0952, E1052, E1152, E1352, I70261, I70262,               1.10
                                            I70263, I70268, I70361, I70362, I70363, I70368,
                                            I70461, I70462, I70463, I70468, I70561, I70562,
                                            I70563, I70568, I70661, I70662, I70663, I70668,
                                            I70761, I70762, I70763, I70768, I7301, and I96.
Chronic Obstructive Pulmonary Disease....  J441, J470, J471, J860, J95850, J9610, J9611, J9612,             1.12
                                            J9620, J9621, J9622, Z9911, and Z9912.
Artificial Openings--Digestive and         K9400, K9401, K9402, K9403, K9409, K9410, K9411,                 1.08
 Urinary.                                   K9412, K9413, K9419, N990, N99520, N99521, K9400,
                                            K9401, K9402, K9403, K9409, K9410, K9411, K9412,
                                            K9413, K9419, N990, N99520, N99521, N99522, N99528,
                                            N99530, N99531, N99532, N99538, N9981, N9989, Z931,
                                            Z932, Z933, Z934, Z9350, Z9351, Z9352, Z9359, Z936
                                            N99522, N99528, N99530, N99531, N99532, N99538,
                                            N9981, N9989, Z931, Z932, Z933, Z934, Z9350, Z9351,
                                            Z9352, Z9359, and Z936.

[[Page 59064]]

 
Severe Musculoskeletal and Connective      L4050, L4051, L4052, L4053, L4054, L4059, M320,                  1.09
 Tissue Diseases.                           M3210, M3211, M3212, M3213, M3214, M3215, M3219,
                                            M328, M329, M4620, M4621, M4622, M4623, M4624,
                                            M4625, M4626, M4627, M4628, M86011, M86012, M86021,
                                            M86022, M86031, M86032, M86041, M86042, M86051,
                                            M86052, M86061, M86062, M86071, M86072, M8608,
                                            M8609, M86111, M86112, M86121, M86122, M86131,
                                            M86132, M86141, M86142, M86151, M86152, M86161,
                                            M86162, M86171, M86172, M8618, M8619, M86211,
                                            M86212, M86221, M86222, M86231, M86232, M86241,
                                            M86242, M86251, M86252, M86261, M86262, M86271,
                                            M86272, M8628, M8629, M86311, M86312, M86321,
                                            M86322, M86331, M86332, M86341, M86342, M86351,
                                            M86352, M86361, M86362, M86371, M86372, M8638,
                                            M8639, M86411, M86412, M86421, M86422, M86431,
                                            M86432, M86441, M86442, M86451, M86452, M86461,
                                            M86462, M86471, M86472, M8648, M8649, M86511,
                                            M86512, M86521, M86522, M86531, M86532, M86541,
                                            M86542, M86551, M86552, M86561, M86562, M86571,
                                            M86572, M8658, M8659, M86611, M86612, M86621,
                                            M86622, M86631, M86632, M86641, M86642, M86651,
                                            M86652, M86661, M86662, M86671, M86672, M8668,
                                            M8669, M868X0, M868X1, M868X2, M868X3, M868X4,
                                            M868X5, M868X6, M868X7, M868X8, and M869.
Poisoning................................  T391X1A, T391X2A, T391X3A, T391X4A, T400X1A, T400X2A,            1.11
                                            T400X3A, T400X4A, T401X1A, T401X2A, T401X3A,
                                            T401X4A, T402X1A, T402X2A, T402X3A, T402X4A,
                                            T403X1A, T403X2A, T403X3A, T403X4A, T404X1A,
                                            T404X2A, T404X3A, T404X4A, T40601A, T40602A,
                                            T40603A, T40604A, T40691A, T40692A, T40693A,
                                            T40694A, T407X1A, T407X2A, T407X3A, T407X4A,
                                            T408X1A, T408X2A, T408X3A, T408X4A, T40901A,
                                            T40902A, T40903A, T40904A, T40991A, T40992A,
                                            T40993A, T40994A, T410X1A, T410X2A, T410X3A,
                                            T410X4A, T411X1A, T411X2A, T411X3A, T411X4A,
                                            T41201A, T41202A, T41203A, T41204A, T41291A,
                                            T41292A, T41293A, T41294A, T413X1A, T413X2A,
                                            T413X3A, T413X4A, T4141XA, T4142XA, T4143XA,
                                            T4144XA, T423X1A, T423X2A, T423X3A, T423X4A,
                                            T424X1A, T424X2A, T424X3A, T424X4A, T426X1A,
                                            T426X2A, T426X3A, T426X4A, T4271XA, T4272XA,
                                            T4273XA, T4274XA, T428X1A, T428X2A, T428X3A,
                                            T428X4A, T43011A, T43012A, T43013A, T43014A,
                                            T43021A, T43022A, T43023A, T43024A, T431X1A,
                                            T431X2A, T431X3A, T431X4A, T43201A, T43202A,
                                            T43203A, T43204A, T43211A, T43212A, T43213A,
                                            T43214A, T43221A, T43222A, T43223A, T43224A,
                                            T43291A, T43292A, T43293A, T43294A, T433X1A,
                                            T433X2A, T433X3A, T433X4A, T434X1A, T434X2A,
                                            T434X3A, T434X4A, T43501A, T43502A, T43503A,
                                            T43504A, T43591A, T43592A, T43593A, T43594A,
                                            T43601A, T43602A, T43603A, T43604A, T43611A,
                                            T43612A, T43613A, T43614A, T43621A, T43622A,
                                            T43623A, T43624A, T43631A, T43632A, T43633A,
                                            T43634A, T43691A, T43692A, T43693A, T43694A,
                                            T438X1A, T438X2A, T438X3A, T438X4A, T4391XA,
                                            T4392XA, T4393XA, T4394XA, T505X1A, T505X2A,
                                            T505X3A, T505X4A, T510X1A, T510X2A, T510X3A,
                                            T510X4A, T511X1A, T511X2A, T511X3A, T511X4A,
                                            T512X1A, T512X2A, T512X3A, T512X4A, T513X1A,
                                            T513X2A, T513X3A, T513X4A, T518X1A, T518X2A,
                                            T518X3A, T518X4A, T5191XA, T5192XA, T5193XA,
                                            T5194XA, T5391XA, T5392XA, T5393XA, T5394XA,
                                            T540X1A, T540X2A, T540X3A, T540X4A, T541X1A,
                                            T541X2A, T541X3A, T541X4A, T542X1A, T542X2A,
                                            T542X3A, T542X4A, T543X1A, T543X2A, T543X3A,
                                            T543X4A, T5491XA, T5492XA, T5493XA, T5494XA,
                                            T550X1A, T550X2A, T550X3A, T550X4A, T551X1A,
                                            T551X2A, T551X3A, T551X4A, T560X1A, T560X2A,
                                            T560X3A, T560X4A, T571X1A, T571X2A, T571X3A,
                                            T571X4A, T5801XA, T5802XA, T5803XA, T5804XA,
                                            T5811XA, T5812XA, T5813XA, T5814XA, T582X1A,
                                            T582X2A, T582X3A, T582X4A, T588X1A, T588X2A,
                                            T588X3A, T588X4A, T5891XA, T5892XA, T5893XA,
                                            T5894XA, T600X1A, T600X2A, T600X3A, T600X4A,
                                            T601X1A, T601X2A, T601X3A, T601X4A, T602X1A,
                                            T602X2A, T602X3A, T602X4A, T604X1A, T604X2A,
                                            T604X3A, T604X4A, T608X1A, T608X2A, T608X3A,
                                            T608X4A, T6091XA, T6092XA, T6093XA, T6094XA,
                                            T63001A, T63002A, T63003A, T63004A, T63011A,
                                            T63012A, T63013A, T63014A, T63021A, T63022A,
                                            T63023A, T63024A, T63031A, T63032A, T63033A,
                                            T63034A, T63041A, T63042A, T63043A, T63044A,
                                            T63061A, T63062A, T63063A, T63064A, T63071A,
                                            T63072A, T63073A, T63074A, T63081A, T63082A,
                                            T63083A, T63084A, T63091A, T63092A, T63093A,
                                            T63094A, T63111A, T63112A, T63113A, T63114A,
                                            T63121A, T63122A, T63123A, T63124A, T63191A,
                                            T63192A, T63193A, T63194A, T632X1A, T632X2A,
                                            T632X3A, T632X4A, T63301A, T63302A, T63303A,
                                            T63304A, T63311A, T63312A, T63313A, T63314A,
                                            T63321A, T63322A, T63323A, T63324A, T63331A,
                                            T63332A, T63333A, T63334A, T63391A, T63392A,
                                            T63393A, T63394A, T63411A, T63412A, T63413A,
                                            T63414A, T63421A, T63422A, T63423A, T63424A,
                                            T63431A, T63432A, T63433A, T63434A, T63441A,
                                            T63442A, T63443A, T63444A, T63451A, T63452A,
                                            T63453A, T63454A, T63461A, T63462A, T63463A,
                                            T63464A, T63481A, T63482A, T63483A, T63484A,
                                            T63511A, T63512A, T63513A, T63514A, T63591A,
                                            T63592A, T63593A, T63594A, T63611A, T63612A,
                                            T63613A, T63614A, T63621A, T63622A, T63623A,
                                            T63624A, T63631A, T63632A, T63633A, T63634A,
                                            T63691A, T63692A, T63693A, T63694A, T63711A,
                                            T63712A, T63713A, T63714A, T63791A, T63792A,
                                            T63793A, T63794A, T63811A, T63812A, T63813A,
                                            T63814A, T63821A, T63822A, T63823A, T63824A,
                                            T63831A, T63832A, T63833A, T63834A, T63891A,
                                            T63892A, T63893A, T63894A, T6391XA, T6392XA,
                                            T6393XA, T6394XA, T6401XA, T6402XA, T6403XA,
                                            T6404XA, T6481XA, T6482XA, T6483XA, T6484XA,
                                            T650X1A, T650X2A, T650X3A, T650X4A, T651X1A,
                                            T651X2A, T651X3A, and T651X4A.
----------------------------------------------------------------------------------------------------------------


    Dated: September 25, 2015.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2015-24998 Filed 9-30-15; 8:45 am]
BILLING CODE 4120-01-P



                                                                 Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations                                              59057

                                                      EPA-APPROVED REGULATIONS, TECHNICAL MEMORANDA, AND STATUTES IN THE MARYLAND SIP—Continued
                                               Code of Maryland Ad-                                           State effective                                   Additional explanation/citation at 40 CFR
                                               ministrative Regulations               Title/Subject                                  EPA approval date
                                                                                                                   date                                                         52.1100
                                                  (COMAR) citation

                                                                                                                                                             Section 26.11.19.08(D), Emission Standards,
                                                                                                                                                               added.

                                                         *                        *                       *                      *                       *                      *                 *



