81_FR_8998 81 FR 8963 - Medicare Program; Public Meetings in Calendar Year 2016 for All New Public Requests for Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations

81 FR 8963 - Medicare Program; Public Meetings in Calendar Year 2016 for All