                                              *      *       *       *      *                           October 1, 2014, the implementation of                Federal Register on August 4, 2014, and
                                              [FR Doc. 2015–24862 Filed 9–30–15; 8:45 am]               the ICD–10 code sets does not occur                   finalized the compliance date for ICD–
                                              BILLING CODE 6560–50–P                                    until October 1, 2015. Accordingly, the               10 as October 1, 2015 (79 FR 45128).
                                                                                                        corrections in this document will be
                                                                                                                                                              II. Summary of Errors
                                                                                                        effective on the October 1, 2015 ICD–10
                                              DEPARTMENT OF HEALTH AND                                  implementation date.                                  Payment for Comorbid Conditions
                                              HUMAN SERVICES                                               The FY 2015 IPF PPS final rule was
                                                                                                                                                                 The IPF PPS includes a comorbidity
                                                                                                        effective October 1, 2014 for all updates
                                                                                                                                                              payment adjustment. The intent of the
                                              Centers for Medicare & Medicaid                           and changes, except for the conversion
                                                                                                                                                              comorbidity adjustment is to recognize
                                              Services                                                  of ICD–9–CM codes to ICD–10–CM
                                                                                                                                                              the increased costs associated with
                                                                                                        codes. We noted in that final rule (79 FR
                                                                                                                                                              comorbid conditions by providing
                                              42 CFR Part 412                                           45945) that on April 1, 2014, the
                                                                                                                                                              additional payments for certain
                                                                                                        Protecting Access to Medicare Act of
                                              [CMS–1606–CN]                                                                                                   concurrent medical or psychiatric
                                                                                                        2014 (PAMA) (Pub. L. 113–93) was
                                                                                                                                                              conditions that are expensive to treat. In
                                              RIN 0938–AS08                                             enacted. Section 212 of PAMA, titled
                                                                                                                                                              the May 2011 IPF PPS final rule (76 FR
                                                                                                        ‘‘Delay in Transition from ICD–9 to
                                              Medicare Program; Inpatient                                                                                     26451 through 26452), we explained
                                                                                                        ICD–10 Code Sets,’’ provides that ‘‘[t]he
                                              Psychiatric Facilities Prospective                                                                              that the IPF PPS includes 17
                                                                                                        Secretary of Health and Human Services
                                              Payment System—Update for Fiscal                                                                                comorbidity categories and identified
                                                                                                        may not, prior to October 1, 2015, adopt
                                              Year Beginning October 1, 2014 (FY                                                                              the new, revised, and deleted ICD–9–
                                                                                                        ICD–10 code sets as the standard for
                                              2015); Correction                                                                                               CM diagnosis codes that generated a
                                                                                                        code sets under section 1173(c) of the
                                                                                                                                                              comorbid condition payment
                                                                                                        Social Security Act (42 U.S.C. 1320d–
                                              AGENCY:  Centers for Medicare &                                                                                 adjustment under the IPF PPS for RY
                                                                                                        2(c)) and section 162.1002 of title 45,
                                              Medicaid Services (CMS), HHS.                                                                                   2012 (76 FR 26451).
                                                                                                        Code of Federal Regulations.’’ We
                                              ACTION: Correction of final rule.                         indicated that, in light of PAMA, the                    In Table 7 of the FY 2015 IPF PPS
                                                                                                        effective date of changes from ICD–9 to               final rule, the 17 comorbidity categories
                                              SUMMARY:   This document corrects                                                                               defined using ICD–9–CM codes were
                                              technical errors that appeared in the                     ICD–10 for the IPF PPS would be the
                                                                                                        date when ICD–10 becomes the required                 converted to ICD–10–CM codes (79 FR
                                              final rule published in the Federal                                                                             45953). We discovered the following
                                              Register on August 6, 2014 entitled                       medical data code set for use on
                                                                                                        Medicare claims.                                      eight technical errors in ICD–10–CM
                                              ‘‘Inpatient Psychiatric Facilities                                                                              codes or code ranges listed in Table 7
                                                                                                           In that FY 2015 IPF PPS final rule (79
                                              Prospective Payment System—Update                                                                               of the FY 2015 IPF PPS final rule, which
                                                                                                        FR 45945), we also stated that on May
                                              for Fiscal Year Beginning October 1,                                                                            we are correcting. These eight errors
                                                                                                        1, 2014, the Department announced
                                              2014 (FY 2015); Final Rule.’’                                                                                   were typographic errors which we are
                                                                                                        that, in light of section 212 of PAMA,
                                              DATES: Effective October 1, 2015.                         ‘‘the U.S. Department of Health and                   correcting to conform to the policies
                                              FOR FURTHER INFORMATION CONTACT:                          Human Services expects to release an                  adopted in the FY 2015 IPF PPS final
                                              Katherine Lucas or Jana Lindquist,                        interim final rule in the near future that            rule, and do not reflect any substantive
                                                 (410) 786–7723.                                        will include a new compliance date that               policy changes:
                                              SUPPLEMENTARY INFORMATION:                                would require the use of ICD–10                          (1) From the ‘‘Oncology Treatment’’
                                                                                                        beginning October 1, 2015.’’ The                      comorbidity category on page 45953,
                                              I. Background                                             Department asserted that the interim                  ‘‘C000 through C4002’’ should read
                                                In FR Doc. 2014–18329 of August 6,                      final rule would also require HIPAA                   ‘‘C000 through C399, C4001, C4002.
                                              2014 (79 FR 45938), there were a                          covered entities to continue to use ICD–                 (2) From the ‘‘Oncology Treatment’’
                                              number of technical errors that are                       9–CM through September 30, 2015.                      comorbidity category on page 45953,
                                              identified in the Summary of Errors                       Therefore, we explained that we will                  ‘‘C44191’’ is being removed.
                                              section (section II), and corrected in the                continue to require use of the ICD–9–                    (3) From the ‘‘Oncology Treatment’’
                                              Correction of Errors section (section IV).                CM codes for reporting the MS–DRG                     comorbidity category on page 45953,
                                              The provisions in this correction                         and comorbidity adjustment factors for                ‘‘D225 through D2261’’ should read
                                              document, which relate to the inpatient                   IPF services through FY 2015, and that                ‘‘D225, D2261,’’
                                              psychiatric facilities (IPF) prospective                  we will require the use of ICD–10 codes                  (4) From the ‘‘Oncology Treatment’’
srobinson on DSK5SPTVN1PROD with RULES




                                              payment system (PPS) ICD–10–CM                            beginning October 1, 2015 (79 FR                      comorbidity category on page 45953,
                                              diagnosis coding conversion for                           45945). The final rule ‘‘Administrative               ‘‘D3192 through D485’’ should read
                                              comorbidities, are effective as if they                   Simplification: Change to the                         ‘‘D3192 through D471.’’
                                              had been included in the document                         Compliance Date for the International                    (5) From the ‘‘Oncology Treatment’’
                                              published August 06, 2014 (FY 2015 IPF                    Classification of Diseases, 10th Revision             comorbidity category on page 45953,
                                              PPS final rule). While the FY 2015 IPF                    (ICD–10–CM and ICD–10–PCS) Medical                    ‘‘D4861 through D471’’ should read
                                              PPS final rule had an effective date of                   Data Code Sets’’ was published in the                 ‘‘D4861 through D499.’’


                                         VerDate Sep<11>2014     18:54 Sep 30, 2015   Jkt 238001   PO 00000   Frm 00037   Fmt 4700   Sfmt 4700   E:\FR\FM\01OCR1.SGM   01OCR1


                                              59058                 Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations

                                                 (6) From the ‘‘Oncology Treatment’’                                    good cause, that the notice and                                                applied, we find there is good cause to
                                              comorbidity category on page 45953,                                       comment process is impracticable,                                              waive such requirements. Undertaking
                                              ‘‘D479 through D499’’ should read                                         unnecessary, or contrary to the public                                         further notice and comment procedures
                                              ‘‘D479.’’                                                                 interest, and incorporates a statement of                                      to incorporate the corrections in this
                                                 (7) From the ‘‘Oncology Treatment’’                                    the finding and the reasons therefor in                                        document into the FY 2015 IPF PPS
                                              comorbidity category on page 45953,                                       the notice.                                                                    final rule or delaying the effective date
                                              ‘‘D47Z1 through D47Z9’’ should read                                         Section 553(d) of the APA ordinarily                                         would be contrary to the public interest
                                              ‘‘D47Z1, D47Z9.’’                                                         requires a 30-day delay in effective date                                      because it is in the public’s interest for
                                                 (8) From the ‘‘Infectious Disease’’                                    of final rules after the date of their                                         providers and suppliers to receive
                                              comorbidity category on page 45954,                                       publication in the Federal Register.                                           appropriate payments in as timely a
                                              ‘‘R1111’’ is being removed.                                               This 30-day delay in effective date can                                        manner as possible, and to ensure that
                                                 Additionally, IPF providers and                                        be waived, however, if an agency finds                                         the FY 2015 IPF PPS final rule
                                              software companies asked us to make                                       for good cause that the delay is                                               accurately reflects our policies as of the
                                              the table more user-friendly by listing                                   impracticable, unnecessary, or contrary                                        date they take effect and are applicable.
                                              each ICD–10–CM code individually,                                         to the public interest, and the agency                                         Further, such procedures would be
                                              rather than showing the ICD–10–CM                                                                                                                        unnecessary, because we are not altering
                                                                                                                        incorporates a statement of the findings
                                              code ranges, as originally presented in                                                                                                                  the payment methodologies or policies,
                                                                                                                        and its reasons in the rule issued.
                                              Table 7 of the FY 2015 IPF PPS final                                                                                                                     but rather, we are simply correctly
                                              rule. As such, we are republishing Table                                    In our view, this correction document
                                                                                                                        does not constitute a rulemaking that                                          implementing the policies that we
                                              7 in its entirety with each ICD–10–CM                                                                                                                    previously proposed, received comment
                                              code listed individually rather than                                      would be subject to these requirements.
                                                                                                                        This correction document corrects                                              on, and subsequently finalized. This
                                              shown in a range, after incorporating the                                                                                                                correction document is intended solely
                                              eight corrections noted above. We have                                    technical errors in a table included in
                                                                                                                        the FY 2015 IPF PPS final rule. The                                            to ensure that the FY 2015 IPF PPS final
                                              also posted Table 7 on the IPF PPS Web                                                                                                                   rule accurately reflects these payment
                                              site, under the ‘‘Tools and Worksheets’’                                  corrections contained in this document
                                                                                                                        are consistent with, and do not make                                           methodologies and policies. For these
                                              link at: https://www.cms.gov/Medicare/
                                                                                                                        substantive changes to, the policies and                                       reasons, we believe we have good cause
                                              Medicare-Fee-for-Service-Payment/
                                                                                                                        payment methodologies that were                                                to waive the notice and comment and
                                              InpatientPsychFacilPPS/tools.html.
                                                                                                                        adopted and subjected to notice and                                            effective date requirements.
                                              III. Waiver of Proposed Rulemaking                                        comment procedures in the FY 2015 IPF                                          IV. Correction of Errors
                                                 We ordinarily publish a notice of                                      PPS final rule. As a result, the
                                              proposed rulemaking in the Federal                                        corrections made through this                                                     In FR Doc. 2014–18329 of August 6,
                                              Register to provide a period for public                                   correction document are intended to                                            2014 (79 FR 45938), make the following
                                              comment before the provisions of a rule                                   ensure that the FY 2015 IPF PPS final                                          corrections:
                                              take effect in accordance with section                                    rule accurately reflects the policies                                             1. On pages 45953 through 45955,
                                              553(b) of the Administrative Procedure                                    adopted in that rule.                                                          ‘‘Table 7—FY 2015 Diagnosis Codes and
                                              Act (APA) (5 U.S.C. 553(b)). However,                                       Even if this were a rulemaking to                                            Adjustment Factors for Comorbidity
                                              we can waive this notice and comment                                      which the notice and comment and                                               Categories,’’ the table is corrected to
                                              procedure if the Secretary finds, for                                     delayed effective date requirements                                            read as follows:
                                                                TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES
                                                        Description of                                                                                                                                                                                       Adjustment
                                                                                                                                                   ICD–10–CM diagnoses codes
                                                         comorbidity                                                                                                                                                                                           factor

                                              Developmental Disabilities .....         F70, F71, F72, F73, F78, and F79 ..................................................................................................................................          1.04
                                              Coagulation Factor Deficits ....         D66, D67, D680, D681, and D682 ...................................................................................................................................           1.13
                                              Tracheostomy .........................   J9500, J9501, J9502, J9503, J9504, J9509, and Z930 ..................................................................................................                        1.06
                                              Renal Failure, Acute ..............      N170, N171, N172, N178, N179, O0482, O0732, O084, O904, and T795XXA .............................................................                                            1.11
                                              Renal Failure, Chronic ...........       I120, I1311, I132, N183, N184, N185, N186, N189, N19, Z4901, Z4902, Z4931, Z9115, and Z992 ............................                                                      1.11
srobinson on DSK5SPTVN1PROD with RULES




                                         VerDate Sep<11>2014       18:54 Sep 30, 2015         Jkt 238001       PO 00000        Frm 00038        Fmt 4700        Sfmt 4700       E:\FR\FM\01OCR1.SGM                01OCR1


                                                                  Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations                                      59059

                                                     TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES—Continued
                                                       Description of                                                                                                                       Adjustment
                                                                                                                            ICD–10–CM diagnoses codes
                                                        comorbidity                                                                                                                           factor

                                              Oncology Treatment ...............   C000, C001, C002, C003, C004, C005, C006, C008, C01, C020, C021, C022, C023, C024, C028, C030, C031,            1.07
                                                                                    C040, C041, C048, C050, C051, C052, C058, C060, C061, C062, C0680, C0689, C07, C080, C081, C089,
                                                                                    C090, C091, C098, C099, C100, C101, C102, C103, C104, C108, C109, C110, C111, C112, C113, C118, C119,
                                                                                    C12, C130, C131, C132, C138, C139, C140, C142, C148, C153, C154, C155, C158, C159, C160, C161, C162,
                                                                                    C163, C164, C165, C166, C168, C169, C170, C171, C172, C173, C178, C179, C180, C181, C182, C183, C184,
                                                                                    C185, C186, C187, C188, C189, C19, C20, C210, C211, C212, C218, C220, C221, C222, C223, C224, C227,
                                                                                    C228, C229, C23, C240, C241, C248, C249, C250, C251, C252, C253, C254, C257, C258, C259, C260, C261,
                                                                                    C269, C300, C301, C310, C311, C312, C313, C318, C319, C320, C321, C322, C323, C328, C329, C33, C3400,
                                                                                    C3401, C3402, C3410, C3411, C3412, C342, C3430, C3431, C3432, C3480, C3481, C3482, C3491, C3492,
                                                                                    C37, C380, C381, C382, C383, C384, C388, C390, C399, C4001, C4002, C4011, C4012, C4021, C4022, C4031,
                                                                                    C4032, C4081, C4082, C4091, C4092, C410, C411, C412, C413, C414, C419, C430, C4311, C4312, C4321,
                                                                                    C4322, C4330, C4331, C4339, C434, C4351, C4352, C4359, C4361, C4362, C4371, C4372, C438, C4400,
                                                                                    C4401, C4402, C4409, C44102, C44109, C44112, C44119, C44122, C44129, C44192, C44199, C44202,
                                                                                    C44209, C44212, C44219, C44222, C44229, C44291, C44292, C44299, C44300, C44301, C44309, C44310,
                                                                                    C44311, C44319, C44320, C44321, C44329, C44390, C44391, C44399, C4440, C4441, C4442, C4449, C44500,
                                                                                    C44501, C44509, C44510, C44511, C44519, C44520, C44521, C44529, C44590, C44591, C44599, C44602,
                                                                                    C44609, C44612, C44619, C44622, C44629, C44692, C44699, C44702, C44709, C44712, C44719, C44722,
                                                                                    C44729, C44792, C44799, C4480, C4481, C4482, C4489, C450, C451, C452, C457, C459, C460, C461, C462,
                                                                                    C463, C464, C4650, C4651, C4652, C467, C469, C470, C4711, C4712, C4721, C4722, C473, C474, C475,
                                                                                    C476, C478, C480, C481, C482, C488, C490, C4911, C4912, C4921, C4922, C493, C494, C495, C496, C498,
                                                                                    C4A0, C4A11, C4A12, C4A21, C4A22, C4A30, C4A31, C4A39, C4A4, C4A51, C4A52, C4A59, C4A61, C4A62,
                                                                                    C4A71, C4A72, C4A8, C50011, C50012, C50021, C50022, C50111, C50112, C50121, C50122, C50211,
                                                                                    C50212, C50221, C50222, C50311, C50312, C50321, C50322, C50411, C50412, C50421, C50422, C50511,
                                                                                    C50512, C50521, C50522, C50611, C50612, C50621, C50622, C50811, C50812, C50821, C50822, C50911,
                                                                                    C50912, C50921, C50922, C510, C511, C512, C518, C519, C52, C530, C531, C538, C539, C540, C541, C542,
                                                                                    C543, C548, C549, C55, C561, C562, C569, C5700, C5701, C5702, C5710, C5711, C5712, C5720, C5721,
                                                                                    C5722, C573, C574, C577, C578, C58, C600, C601, C602, C608, C609, C61, C6200, C6201, C6202, C6210,
                                                                                    C6211, C6212, C6291, C6292, C6300, C6301, C6302, C6310, C6311, C6312, C632, C637, C638, C641, C642,
                                                                                    C651, C652, C659, C661, C662, C669, C670, C671, C672, C673, C674, C675, C676, C677, C678, C679, C680,
                                                                                    C681, C688, C689, C6901, C6902, C6911, C6912, C6920, C6921, C6922, C6930, C6931, C6932, C6940,
                                                                                    C6941, C6942, C6951, C6952, C6961, C6962, C6981, C6982, C6991, C6992, C700, C701, C709, C710, C711,
                                                                                    C712, C713, C714, C715, C716, C717, C718, C719, C720, C721, C7220, C7221, C7222, C7230, C7231, C7232,
                                                                                    C7240, C7241, C7242, C7250, C7259, C73, C7400, C7401, C7402, C7410, C7411, C7412, C7491, C7492,
                                                                                    C750, C751, C752, C753, C754, C755, C758, C759, C760, C761, C762, C763, C7641, C7642, C7651, C7652,
                                                                                    C768, C770, C771, C772, C773, C774, C775, C778, C7800, C7801, C7802, C781, C782, C7830, C7839, C784,
                                                                                    C785, C786, C787, C7880, C7889, C7900, C7901, C7902, C7910, C7911, C7919, C792, C7931, C7932, C7940,
                                                                                    C7949, C7951, C7952, C7960, C7961, C7962, C7970, C7971, C7972, C7981, C7982, C7989, C7A00, C7A010,
                                                                                    C7A011, C7A012, C7A019, C7A020, C7A021, C7A022, C7A023, C7A024, C7A025, C7A026, C7A029, C7A090,
                                                                                    C7A091, C7A092, C7A093, C7A094, C7A095, C7A096, C7A098, C7A1, C7A8, C7B00, C7B01, C7B02, C7B03,
                                                                                    C7B04, C7B09, C7B1, C7B8, C800, C801, C802, C8100, C8101, C8102, C8103, C8104, C8105, C8106, C8107,
                                                                                    C8108, C8109, C8110, C8111, C8112, C8113, C8114, C8115, C8116, C8117, C8118, C8119, C8120, C8121,
                                                                                    C8122, C8123, C8124, C8125, C8126, C8127, C8128, C8129, C8130, C8131, C8132, C8133, C8134, C8135,
                                                                                    C8136, C8137, C8138, C8139, C8140, C8141, C8142, C8143, C8144, C8145, C8146, C8147, C8148, C8149,
                                                                                    C8170, C8171, C8172, C8173, C8174, C8175, C8176, C8177, C8178, C8179, C8190, C8191, C8192, C8193,
                                                                                    C8194, C8195, C8196, C8197, C8198, C8199, C8200, C8201, C8202, C8203, C8204, C8205, C8206, C8207,
                                                                                    C8208, C8209, C8210, C8211, C8212, C8213, C8214, C8215, C8216, C8217, C8218, C8219, C8220, C8221,
                                                                                    C8222, C8223, C8224, C8225, C8226, C8227, C8228, C8229, C8230, C8231, C8232, C8233, C8234, C8235,
                                                                                    C8236, C8237, C8238, C8239, C8240, C8241, C8242, C8243, C8244, C8245, C8246, C8247, C8248, C8249,
                                                                                    C8250, C8251, C8252, C8253, C8254, C8255, C8256, C8257, C8258, C8259, C8260, C8261, C8262, C8263,
                                                                                    C8264, C8265, C8266, C8267, C8268, C8269, C8280, C8281, C8282, C8283, C8284, C8285, C8286, C8287,
                                                                                    C8288, C8289, C8290, C8291, C8292, C8293, C8294, C8295, C8296, C8297, C8298, C8299, C8300, C8301,
                                                                                    C8302, C8303, C8304, C8305, C8306, C8307, C8308, C8309, C8310, C8311, C8312, C8313, C8314, C8315,
                                                                                    C8316, C8317, C8318, C8319, C8330, C8331, C8332, C8333, C8334, C8335, C8336, C8337, C8338, C8339,
                                                                                    C8350, C8351, C8352, C8353, C8354, C8355, C8356, C8357, C8358, C8359, C8370, C8371, C8372, C8373,
                                                                                    C8374, C8375, C8376, C8377, C8378, C8379, C8380, C8381, C8382, C8383, C8384, C8385, C8386, C8387,
                                                                                    C8388, C8389, C8390, C8391, C8392, C8393, C8394, C8395, C8396, C8397, C8398, C8399, C8400, C8401,
                                                                                    C8402, C8403, C8404, C8405, C8406, C8407, C8408, C8409, C8410, C8411, C8412, C8413, C8414, C8415,
                                                                                    C8416, C8417, C8418, C8419, C8440, C8441, C8442, C8443, C8444, C8445, C8446, C8447, C8448, C8449,
                                                                                    C8460, C8461, C8462, C8463, C8464, C8465, C8466, C8467, C8468, C8469, C8470, C8471, C8472, C8473,
                                                                                    C8474, C8475, C8476, C8477, C8478, C8479, C8490, C8491, C8492, C8493, C8494, C8495, C8496, C8497,
                                                                                    C8498, C8499, C84A0, C84A1, C84A2, C84A3, C84A4, C84A5, C84A6, C84A7, C84A8, C84A9, C84Z0, C84Z1,
                                                                                    C84Z2, C84Z3, C84Z4, C84Z5, C84Z6, C84Z7, C84Z8, C84Z9, C8510, C8511, C8512, C8513, C8514, C8515,
                                                                                    C8516, C8517, C8518, C8519, C8520, C8521, C8522, C8523, C8524, C8525, C8526, C8527, C8528, C8529,
                                                                                    C8580, C8581, C8582, C8583, C8584, C8585, C8586, C8587, C8588, C8589, C8590, C8591, C8592, C8593,
                                                                                    C8594, C8595, C8596, C8597, C8598, C8599, C860, C861, C862, C863, C864, C865, C866, C882, C883, C884,
                                                                                    C888, C889, C9000, C9001, C9002, C9010, C9011, C9012, C9020, C9021, C9022, C9030, C9031, C9032,
                                                                                    C9100, C9101, C9102, C9110, C9111, C9112, C9130, C9131, C9132, C9140, C9141, C9142, C9150, C9151,
                                                                                    C9152, C9160, C9161, C9162, C9190, C9191, C9192, C91A0, C91A1, C91A2, C91Z0, C91Z1, C91Z2, C9200,
                                                                                    C9201, C9202, C9210, C9211, C9212, C9220, C9221, C9222, C9230, C9231, C9232, C9240, C9241, C9242,
                                                                                    C9250, C9251, C9252, C9260, C9261, C9262, C9290, C9291, C9292, C92A0, C92A1, C92A2, C92Z0, C92Z1,
                                                                                    C92Z2, C9300, C9301, C9302, C9310, C9311, C9312, C9330, C9331, C9332, C9390, C9391, C9392, C93Z0,
srobinson on DSK5SPTVN1PROD with RULES




                                                                                    C93Z1, C93Z2, C9400, C9401, C9402, C9420, C9421, C9422, C9430, C9431, C9432, C9440, C9441, C9442,
                                                                                    C946, C9480, C9481, C9482, C9500, C9501, C9502, C9510, C9511, C9512, C9590, C9591, C9592, C960,
                                                                                    C962, C964, C969, C96A, C96Z, D0000, D0001, D0002, D0003, D0004, D0005, D0006, D0007, D0008, D001,
                                                                                    D002, D010, D011, D012, D013, D0140, D0149, D015, D017, D019, D020, D021, D0220, D0221, D0222, D023,




                                         VerDate Sep<11>2014     18:54 Sep 30, 2015    Jkt 238001   PO 00000   Frm 00039   Fmt 4700   Sfmt 4700   E:\FR\FM\01OCR1.SGM   01OCR1


                                              59060             Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations

                                                    TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES—Continued
                                                      Description of                                                                                                                    Adjustment
                                                                                                                         ICD–10–CM diagnoses codes
                                                       comorbidity                                                                                                                        factor

                                                                                D024, D030, D0311, D0312, D0321, D0322, D0330, D0339, D034, D0351, D0352, D0359, D0361, D0362,
                                                                                D0371, D0372, D038, D039, D040, D0411, D0412, D0421, D0422, D0430, D0439, D044, D045, D0461, D0462,
                                                                                D0471, D0472, D048, D049, D0501, D0502, D0511, D0512, D0581, D0582, D0591, D0592, D060, D061, D067,
                                                                                D069, D070, D071, D072, D0730, D0739, D074, D075, D0760, D0761, D0769, D090, D0910, D0919, D0921,
                                                                                D0922, D093, D098, D099, D100, D101, D102, D1030, D1039, D104, D105, D106, D107, D109, D110, D117,
                                                                                D119, D120, D121, D122, D123, D124, D125, D126, D127, D128, D129, D130, D131, D132, D1330, D1339,
                                                                                D134, D135, D136, D137, D139, D140, D141, D142, D1430, D1431, D1432, D144, D150, D151, D152, D157,
                                                                                D159, D1601, D1602, D1611, D1612, D1621, D1622, D1631, D1632, D164, D165, D166, D167, D168, D169,
                                                                                D170, D171, D1721, D1722, D1723, D1724, D1730, D1739, D174, D175, D176, D1771, D1772, D1779, D179,
                                                                                D1800, D1801, D1802, D1803, D1809, D181, D190, D191, D197, D199, D200, D201, D210, D2111, D2112,
                                                                                D2121, D2122, D213, D214, D215, D216, D219, D220, D2211, D2212, D2221, D2222, D2230, D2239, D224,
                                                                                D225, D2261, D2262, D2271, D2272, D229, D230, D2311, D2312, D2321, D2322, D2330, D2339, D234, D235,
                                                                                D2361, D2362, D2371, D2372, D239, D241, D242, D250, D251, D252, D259, D260, D261, D267, D269, D270,
                                                                                D271, D279, D280, D281, D282, D287, D289, D290, D291, D2920, D2921, D2922, D2930, D2931, D2932, D294,
                                                                                D298, D299, D3000, D3001, D3002, D3010, D3011, D3012, D3020, D3021, D3022, D303, D304, D308, D309,
                                                                                D3101, D3102, D3110, D3111, D3112, D3120, D3121, D3122, D3130, D3131, D3132, D3140, D3141, D3142,
                                                                                D3151, D3152, D3161, D3162, D3191, D3192, D320, D321, D329, D330, D331, D332, D333, D334, D337, D339,
                                                                                D34, D3500, D3501, D3502, D351, D352, D353, D354, D355, D356, D357, D359, D360, D3610, D3611, D3612,
                                                                                D3613, D3614, D3615, D3616, D3617, D367, D369, D3701, D3702, D37030, D37031, D37032, D37039, D3704,
                                                                                D3705, D3709, D371, D372, D373, D374, D375, D376, D378, D379, D380, D381, D382, D383, D384, D385,
                                                                                D386, D390, D3910, D3911, D3912, D392, D398, D399, D3A00, D3A010, D3A011, D3A012, D3A019, D3A020,
                                                                                D3A021, D3A022, D3A023, D3A024, D3A025, D3A026, D3A029, D3A090, D3A091, D3A092, D3A093, D3A094,
                                                                                D3A095, D3A096, D3A098, D3A8, D400, D4010, D4011, D4012, D408, D409, D4100, D4101, D4102, D4110,
                                                                                D4111, D4112, D4120, D4121, D4122, D413, D414, D418, D419, D420, D421, D429, D430, D431, D432, D433,
                                                                                D434, D438, D439, D440, D4410, D4411, D4412, D442, D443, D444, D445, D446, D447, D449, D45, D460,
                                                                                D461, D4620, D4621, D4622, D464, D469, D46A, D46B, D46C, D46Z, D470, D471, D473, D479, D47Z1, D47Z9,
                                                                                D480, D481, D482, D483, D484, D485, D4861, D4862, D487, D489, D490, D491, D492, D493, D494, D495,
                                                                                D496, D497, D4981, D4989, D499, K317, K635, Q8500, Q8501, Q8502, Q8503, and Q8509, with a radiation
                                                                                therapy or chemotherapy code from ICD–10–PCS: 08H031Z, 08H0X1Z, 08H131Z, 08H1X1Z, 0BH001Z,
                                                                                0BH031Z, 0BH041Z, 0BH071Z, 0BH081Z, 0BHK01Z, 0BHK31Z, 0BHK41Z, 0BHK71Z, 0BHK81Z, 0BHL01Z,
                                                                                0BHL31Z, 0BHL41Z, 0BHL71Z, 0BHL81Z, 0CH701Z, 0CH731Z, 0CH7X1Z, 0DH501Z, 0DH531Z, 0DH541Z,
                                                                                0DH571Z, 0DH581Z, 0DHP01Z, 0DHP31Z, 0DHP41Z, 0DHP71Z, 0DHP81Z, 0FHB01Z, 0FHB31Z,
                                                                                0FHB41Z,0FHB71Z, 0FHB81Z, 0FHD01Z, 0FHD31Z, 0FHD41Z, 0FHD71Z, 0FHD81Z, 0HHT01Z, 0HHT31Z,
                                                                                0HHT71Z, 0HHT81Z, 0HHTX1Z, 0HHU01Z, 0HHU31Z, 0HHU71Z, 0HHU81Z, 0HHUX1Z, 0HHV01Z, 0HHV31Z,
                                                                                0HHV71Z, 0HHV81Z, 0HHVX1Z, 0HHW01Z, 0HHW31Z, 0HHW71Z, 0HHW81Z, 0HHWX1Z, 0HHX01Z,
                                                                                0HHX31Z, 0HHX71Z, 0HHX81Z, 0HHXX1Z, 0JHS01Z, 0JHS31Z, 0JHT01Z, 0JHT31Z, 0JHV01Z, 0JHV31Z,
                                                                                0JHW01Z, 0JHW31Z, 0UHC01Z, 0UHC31Z, 0UHC41Z, 0UHC71Z, 0UHC81Z, 0UHG01Z, 0UHG31Z, 0UHG41Z,
                                                                                0UHG71Z, 0UHG81Z, 0UHGX1Z, 0VH001Z, 0VH031Z, 0VH041Z, 0VH071Z, 0VH081Z, 0WH001Z, 0WH031Z,
                                                                                0WH041Z, 0WH101Z, 0WH131Z, 0WH141Z, 0WH201Z, 0WH231Z, 0WH241Z, 0WH301Z, 0WH331Z, 0WH341Z,
                                                                                0WH401Z, 0WH431Z, 0WH441Z, 0WH501Z, 0WH531Z, 0WH541Z, 0WH601Z, 0WH631Z, 0WH641Z, 0WH801Z,
                                                                                0WH831Z, 0WH841Z, 0WH901Z, 0WH931Z, 0WH941Z, 0WHB01Z, 0WHB31Z, 0WHB41Z, 0WHC01Z,
                                                                                0WHC31Z, 0WHC41Z, 0WHD01Z, 0WHD31Z, 0WHD41Z, 0WHF01Z, 0WHF31Z, 0WHF41Z, 0WHG01Z,
                                                                                0WHG31Z, 0WHG41Z, 0WHH01Z, 0WHH31Z, 0WHH41Z, 0WHJ01Z, 0WHJ31Z, 0WHJ41Z, 0WHK01Z,
                                                                                0WHK31Z, 0WHK41Z, 0WHL01Z, 0WHL31Z, 0WHL41Z, 0WHM01Z, 0WHM31Z, 0WHM41Z, 0WHN01Z,
                                                                                0WHN31Z, 0WHN41Z, 0WHP01Z, 0WHP31Z, 0WHP41Z, 0WHP71Z, 0WHP81Z, 0WHQ01Z, 0WHQ31Z,
                                                                                0WHQ41Z, 0WHQ71Z, 0WHQ81Z, 0WHR01Z, 0WHR31Z, 0WHR41Z, 0WHR71Z, 0WHR81Z, 0XH201Z,
                                                                                0XH231Z, 0XH241Z, 0XH301Z, 0XH331Z, 0XH341Z, 0XH401Z, 0XH431Z, 0XH441Z, 0XH501Z, 0XH531Z,
                                                                                0XH541Z, 0XH601Z, 0XH631Z, 0XH641Z, 0XH701Z, 0XH731Z, 0XH741Z, 0XH801Z, 0XH831Z, 0XH841Z,
                                                                                0XH901Z, 0XH931Z, 0XH941Z, 0XHB01Z, 0XHB31Z, 0XHB41Z, 0XHC01Z, 0XHC31Z, 0XHC41Z, 0XHD01Z,
                                                                                0XHD31Z, 0XHD41Z, 0XHF01Z, 0XHF31Z, 0XHF41Z, 0XHG01Z, 0XHG31Z, 0XHG41Z, 0XHH01Z, 0XHH31Z,
                                                                                0XHH41Z, 0XHJ01Z, 0XHJ31Z, 0XHJ41Z, 0XHK01Z, 0XHK31Z, 0XHK41Z, 0YH001Z, 0YH031Z, 0YH041Z,
                                                                                0YH101Z, 0YH131Z, 0YH141Z, 0YH501Z, 0YH531Z, 0YH541Z, 0YH601Z, 0YH631Z, 0YH641Z, 0YH701Z,
                                                                                0YH731Z, 0YH741Z, 0YH801Z, 0YH831Z, 0YH841Z, 0YH901Z, 0YH931Z, 0YH941Z, 0YHB01Z, 0YHB31Z,
                                                                                0YHB41Z, 0YHC01Z, 0YHC31Z, 0YHC41Z, 0YHD01Z, 0YHD31Z, 0YHD41Z, 0YHF01Z, 0YHF31Z, 0YHF41Z,
                                                                                0YHG01Z, 0YHG31Z, 0YHG41Z, 0YHH01Z, 0YHH31Z, 0YHH41Z, 0YHJ01Z, 0YHJ31Z, 0YHJ41Z, 0YHK01Z,
                                                                                0YHK31Z, 0YHK41Z, 0YHL01Z, 0YHL31Z, 0YHL41Z, 0YHM01Z, 0YHM31Z, 0YHM41Z, 0YHN01Z, 0YHN31Z,
                                                                                0YHN41Z, 3E00X05, 3E01305, 3E02305, 3E03005, 3E03305, 3E04005, 3E04305, 3E05005, 3E05305, 3E06005,
                                                                                3E06305, 3E09305, 3E09705, 3E09X05, 3E0A305, 3E0B305, 3E0B705, 3E0BX05, 3E0C305, 3E0C705,
                                                                                3E0CX05, 3E0D305, 3E0D705, 3E0DX05, 3E0E305, 3E0E705, 3E0E805, 3E0F305, 3E0F705, 3E0F805,
                                                                                3E0G305, 3E0G705, 3E0G805, 3E0H305, 3E0H705, 3E0H805, 3E0J305, 3E0J705, 3E0J805, 3E0K305,
                                                                                3E0K705, 3E0K805, 3E0L305, 3E0L705, 3E0M305, 3E0M705, 3E0N305, 3E0N705, 3E0N805, 3E0P305,
                                                                                3E0P705, 3E0P805, 3E0Q305, 3E0Q705, 3E0R305, 3E0S305, 3E0U305, 3E0V305, 3E0W305, 3E0Y305,
                                                                                3E0Y705, CW70NZZ, CW70YZZ, CW73NZZ, CW73YZZ, CW7GGZZ, CW7GYZZ, CW7N8ZZ, CW7NGZZ,
                                                                                CW7NNZZ, CW7NPZZ, CW7NYZZ, CW7YYZZ, D0000ZZ, D0001ZZ, D0002ZZ, D0003Z0, D0003ZZ, D0004ZZ,
                                                                                D0005ZZ, D0006ZZ, D0010ZZ, D0011ZZ, D0012ZZ, D0013Z0, D0013ZZ, D0014ZZ, D0015ZZ, D0016ZZ,
                                                                                D0060ZZ, D0061ZZ, D0062ZZ, D0063Z0, D0063ZZ, D0064ZZ, D0065ZZ, D0066ZZ, D0070ZZ, D0071ZZ,
                                                                                D0072ZZ, D0073Z0, D0073ZZ, D0074ZZ, D0075ZZ, D0076ZZ, D01097Z, D01098Z, D01099Z, D0109BZ,
                                                                                D0109CZ, D0109YZ, D010B7Z, D010B8Z, D010B9Z, D010BBZ, D010BCZ, D010BYZ, D01197Z, D01198Z,
                                                                                D01199Z, D0119BZ, D0119CZ, D0119YZ, D011B7Z, D011B8Z, D011B9Z, D011BBZ, D011BCZ, D011BYZ,
                                                                                D01697Z, D01698Z, D01699Z, D0169BZ, D0169CZ, D0169YZ, D016B7Z, D016B8Z, D016B9Z, D016BBZ,
                                                                                D016BCZ, D016BYZ, D01797Z, D01798Z, D01799Z, D0179BZ, D0179CZ, D0179YZ, D017B7Z, D017B8Z,
srobinson on DSK5SPTVN1PROD with RULES




                                                                                D017B9Z, D017BBZ, D017BCZ, D017BYZ, D0Y07ZZ, D0Y08ZZ, D0Y0FZZ, D0Y0KZZ, D0Y17ZZ, D0Y18ZZ,
                                                                                D0Y1FZZ, D0Y1KZZ, D0Y67ZZ, D0Y68ZZ, D0Y6FZZ, D0Y6KZZ, D0Y77ZZ, D0Y78ZZ, D0Y7FZZ, D0Y7KZZ,
                                                                                D7000ZZ, D7001ZZ, D7002ZZ, D7003Z0, D7003ZZ, D7004ZZ, D7005ZZ, D7006ZZ, D7010ZZ, D7011ZZ,
                                                                                D7012ZZ, D7013Z0, D7013ZZ, D7014ZZ, D7015ZZ, D7016ZZ, D7020ZZ, D7021ZZ, D7022ZZ, D7023Z0,




                                         VerDate Sep<11>2014   18:54 Sep 30, 2015   Jkt 238001   PO 00000   Frm 00040   Fmt 4700   Sfmt 4700   E:\FR\FM\01OCR1.SGM   01OCR1


                                                                Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations                          59061

                                                    TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES—Continued
                                                      Description of                                                                                                          Adjustment
                                                                                                                         ICD–10–CM diagnoses codes
                                                       comorbidity                                                                                                              factor

                                                                                D7023ZZ, D7024ZZ, D7025ZZ, D7026ZZ, D7030ZZ, D7031ZZ, D7032ZZ, D7033Z0, D7033ZZ, D7034ZZ,
                                                                                D7035ZZ, D7036ZZ, D7040ZZ, D7041ZZ, D7042ZZ, D7043Z0, D7043ZZ, D7044ZZ, D7045ZZ, D7046ZZ,
                                                                                D7050ZZ, D7051ZZ, D7052ZZ, D7053Z0, D7053ZZ, D7054ZZ, D7055ZZ, D7056ZZ, D7060ZZ, D7061ZZ,
                                                                                D7062ZZ, D7063Z0, D7063ZZ, D7064ZZ, D7065ZZ, D7066ZZ, D7070ZZ, D7071ZZ, D7072ZZ, D7073Z0,
                                                                                D7073ZZ, D7074ZZ, D7075ZZ, D7076ZZ, D7080ZZ, D7081ZZ, D7082ZZ, D7083Z0, D7083ZZ, D7084ZZ,
                                                                                D7085ZZ, D7086ZZ, D71097Z, D71098Z, D71099Z, D7109BZ, D7109CZ, D7109YZ, D710B7Z, D710B8Z,
                                                                                D710B9Z, D710BBZ, D710BCZ, D710BYZ, D71197Z, D71198Z, D71199Z, D7119BZ, D7119CZ, D7119YZ,
                                                                                D711B7Z, D711B8Z, D711B9Z, D711BBZ, D711BCZ, D711BYZ, D71297Z, D71298Z, D71299Z, D7129BZ,
                                                                                D7129CZ, D7129YZ, D712B7Z, D712B8Z, D712B9Z, D712BBZ, D712BCZ, D712BYZ, D71397Z, D71398Z,
                                                                                D71399Z, D7139BZ, D7139CZ, D7139YZ, D713B7Z, D713B8Z, D713B9Z, D713BBZ, D713BCZ, D713BYZ,
                                                                                D71497Z, D71498Z, D71499Z, D7149BZ, D7149CZ, D7149YZ, D714B7Z, D714B8Z, D714B9Z, D714BBZ,
                                                                                D714BCZ, D714BYZ, D71597Z, D71598Z, D71599Z, D7159BZ, D7159CZ, D7159YZ, D715B7Z, D715B8Z,
                                                                                D715B9Z, D715BBZ, D715BCZ, D715BYZ, D71697Z, D71698Z, D71699Z, D7169BZ, D7169CZ, D7169YZ,
                                                                                D716B7Z, D716B8Z, D716B9Z, D716BBZ, D716BCZ, D716BYZ, D71797Z, D71798Z, D71799Z, D7179BZ,
                                                                                D7179CZ, D7179YZ, D717B7Z, D717B8Z, D717B9Z, D717BBZ, D717BCZ, D717BYZ, D71897Z, D71898Z,
                                                                                D71899Z, D7189BZ, D7189CZ, D7189YZ, D718B7Z, D718B8Z, D718B9Z, D718BBZ, D718BCZ, D718BYZ,
                                                                                D7Y08ZZ, D7Y0FZZ, D7Y18ZZ, D7Y1FZZ, D7Y28ZZ, D7Y2FZZ, D7Y38ZZ, D7Y3FZZ, D7Y48ZZ, D7Y4FZZ,
                                                                                D7Y58ZZ, D7Y5FZZ, D7Y68ZZ, D7Y6FZZ, D7Y78ZZ, D7Y7FZZ, D7Y88ZZ, D7Y8FZZ, D8000ZZ, D8001ZZ,
                                                                                D8002ZZ, D8003Z0, D8003ZZ, D8004ZZ, D8005ZZ, D8006ZZ, D81097Z, D81098Z, D81099Z, D8109BZ,
                                                                                D8109CZ, D8109YZ, D810B7Z, D810B8Z, D810B9Z, D810BBZ, D810BCZ, D810BYZ, D8Y07ZZ, D8Y08ZZ,
                                                                                D8Y0FZZ, D9000ZZ, D9001ZZ, D9002ZZ, D9003Z0, D9003ZZ, D9004ZZ, D9005ZZ, D9006ZZ, D9010ZZ,
                                                                                D9011ZZ, D9012ZZ, D9013Z0, D9013ZZ, D9014ZZ, D9015ZZ, D9016ZZ, D9030ZZ, D9031ZZ, D9032ZZ,
                                                                                D9033Z0, D9033ZZ, D9034ZZ, D9035ZZ, D9036ZZ, D9040ZZ, D9041ZZ, D9042ZZ, D9043Z0, D9043ZZ,
                                                                                D9044ZZ, D9045ZZ, D9046ZZ, D9050ZZ, D9051ZZ, D9052ZZ, D9053Z0, D9053ZZ, D9054ZZ, D9055ZZ,
                                                                                D9056ZZ, D9060ZZ, D9061ZZ, D9062ZZ, D9063Z0, D9063ZZ, D9064ZZ, D9065ZZ, D9066ZZ, D9070ZZ,
                                                                                D9071ZZ, D9072ZZ, D9073Z0, D9073ZZ, D9074ZZ, D9075ZZ, D9076ZZ, D9080ZZ, D9081ZZ, D9082ZZ,
                                                                                D9083Z0, D9083ZZ, D9084ZZ, D9085ZZ, D9086ZZ, D9090ZZ, D9091ZZ, D9092ZZ, D9093Z0, D9093ZZ,
                                                                                D9094ZZ, D9095ZZ, D9096ZZ, D90B0ZZ, D90B1ZZ, D90B2ZZ, D90B3Z0, D90B3ZZ, D90B4ZZ, D90B5ZZ,
                                                                                D90B6ZZ, D90D0ZZ, D90D1ZZ, D90D2ZZ, D90D3Z0, D90D3ZZ, D90D4ZZ, D90D5ZZ, D90D6ZZ, D90F0ZZ,
                                                                                D90F1ZZ, D90F2ZZ, D90F3Z0, D90F3ZZ, D90F4ZZ, D90F5ZZ, D90F6ZZ, D91097Z, D91098Z, D91099Z,
                                                                                D9109BZ, D9109CZ, D9109YZ, D910B7Z, D910B8Z, D910B9Z, D910BBZ, D910BCZ, D910BYZ, D91197Z,
                                                                                D91198Z, D91199Z, D9119BZ, D9119CZ, D9119YZ, D911B7Z, D911B8Z, D911B9Z, D911BBZ, D911BCZ,
                                                                                D911BYZ, D91397Z, D91398Z, D91399Z, D9139BZ, D9139CZ, D9139YZ, D913B7Z, D913B8Z, D913B9Z,
                                                                                D913BBZ, D913BCZ, D913BYZ, D91497Z, D91498Z, D91499Z, D9149BZ, D9149CZ, D9149YZ, D914B7Z,
                                                                                D914B8Z, D914B9Z, D914BBZ, D914BCZ, D914BYZ, D91597Z, D91598Z, D91599Z, D9159BZ, D9159CZ,
                                                                                D9159YZ, D915B7Z, D915B8Z, D915B9Z, D915BBZ, D915BCZ, D915BYZ, D91697Z, D91698Z, D91699Z,
                                                                                D9169BZ, D9169CZ, D9169YZ, D916B7Z, D916B8Z, D916B9Z, D916BBZ, D916BCZ, D916BYZ, D91797Z,
                                                                                D91798Z, D91799Z, D9179BZ, D9179CZ, D9179YZ, D917B7Z, D917B8Z, D917B9Z, D917BBZ, D917BCZ,
                                                                                D917BYZ, D91897Z, D91898Z, D91899Z, D9189BZ, D9189CZ, D9189YZ, D918B7Z, D918B8Z, D918B9Z,
                                                                                D918BBZ, D918BCZ, D918BYZ, D91997Z, D91998Z, D91999Z, D9199BZ, D9199CZ, D9199YZ, D919B7Z,
                                                                                D919B8Z, D919B9Z, D919BBZ, D919BCZ, D919BYZ, D91B97Z, D91B98Z, D91B99Z, D91B9BZ, D91B9CZ,
                                                                                D91B9YZ, D91BB7Z, D91BB8Z, D91BB9Z, D91BBBZ, D91BBCZ, D91BBYZ, D91D97Z, D91D98Z, D91D99Z,
                                                                                D91D9BZ, D91D9CZ, D91D9YZ, D91DB7Z, D91DB8Z, D91DB9Z, D91DBBZ, D91DBCZ, D91DBYZ, D91F97Z,
                                                                                D91F98Z, D91F99Z, D91F9BZ, D91F9CZ, D91F9YZ, D91FB7Z, D91FB8Z, D91FB9Z, D91FBBZ, D91FBCZ,
                                                                                D91FBYZ, D9Y07ZZ, D9Y08ZZ, D9Y0FZZ, D9Y17ZZ, D9Y18ZZ, D9Y1FZZ, D9Y37ZZ, D9Y38ZZ, D9Y47ZZ,
                                                                                D9Y48ZZ, D9Y4CZZ, D9Y4FZZ, D9Y57ZZ, D9Y58ZZ, D9Y5FZZ, D9Y67ZZ, D9Y68ZZ, D9Y6FZZ, D9Y77ZZ,
                                                                                D9Y78ZZ, D9Y7FZZ, D9Y87ZZ, D9Y88ZZ, D9Y8FZZ, D9Y97ZZ, D9Y98ZZ, D9Y9FZZ, D9YB7ZZ, D9YB8ZZ,
                                                                                D9YBCZZ, D9YBFZZ, D9YCCZZ, D9YCFZZ, D9YD7ZZ, D9YD8ZZ, D9YDCZZ, D9YDFZZ, D9YF7ZZ, D9YF8ZZ,
                                                                                DB000ZZ, DB001ZZ, DB002ZZ, DB003Z0, DB003ZZ, DB004ZZ, DB005ZZ, DB006ZZ, DB010ZZ, DB011ZZ,
                                                                                DB012ZZ, DB013Z0, DB013ZZ, DB014ZZ, DB015ZZ, DB016ZZ, DB020ZZ, DB021ZZ, DB022ZZ, DB023Z0,
                                                                                DB023ZZ, DB024ZZ, DB025ZZ, DB026ZZ, DB050ZZ, DB051ZZ, DB052ZZ, DB053Z0, DB053ZZ, DB054ZZ,
                                                                                DB055ZZ, DB056ZZ, DB060ZZ, DB061ZZ, DB062ZZ, DB063Z0, DB063ZZ, DB064ZZ, DB065ZZ, DB066ZZ,
                                                                                DB070ZZ, DB071ZZ, DB072ZZ, DB073Z0, DB073ZZ, DB074ZZ, DB075ZZ, DB076ZZ, DB080ZZ, DB081ZZ,
                                                                                DB082ZZ, DB083Z0, DB083ZZ, DB084ZZ, DB085ZZ, DB086ZZ, DB1097Z, DB1098Z, DB1099Z, DB109BZ,
                                                                                DB109CZ, DB109YZ, DB10B7Z, DB10B8Z, DB10B9Z, DB10BBZ, DB10BCZ, DB10BYZ, DB1197Z, DB1198Z,
                                                                                DB1199Z, DB119BZ, DB119CZ, DB119YZ, DB11B7Z, DB11B8Z, DB11B9Z, DB11BBZ, DB11BCZ, DB11BYZ,
                                                                                DB1297Z, DB1298Z, DB1299Z, DB129BZ, DB129CZ, DB129YZ, DB12B7Z, DB12B8Z, DB12B9Z, DB12BBZ,
                                                                                DB12BCZ, DB12BYZ, DB1597Z, DB1598Z, DB1599Z, DB159BZ, DB159CZ, DB159YZ, DB15B7Z, DB15B8Z,
                                                                                DB15B9Z, DB15BBZ, DB15BCZ, DB15BYZ, DB1697Z, DB1698Z, DB1699Z, DB169BZ, DB169CZ, DB169YZ,
                                                                                DB16B7Z, DB16B8Z, DB16B9Z, DB16BBZ, DB16BCZ, DB16BYZ, DB1797Z, DB1798Z, DB1799Z, DB179BZ,
                                                                                DB179CZ, DB179YZ, DB17B7Z, DB17B8Z, DB17B9Z, DB17BBZ, DB17BCZ, DB17BYZ, DB1897Z, DB1898Z,
                                                                                DB1899Z, DB189BZ, DB189CZ, DB189YZ, DB18B7Z, DB18B8Z, DB18B9Z, DB18BBZ, DB18BCZ, DB18BYZ,
                                                                                DBY07ZZ, DBY08ZZ, DBY0FZZ, DBY0KZZ, DBY17ZZ, DBY18ZZ, DBY1FZZ, DBY1KZZ, DBY27ZZ, DBY28ZZ,
                                                                                DBY2FZZ, DBY2KZZ, DBY57ZZ, DBY58ZZ, DBY5FZZ, DBY5KZZ, DBY67ZZ, DBY68ZZ, DBY6FZZ, DBY6KZZ,
                                                                                DBY77ZZ, DBY78ZZ, DBY7FZZ, DBY7KZZ, DBY87ZZ, DBY88ZZ, DBY8FZZ, DBY8KZZ, DD000ZZ, DD001ZZ,
                                                                                DD002ZZ, DD003Z0, DD003ZZ, DD004ZZ, DD005ZZ, DD006ZZ, DD010ZZ, DD011ZZ, DD012ZZ, DD013Z0,
                                                                                DD013ZZ, DD014ZZ, DD015ZZ, DD016ZZ, DD020ZZ, DD021ZZ, DD022ZZ, DD023Z0, DD023ZZ, DD024ZZ,
                                                                                DD025ZZ, DD026ZZ, DD030ZZ, DD031ZZ, DD032ZZ, DD033Z0, DD033ZZ, DD034ZZ, DD035ZZ, DD036ZZ,
                                                                                DD040ZZ, DD041ZZ, DD042ZZ, DD043Z0, DD043ZZ, DD044ZZ, DD045ZZ, DD046ZZ, DD050ZZ, DD051ZZ,
                                                                                DD052ZZ, DD053Z0, DD053ZZ, DD054ZZ, DD055ZZ, DD056ZZ, DD070ZZ, DD071ZZ, DD072ZZ, DD073Z0,
                                                                                DD073ZZ, DD074ZZ, DD075ZZ, DD076ZZ, DD1097Z, DD1098Z, DD1099Z, DD109BZ, DD109CZ, DD109YZ,
srobinson on DSK5SPTVN1PROD with RULES




                                                                                DD10B7Z, DD10B8Z, DD10B9Z, DD10BBZ, DD10BCZ, DD10BYZ, DD1197Z, DD1198Z, DD1199Z, DD119BZ,
                                                                                DD119CZ, DD119YZ, DD11B7Z, DD11B8Z, DD11B9Z, DD11BBZ, DD11BCZ, DD11BYZ, DD1297Z, DD1298Z,
                                                                                DD1299Z, DD129BZ, DD129CZ, DD129YZ, DD12B7Z, DD12B8Z, DD12B9Z, DD12BBZ, DD12BCZ, DD12BYZ,
                                                                                DD1397Z, DD1398Z, DD1399Z, DD139BZ, DD139CZ, DD139YZ, DD13B7Z, DD13B8Z, DD13B9Z, DD13BBZ,




                                         VerDate Sep<11>2014   18:54 Sep 30, 2015   Jkt 238001   PO 00000   Frm 00041   Fmt 4700   Sfmt 4700   E:\FR\FM\01OCR1.SGM   01OCR1


                                              59062             Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations

                                                    TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES—Continued
                                                      Description of                                                                                                          Adjustment
                                                                                                                         ICD–10–CM diagnoses codes
                                                       comorbidity                                                                                                              factor

                                                                                DD13BCZ, DD13BYZ, DD1497Z, DD1498Z, DD1499Z, DD149BZ, DD149CZ, DD149YZ, DD14B7Z, DD14B8Z,
                                                                                DD14B9Z, DD14BBZ, DD14BCZ, DD14BYZ, DD1597Z, DD1598Z, DD1599Z, DD159BZ, DD159CZ, DD159YZ,
                                                                                DD15B7Z, DD15B8Z, DD15B9Z, DD15BBZ, DD15BCZ, DD15BYZ, DD1797Z, DD1798Z, DD1799Z, DD179BZ,
                                                                                DD179CZ, DD179YZ, DD17B7Z, DD17B8Z, DD17B9Z, DD17BBZ, DD17BCZ, DD17BYZ, DDY07ZZ, DDY08ZZ,
                                                                                DDY0FZZ, DDY0KZZ, DDY17ZZ, DDY18ZZ, DDY1CZZ, DDY1FZZ, DDY1KZZ, DDY27ZZ, DDY28ZZ, DDY2CZZ,
                                                                                DDY2FZZ, DDY2KZZ, DDY37ZZ, DDY38ZZ, DDY3CZZ, DDY3FZZ, DDY3KZZ, DDY47ZZ, DDY48ZZ, DDY4CZZ,
                                                                                DDY4FZZ, DDY4KZZ, DDY57ZZ, DDY58ZZ, DDY5CZZ, DDY5FZZ, DDY5KZZ, DDY77ZZ, DDY78ZZ, DDY7CZZ,
                                                                                DDY7FZZ, DDY7KZZ, DDY8CZZ, DDY8FZZ, DDY8KZZ, DF000ZZ, DF001ZZ, DF002ZZ, DF003Z0, DF003ZZ,
                                                                                DF004ZZ, DF005ZZ, DF006ZZ, DF010ZZ, DF011ZZ, DF012ZZ, DF013Z0, DF013ZZ, DF014ZZ, DF015ZZ,
                                                                                DF016ZZ, DF020ZZ, DF021ZZ, DF022ZZ, DF023Z0, DF023ZZ, DF024ZZ, DF025ZZ, DF026ZZ, DF030ZZ,
                                                                                DF031ZZ, DF032ZZ, DF033Z0, DF033ZZ, DF034ZZ, DF035ZZ, DF036ZZ, DF1097Z, DF1098Z, DF1099Z,
                                                                                DF109BZ, DF109CZ, DF109YZ, DF10B7Z, DF10B8Z, DF10B9Z, DF10BBZ, DF10BCZ, DF10BYZ, DF1197Z,
                                                                                DF1198Z, DF1199Z, DF119BZ, DF119CZ, DF119YZ, DF11B7Z, DF11B8Z, DF11B9Z, DF11BBZ, DF11BCZ,
                                                                                DF11BYZ, DF1297Z, DF1298Z, DF1299Z, DF129BZ, DF129CZ, DF129YZ, DF12B7Z, DF12B8Z, DF12B9Z,
                                                                                DF12BBZ, DF12BCZ, DF12BYZ, DF1397Z, DF1398Z, DF1399Z, DF139BZ, DF139CZ, DF139YZ, DF13B7Z,
                                                                                DF13B8Z, DF13B9Z, DF13BBZ, DF13BCZ, DF13BYZ, DFY07ZZ, DFY08ZZ, DFY0CZZ, DFY0FZZ, DFY0KZZ,
                                                                                DFY17ZZ, DFY18ZZ, DFY1CZZ, DFY1FZZ, DFY1KZZ, DFY27ZZ, DFY28ZZ, DFY2CZZ, DFY2FZZ, DFY2KZZ,
                                                                                DFY37ZZ, DFY38ZZ, DFY3CZZ, DFY3FZZ, DFY3KZZ, DG000ZZ, DG001ZZ, DG002ZZ, DG003Z0, DG003ZZ,
                                                                                DG005ZZ, DG006ZZ, DG010ZZ, DG011ZZ, DG012ZZ, DG013Z0, DG013ZZ, DG015ZZ, DG016ZZ, DG020ZZ,
                                                                                DG021ZZ, DG022ZZ, DG023Z0, DG023ZZ, DG025ZZ, DG026ZZ, DG040ZZ, DG041ZZ, DG042ZZ, DG043Z0,
                                                                                DG043ZZ, DG045ZZ, DG046ZZ, DG050ZZ, DG051ZZ, DG052ZZ, DG053Z0, DG053ZZ, DG055ZZ, DG056ZZ,
                                                                                DG1097Z, DG1098Z, DG1099Z, DG109BZ, DG109CZ, DG109YZ, DG10B7Z, DG10B8Z, DG10B9Z, DG10BBZ,
                                                                                DG10BCZ, DG10BYZ, DG1197Z, DG1198Z, DG1199Z, DG119BZ, DG119CZ, DG119YZ, DG11B7Z, DG11B8Z,
                                                                                DG11B9Z, DG11BBZ, DG11BCZ, DG11BYZ, DG1297Z, DG1298Z, DG1299Z, DG129BZ, DG129CZ, DG129YZ,
                                                                                DG12B7Z, DG12B8Z, DG12B9Z, DG12BBZ, DG12BCZ, DG12BYZ, DG1497Z, DG1498Z, DG1499Z, DG149BZ,
                                                                                DG149CZ, DG149YZ, DG14B7Z, DG14B8Z, DG14B9Z, DG14BBZ, DG14BCZ, DG14BYZ, DG1597Z, DG1598Z,
                                                                                DG1599Z, DG159BZ, DG159CZ, DG159YZ, DG15B7Z, DG15B8Z, DG15B9Z, DG15BBZ, DG15BCZ, DG15BYZ,
                                                                                DGY07ZZ, DGY08ZZ, DGY0FZZ, DGY0KZZ, DGY17ZZ, DGY18ZZ, DGY1FZZ, DGY1KZZ, DGY27ZZ,
                                                                                DGY28ZZ, DGY2FZZ, DGY2KZZ, DGY47ZZ, DGY48ZZ, DGY4FZZ, DGY4KZZ, DGY57ZZ, DGY58ZZ,
                                                                                DGY5FZZ, DGY5KZZ, DH020ZZ, DH021ZZ, DH022ZZ, DH023Z0, DH023ZZ, DH024ZZ, DH025ZZ, DH026ZZ,
                                                                                DH030ZZ, DH031ZZ, DH032ZZ, DH033Z0, DH033ZZ, DH034ZZ, DH035ZZ, DH036ZZ, DH040ZZ, DH041ZZ,
                                                                                DH042ZZ, DH043Z0, DH043ZZ, DH044ZZ, DH045ZZ, DH046ZZ, DH060ZZ, DH061ZZ, DH062ZZ, DH063Z0,
                                                                                DH063ZZ, DH064ZZ, DH065ZZ, DH066ZZ, DH070ZZ, DH071ZZ, DH072ZZ, DH073Z0, DH073ZZ, DH074ZZ,
                                                                                DH075ZZ, DH076ZZ, DH080ZZ, DH081ZZ, DH082ZZ, DH083Z0, DH083ZZ, DH084ZZ, DH085ZZ, DH086ZZ,
                                                                                DH090ZZ, DH091ZZ, DH092ZZ, DH093Z0, DH093ZZ, DH094ZZ, DH095ZZ, DH096ZZ, DH0B0ZZ, DH0B1ZZ,
                                                                                DH0B2ZZ, DH0B3Z0, DH0B3ZZ, DH0B4ZZ, DH0B5ZZ, DH0B6ZZ, DHY27ZZ, DHY28ZZ, DHY2FZZ, DHY37ZZ,
                                                                                DHY38ZZ, DHY3FZZ, DHY47ZZ, DHY48ZZ, DHY4FZZ, DHY5FZZ, DHY67ZZ, DHY68ZZ, DHY6FZZ, DHY77ZZ,
                                                                                DHY78ZZ, DHY7FZZ, DHY87ZZ, DHY88ZZ, DHY8FZZ, DHY97ZZ, DHY98ZZ, DHY9FZZ, DHYB7ZZ, DHYB8ZZ,
                                                                                DHYBFZZ, DHYCFZZ, DM000ZZ, DM001ZZ, DM002ZZ, DM003Z0, DM003ZZ, DM004ZZ, DM005ZZ, DM006ZZ,
                                                                                DM010ZZ, DM011ZZ, DM012ZZ, DM013Z0, DM013ZZ, DM014ZZ, DM015ZZ, DM016ZZ, DM1097Z, DM1098Z,
                                                                                DM1099Z, DM109BZ, DM109CZ, DM109YZ, DM10B7Z, DM10B8Z, DM10B9Z, DM10BBZ, DM10BCZ,
                                                                                DM10BYZ, DM1197Z, DM1198Z, DM1199Z, DM119BZ, DM119CZ, DM119YZ, DM11B7Z, DM11B8Z, DM11B9Z,
                                                                                DM11BBZ, DM11BCZ, DM11BYZ, DMY07ZZ, DMY08ZZ, DMY0FZZ, DMY0KZZ, DMY17ZZ, DMY18ZZ,
                                                                                DMY1FZZ, DMY1KZZ, DP000ZZ, DP001ZZ, DP002ZZ, DP003Z0, DP003ZZ, DP004ZZ, DP005ZZ, DP006ZZ,
                                                                                DP020ZZ, DP021ZZ, DP022ZZ, DP023Z0, DP023ZZ, DP024ZZ, DP025ZZ, DP026ZZ, DP030ZZ, DP031ZZ,
                                                                                DP032ZZ, DP033Z0, DP033ZZ, DP034ZZ, DP035ZZ, DP036ZZ, DP040ZZ, DP041ZZ, DP042ZZ, DP043Z0,
                                                                                DP043ZZ, DP044ZZ, DP045ZZ, DP046ZZ, DP050ZZ, DP051ZZ, DP052ZZ, DP053Z0, DP053ZZ, DP054ZZ,
                                                                                DP055ZZ, DP056ZZ, DP060ZZ, DP061ZZ, DP062ZZ, DP063Z0, DP063ZZ, DP064ZZ, DP065ZZ, DP066ZZ,
                                                                                DP070ZZ, DP071ZZ, DP072ZZ, DP073Z0, DP073ZZ, DP074ZZ, DP075ZZ, DP076ZZ, DP080ZZ, DP081ZZ,
                                                                                DP082ZZ, DP083Z0, DP083ZZ, DP084ZZ, DP085ZZ, DP086ZZ, DP090ZZ, DP091ZZ, DP092ZZ, DP093Z0,
                                                                                DP093ZZ, DP094ZZ, DP095ZZ, DP096ZZ, DP0B0ZZ, DP0B1ZZ, DP0B2ZZ, DP0B3Z0, DP0B3ZZ, DP0B4ZZ,
                                                                                DP0B5ZZ, DP0B6ZZ, DP0C0ZZ, DP0C1ZZ, DP0C2ZZ, DP0C3Z0, DP0C3ZZ, DP0C4ZZ, DP0C5ZZ, DP0C6ZZ,
                                                                                DPY07ZZ, DPY08ZZ, DPY0FZZ, DPY27ZZ, DPY28ZZ, DPY2FZZ, DPY37ZZ, DPY38ZZ, DPY3FZZ, DPY47ZZ,
                                                                                DPY48ZZ, DPY4FZZ, DPY57ZZ, DPY58ZZ, DPY5FZZ, DPY67ZZ, DPY68ZZ, DPY6FZZ, DPY77ZZ, DPY78ZZ,
                                                                                DPY7FZZ, DPY87ZZ, DPY88ZZ, DPY8FZZ, DPY97ZZ, DPY98ZZ, DPY9FZZ, DPYB7ZZ, DPYB8ZZ, DPYBFZZ,
                                                                                DPYC7ZZ, DPYC8ZZ, DPYCFZZ, DT000ZZ, DT001ZZ, DT002ZZ, DT003Z0, DT003ZZ, DT004ZZ, DT005ZZ,
                                                                                DT006ZZ, DT010ZZ, DT011ZZ, DT012ZZ, DT013Z0, DT013ZZ, DT014ZZ, DT015ZZ, DT016ZZ, DT020ZZ,
                                                                                DT021ZZ, DT022ZZ, DT023Z0, DT023ZZ, DT024ZZ, DT025ZZ, DT026ZZ, DT030ZZ, DT031ZZ, DT032ZZ,
                                                                                DT033Z0, DT033ZZ, DT034ZZ, DT035ZZ, DT036ZZ, DT1097Z, DT1098Z, DT1099Z, DT109BZ, DT109CZ,
                                                                                DT109YZ, DT10B7Z, DT10B8Z, DT10B9Z, DT10BBZ, DT10BCZ, DT10BYZ, DT1197Z, DT1198Z, DT1199Z,
                                                                                DT119BZ, DT119CZ, DT119YZ, DT11B7Z, DT11B8Z, DT11B9Z, DT11BBZ, DT11BCZ, DT11BYZ, DT1297Z,
                                                                                DT1298Z, DT1299Z, T129BZ, DT129CZ, DT129YZ, DT12B7Z, DT12B8Z, DT12B9Z, DT12BBZ, DT12BCZ,
                                                                                DT12BYZ, DT1397Z, DT1398Z, DT1399Z, DT139BZ, DT139CZ, DT139YZ, DT13B7Z, DT13B8Z, DT13B9Z,
                                                                                DT13BBZ, DT13BCZ, DT13BYZ, DTY07ZZ, DTY08ZZ, DTY0CZZ, DTY0FZZ, DTY17ZZ, DTY18ZZ, DTY1CZZ,
                                                                                DTY1FZZ, DTY27ZZ, DTY28ZZ, DTY2CZZ, DTY2FZZ, DTY37ZZ, DTY38ZZ, DTY3CZZ, DTY3FZZ, DU000ZZ,
                                                                                DU001ZZ, DU002ZZ, DU003Z0, DU003ZZ, DU004ZZ, DU005ZZ, DU006ZZ, DU010ZZ, DU011ZZ, DU012ZZ,
                                                                                DU013Z0, DU013ZZ, DU014ZZ, DU015ZZ, DU016ZZ, DU020ZZ, DU021ZZ, DU022ZZ, DU023Z0, DU023ZZ,
                                                                                DU024ZZ, DU025ZZ, DU026ZZ, DU1097Z, DU1098Z, DU1099Z, DU109BZ, DU109CZ, DU109YZ, DU10B7Z,
                                                                                DU10B8Z, DU10B9Z, DU10BBZ, DU10BCZ, DU10BYZ, DU1197Z, DU1198Z, DU1199Z, DU119BZ, DU119CZ,
                                                                                DU119YZ, DU11B7Z, DU11B8Z, DU11B9Z, DU11BBZ, DU11BCZ, DU11BYZ, DU1297Z, DU1298Z, DU1299Z,
                                                                                DU129BZ, DU129CZ, DU129YZ, DU12B7Z, DU12B8Z, DU12B9Z, DU12BBZ, DU12BCZ, DU12BYZ, DUY07ZZ,
srobinson on DSK5SPTVN1PROD with RULES




                                                                                DUY08ZZ, DUY0CZZ, DUY0FZZ, DUY17ZZ, DUY18ZZ, DUY1CZZ, DUY1FZZ, DUY27ZZ, DUY28ZZ, DUY2CZZ,
                                                                                DUY2FZZ, DV000ZZ, DV001ZZ, DV002ZZ, DV003Z0, DV003ZZ, DV004ZZ, DV005ZZ, DV006ZZ, DV010ZZ,
                                                                                DV011ZZ, DV012ZZ, DV013Z0, DV013ZZ, DV014ZZ, DV015ZZ, DV016ZZ, DV1097Z, DV1098Z, DV1099Z,
                                                                                DV109BZ, DV109CZ, DV109YZ, DV10B7Z, DV10B8Z, DV10B9Z, DV10BBZ, DV10BCZ, DV10BYZ, DV1197Z,
                                                                                DV1198Z, DV1199Z, DV119BZ, DV119CZ, DV119YZ, DV11B7Z, DV11B8Z, DV11B9Z, DV11BBZ, DV11BCZ,
                                                                                DV11BYZ, DVY07ZZ, DVY08ZZ, DVY0CZZ, DVY0FZZ, DVY0KZZ, DVY17ZZ, DVY18ZZ, DVY1FZZ, DW010ZZ,




                                         VerDate Sep<11>2014   18:54 Sep 30, 2015   Jkt 238001   PO 00000   Frm 00042   Fmt 4700   Sfmt 4700   E:\FR\FM\01OCR1.SGM   01OCR1


                                                                     Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations                                                                                                               59063

                                                      TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES—Continued
                                                        Description of                                                                                                                                                                                                  Adjustment
                                                                                                                                                        ICD–10–CM diagnoses codes
                                                         comorbidity                                                                                                                                                                                                      factor

                                                                                           DW011ZZ, DW012ZZ, DW013Z0, DW013ZZ, DW014ZZ, DW015ZZ, DW016ZZ, DW020ZZ, DW021ZZ,
                                                                                           DW022ZZ, DW023Z0, DW023ZZ, DW024ZZ, DW025ZZ, DW026ZZ, DW030ZZ, DW031ZZ, DW032ZZ,
                                                                                           DW033Z0, DW033ZZ, DW034ZZ, DW035ZZ, DW036ZZ, DW040ZZ, DW041ZZ, DW042ZZ, DW043Z0,
                                                                                           DW043ZZ, DW044ZZ, DW045ZZ, DW046ZZ, DW050ZZ, DW051ZZ, DW052ZZ, DW053Z0, DW053ZZ,
                                                                                           DW054ZZ, DW055ZZ, DW056ZZ, DW060ZZ, DW061ZZ, DW062ZZ, DW063Z0, DW063ZZ, DW064ZZ,
                                                                                           DW065ZZ, DW066ZZ, DW1197Z, DW1198Z, DW1199Z, DW119BZ, DW119CZ, DW119YZ, DW11B7Z,
                                                                                           DW11B8Z, DW11B9Z, DW11BBZ, DW11BCZ, DW11BYZ, DW1297Z, DW1298Z, DW1299Z, DW129BZ,
                                                                                           DW129CZ, DW129YZ, DW12B7Z, DW12B8Z, DW12B9Z, DW12BBZ, DW12BCZ, DW12BYZ, DW1397Z,
                                                                                           DW1398Z, DW1399Z, DW139BZ, DW139CZ, DW139YZ, DW13B7Z, DW13B8Z, DW13B9Z, DW13BBZ,
                                                                                           DW13BCZ, DW13BYZ, DW1697Z, DW1698Z, DW1699Z, DW169BZ, DW169CZ, DW169YZ, DW16B7Z,
                                                                                           DW16B8Z, DW16B9Z, DW16BBZ, DW16BCZ, DW16BYZ, DWY17ZZ, DWY18ZZ, DWY1FZZ, DWY27ZZ,
                                                                                           DWY28ZZ, DWY2FZZ, DWY37ZZ, DWY38ZZ, DWY3FZZ, DWY47ZZ, DWY48ZZ, DWY4FZZ, DWY57ZZ,
                                                                                           DWY58ZZ, DWY5FZZ, DWY5GDZ, DWY5GFZ, DWY5GGZ, DWY5GHZ, DWY5GYZ, DWY67ZZ, DWY68ZZ, and
                                                                                           DWY6FZZ
                                              Uncontrolled Diabetes Mellitus             E1065 and E1165 ............................................................................................................................................................          1.05
                                                 with or without complica-
                                                 tions.
                                              Severe Protein Calorie Mal-                E40, E41, E42, and E43 ..................................................................................................................................................             1.13
                                                 nutrition.
                                              Eating and Conduct Disorders               F5000, F5001, F5002, F509, F631, F6381, and F911 ....................................................................................................                                 1.12
                                              Infectious Disease ..................      A150, A154, A155, A156, A157, A158, A159, A170, A171, A1781, A1782, A1783, A1789, A179, A1801, A1802,                                                                                 1.07
                                                                                           A1803, A1809, A1810, A1811, A1812, A1813, A1814, A1815, A1816, A1817, A1818, A182, A1831, A1832,
                                                                                           A1839, A184, A1850, A1851, A1852, A1853, A1854, A1859, A186, A187, A1881, A1882, A1883, A1884, A1885,
                                                                                           A1889, A190, A191, A192, A198, A199, A200, A201, A202, A203, A207, A208, A209, A210, A211, A212, A213,
                                                                                           A217, A218, A219, A220, A221, A222, A227, A228, A229, A230, A231, A232, A233, A238, A239, A240, A241,
                                                                                           A242, A243, A249, A250, A251, A259, A260, A267, A268, A269, A280, A281, A282, A288, A289, A300, A301,
                                                                                           A302, A303, A304, A305, A308, A309, A310, A311, A312, A318, A319, A320, A3211, A3212, A327, A3281,
                                                                                           A3282, A3289, A329, A35, A360, A361, A362, A363, A3681, A3682, A3683, A3684, A3685, A3686, A3689,
                                                                                           A369, A3700, A3701, A3710, A3711, A3780, A3781, A3790, A3791, A380, A381, A388, A389, A390, A391,
                                                                                           A392, A393, A394, A3950, A3951, A3952, A3953, A3981, A3982, A3983, A3984, A3989, A399, A400, A401,
                                                                                           A403, A408, A409, A4101, A4102, A411, A412, A413, A414, A4150, A4151, A4152, A4153, A4159, A4181,
                                                                                           A4189, A419, A420, A421, A422, A427, A4281, A4282, A4289, A429, A430, A431, A438, A439, A46, A480,
                                                                                           A482, A483, A484, A4851, A4852, A488, A491, A70, A710, A711, A719, A740, A7489, A800, A801, A802,
                                                                                           A8030, A8039, A804, A809, A8100, A8101, A8109, A811, A812, A8181, A8182, A8183, A8189, A819, A820,
                                                                                           A821, A829, A830, A831, A832, A833, A834, A835, A836, A838, A839, A840, A841, A848, A849, A850, A851,
                                                                                           A852, A858, A86, A870, A871, A872, A878, A879, A880, A881, A888, A89, A90, A91, A920, A921, A922, A9230,
                                                                                           A9231, A9232, A9239, A924, A928, A929, A930, A931, A932, A938, A94, A950, A951, A959, A960, A961, A962,
                                                                                           A968, A969, A980, A981, A982, A983, A984, A985, A988, A99, B0050, B0051, B0052, B0053, B0059, B010,
                                                                                           B0111, B0112, B012, B0181, B0189, B019, B020, B021, B0221, B0222, B0223, B0224, B0229, B03, B04, B050,
                                                                                           B051, B052, B053, B054, B0581, B0589, B059, B0600, B0601, B0602, B0609, B0681, B0682, B0689, B069,
                                                                                           B08010, B08011, B0802, B0803, B0804, B0809, B0820, B0821, B0822, B083, B084, B085, B0860, B0861,
                                                                                           B0862, B0869, B0870, B0871, B0872, B0879, B088, B09, B1001, B1009, B1081, B1082, B1089, B150, B159,
                                                                                           B160, B161, B162, B169, B170, B1710, B1711, B172, B178, B179, B180, B181, B182, B188, B189, B190,
                                                                                           B1910, B1911, B1920, B1921, B199, B20, B250, B251, B252, B258, B259, B260, B261, B262, B263, B2681,
                                                                                           B2682, B2683, B2684, B2685, B2689, B269, B2700, B2701, B2702, B2709, B2710, B2711, B2712, B2719,
                                                                                           B2780, B2781, B2782, B2789, B2790, B2791, B2792, B2799, B330, B331, B3320, B3321, B3322, B3323, B3324,
                                                                                           B333, B338, B341, B471, B479, B950, B951, B952, B953, B954, B955, B958, B9730, B9731, B9732, B9733,
                                                                                           B9734, B9735, B9739, G032, I673, J020, J0300, J0301, J202, K9081, L081, L444, and M60009.
                                              Drug and/or Alcohol Induced                F10121, F10220, F10221, F10229, F10231, F10921, F11151, F1120, F11220, F11221, F11222, F11229, F1123,                                                                                 1.03
                                                Mental Disorders.                          F1124, F11250, F11251, F11259, F11281, F11282, F11288, F1129, F11920, F11921, F11922, F11929, F1193,
                                                                                           F11951, F12120, F12121, F12122, F12129, F12151, F12220, F12221, F12222, F12229, F12251, F12920,
                                                                                           F12921, F12922, F12929, F12951, F13120, F13121, F13129, F13151, F13220, F13221, F13229, F13230,
                                                                                           F13231, F13232, F13239, F13251, F13920, F13921, F13929, F13930, F13931, F13932, F13939, F13951,
                                                                                           F14120, F14121, F14122, F14129, F14151, F14220, F14221, F14222, F14229, F1423, F14251, F14920,
                                                                                           F14921, F14922, F14929, F14951, F15120, F15121, F15122, F15129, F15151, F15220, F15221, F15222,
                                                                                           F15229, F1523, F15251, F15920, F15921, F15922, F15929, F1593, F15951, F16120, F16121, F16122, F16129,
                                                                                           F16151, F16220, F16221, F16229, F16251, F16920, F16921, F16929, F16951, F17203, F17213, F17223,
                                                                                           F17293, F18120, F18121, F18129, F18151, F18220, F18221, F18229, F18251, F18920, F18921, F18929,
                                                                                           F18951, F19120, F19121, F19122, F19129, F19151, F19220, F19221, F19222, F19229, F19230, F19231,
                                                                                           F19232, F19239, F19251, F19920, F19921, F19922, F19929, F19930, F19931, F19932, F19939, and F19951.
                                              Cardiac Conditions .................       I010, I011, I012, I110, I270, I330, I339, and I39 .............................................................................................................                       1.11
                                              Gangrene ...............................   E0852, E0952, E1052, E1152, E1352, I70261, I70262, I70263, I70268, I70361, I70362, I70363, I70368, I70461,                                                                            1.10
                                                                                           I70462, I70463, I70468, I70561, I70562, I70563, I70568, I70661, I70662, I70663, I70668, I70761, I70762, I70763,
                                                                                           I70768, I7301, and I96.
                                              Chronic Obstructive Pul-                   J441, J470, J471, J860, J95850, J9610, J9611, J9612, J9620, J9621, J9622, Z9911, and Z9912 ..............................                                                             1.12
                                                monary Disease.
                                              Artificial Openings—Digestive              K9400, K9401, K9402, K9403, K9409, K9410, K9411, K9412, K9413, K9419, N990, N99520, N99521, K9400,                                                                                    1.08
                                                and Urinary.                               K9401, K9402, K9403, K9409, K9410, K9411, K9412, K9413, K9419, N990, N99520, N99521, N99522, N99528,
                                                                                           N99530, N99531, N99532, N99538, N9981, N9989, Z931, Z932, Z933, Z934, Z9350, Z9351, Z9352, Z9359,
                                                                                           Z936 N99522, N99528, N99530, N99531, N99532, N99538, N9981, N9989, Z931, Z932, Z933, Z934, Z9350,
srobinson on DSK5SPTVN1PROD with RULES




                                                                                           Z9351, Z9352, Z9359, and Z936.




                                         VerDate Sep<11>2014         18:54 Sep 30, 2015         Jkt 238001        PO 00000         Frm 00043          Fmt 4700        Sfmt 4700        E:\FR\FM\01OCR1.SGM                  01OCR1


                                              59064                    Federal Register / Vol. 80, No. 190 / Thursday, October 1, 2015 / Rules and Regulations

                                                      TABLE 7—FY 2015 DIAGNOSIS CODES AND ADJUSTMENT FACTORS FOR COMORBIDITY CATEGORIES—Continued
                                                         Description of                                                                                                                             Adjustment
                                                                                                                                    ICD–10–CM diagnoses codes
                                                          comorbidity                                                                                                                                 factor

                                              Severe Musculoskeletal and                   L4050, L4051, L4052, L4053, L4054, L4059, M320, M3210, M3211, M3212, M3213, M3214, M3215, M3219, M328,          1.09
                                                Connective Tissue Dis-                       M329, M4620, M4621, M4622, M4623, M4624, M4625, M4626, M4627, M4628, M86011, M86012, M86021,
                                                eases.                                       M86022, M86031, M86032, M86041, M86042, M86051, M86052, M86061, M86062, M86071, M86072, M8608,
                                                                                             M8609, M86111, M86112, M86121, M86122, M86131, M86132, M86141, M86142, M86151, M86152, M86161,
                                                                                             M86162, M86171, M86172, M8618, M8619, M86211, M86212, M86221, M86222, M86231, M86232, M86241,
                                                                                             M86242, M86251, M86252, M86261, M86262, M86271, M86272, M8628, M8629, M86311, M86312, M86321,
                                                                                             M86322, M86331, M86332, M86341, M86342, M86351, M86352, M86361, M86362, M86371, M86372, M8638,
                                                                                             M8639, M86411, M86412, M86421, M86422, M86431, M86432, M86441, M86442, M86451, M86452, M86461,
                                                                                             M86462, M86471, M86472, M8648, M8649, M86511, M86512, M86521, M86522, M86531, M86532, M86541,
                                                                                             M86542, M86551, M86552, M86561, M86562, M86571, M86572, M8658, M8659, M86611, M86612, M86621,
                                                                                             M86622, M86631, M86632, M86641, M86642, M86651, M86652, M86661, M86662, M86671, M86672, M8668,
                                                                                             M8669, M868X0, M868X1, M868X2, M868X3, M868X4, M868X5, M868X6, M868X7, M868X8, and M869.
                                              Poisoning ................................   T391X1A, T391X2A, T391X3A, T391X4A, T400X1A, T400X2A, T400X3A, T400X4A, T401X1A, T401X2A,                       1.11
                                                                                             T401X3A, T401X4A, T402X1A, T402X2A, T402X3A, T402X4A, T403X1A, T403X2A, T403X3A, T403X4A,
                                                                                             T404X1A, T404X2A, T404X3A, T404X4A, T40601A, T40602A, T40603A, T40604A, T40691A, T40692A,
                                                                                             T40693A, T40694A, T407X1A, T407X2A, T407X3A, T407X4A, T408X1A, T408X2A, T408X3A, T408X4A,
                                                                                             T40901A, T40902A, T40903A, T40904A, T40991A, T40992A, T40993A, T40994A, T410X1A, T410X2A,
                                                                                             T410X3A, T410X4A, T411X1A, T411X2A, T411X3A, T411X4A, T41201A, T41202A, T41203A, T41204A,
                                                                                             T41291A, T41292A, T41293A, T41294A, T413X1A, T413X2A, T413X3A, T413X4A, T4141XA, T4142XA,
                                                                                             T4143XA, T4144XA, T423X1A, T423X2A, T423X3A, T423X4A, T424X1A, T424X2A, T424X3A, T424X4A,
                                                                                             T426X1A, T426X2A, T426X3A, T426X4A, T4271XA, T4272XA, T4273XA, T4274XA, T428X1A, T428X2A,
                                                                                             T428X3A, T428X4A, T43011A, T43012A, T43013A, T43014A, T43021A, T43022A, T43023A, T43024A,
                                                                                             T431X1A, T431X2A, T431X3A, T431X4A, T43201A, T43202A, T43203A, T43204A, T43211A, T43212A,
                                                                                             T43213A, T43214A, T43221A, T43222A, T43223A, T43224A, T43291A, T43292A, T43293A, T43294A,
                                                                                             T433X1A, T433X2A, T433X3A, T433X4A, T434X1A, T434X2A, T434X3A, T434X4A, T43501A, T43502A,
                                                                                             T43503A, T43504A, T43591A, T43592A, T43593A, T43594A, T43601A, T43602A, T43603A, T43604A, T43611A,
                                                                                             T43612A, T43613A, T43614A, T43621A, T43622A, T43623A, T43624A, T43631A, T43632A, T43633A, T43634A,
                                                                                             T43691A, T43692A, T43693A, T43694A, T438X1A, T438X2A, T438X3A, T438X4A, T4391XA, T4392XA,
                                                                                             T4393XA, T4394XA, T505X1A, T505X2A, T505X3A, T505X4A, T510X1A, T510X2A, T510X3A, T510X4A,
                                                                                             T511X1A, T511X2A, T511X3A, T511X4A, T512X1A, T512X2A, T512X3A, T512X4A, T513X1A, T513X2A,
                                                                                             T513X3A, T513X4A, T518X1A, T518X2A, T518X3A, T518X4A, T5191XA, T5192XA, T5193XA, T5194XA,
                                                                                             T5391XA, T5392XA, T5393XA, T5394XA, T540X1A, T540X2A, T540X3A, T540X4A, T541X1A, T541X2A,
                                                                                             T541X3A, T541X4A, T542X1A, T542X2A, T542X3A, T542X4A, T543X1A, T543X2A, T543X3A, T543X4A,
                                                                                             T5491XA, T5492XA, T5493XA, T5494XA, T550X1A, T550X2A, T550X3A, T550X4A, T551X1A, T551X2A,
                                                                                             T551X3A, T551X4A, T560X1A, T560X2A, T560X3A, T560X4A, T571X1A, T571X2A, T571X3A, T571X4A,
                                                                                             T5801XA, T5802XA, T5803XA, T5804XA, T5811XA, T5812XA, T5813XA, T5814XA, T582X1A, T582X2A,
                                                                                             T582X3A, T582X4A, T588X1A, T588X2A, T588X3A, T588X4A, T5891XA, T5892XA, T5893XA, T5894XA,
                                                                                             T600X1A, T600X2A, T600X3A, T600X4A, T601X1A, T601X2A, T601X3A, T601X4A, T602X1A, T602X2A,
                                                                                             T602X3A, T602X4A, T604X1A, T604X2A, T604X3A, T604X4A, T608X1A, T608X2A, T608X3A, T608X4A,
                                                                                             T6091XA, T6092XA, T6093XA, T6094XA, T63001A, T63002A, T63003A, T63004A, T63011A, T63012A,
                                                                                             T63013A, T63014A, T63021A, T63022A, T63023A, T63024A, T63031A, T63032A, T63033A, T63034A, T63041A,
                                                                                             T63042A, T63043A, T63044A, T63061A, T63062A, T63063A, T63064A, T63071A, T63072A, T63073A, T63074A,
                                                                                             T63081A, T63082A, T63083A, T63084A, T63091A, T63092A, T63093A, T63094A, T63111A, T63112A, T63113A,
                                                                                             T63114A, T63121A, T63122A, T63123A, T63124A, T63191A, T63192A, T63193A, T63194A, T632X1A,
                                                                                             T632X2A, T632X3A, T632X4A, T63301A, T63302A, T63303A, T63304A, T63311A, T63312A, T63313A,
                                                                                             T63314A, T63321A, T63322A, T63323A, T63324A, T63331A, T63332A, T63333A, T63334A, T63391A, T63392A,
                                                                                             T63393A, T63394A, T63411A, T63412A, T63413A, T63414A, T63421A, T63422A, T63423A, T63424A, T63431A,
                                                                                             T63432A, T63433A, T63434A, T63441A, T63442A, T63443A, T63444A, T63451A, T63452A, T63453A, T63454A,
                                                                                             T63461A, T63462A, T63463A, T63464A, T63481A, T63482A, T63483A, T63484A, T63511A, T63512A, T63513A,
                                                                                             T63514A, T63591A, T63592A, T63593A, T63594A, T63611A, T63612A, T63613A, T63614A, T63621A, T63622A,
                                                                                             T63623A, T63624A, T63631A, T63632A, T63633A, T63634A, T63691A, T63692A, T63693A, T63694A, T63711A,
                                                                                             T63712A, T63713A, T63714A, T63791A, T63792A, T63793A, T63794A, T63811A, T63812A, T63813A, T63814A,
                                                                                             T63821A, T63822A, T63823A, T63824A, T63831A, T63832A, T63833A, T63834A, T63891A, T63892A, T63893A,
                                                                                             T63894A, T6391XA, T6392XA, T6393XA, T6394XA, T6401XA, T6402XA, T6403XA, T6404XA, T6481XA,
                                                                                             T6482XA, T6483XA, T6484XA, T650X1A, T650X2A, T650X3A, T650X4A, T651X1A, T651X2A, T651X3A, and
                                                                                             T651X4A.



                                                Dated: September 25, 2015.
                                              Madhura Valverde,
                                              Executive Secretary to the Department,
                                              Department of Health and Human Services.
                                              [FR Doc. 2015–24998 Filed 9–30–15; 8:45 am]
                                              BILLING CODE 4120–01–P
srobinson on DSK5SPTVN1PROD with RULES




                                         VerDate Sep<11>2014          19:22 Sep 30, 2015       Jkt 238001   PO 00000   Frm 00044   Fmt 4700   Sfmt 4700   E:\FR\FM\01OCR1.SGM   01OCR1



Document Created: 2015-12-15 08:40:31
Document Modified: 2015-12-15 08:40:31
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionCorrection of final rule.
DatesEffective October 1, 2015.
ContactKatherine Lucas or Jana Lindquist,
FR Citation80 FR 59057 
RIN Number0938-AS08

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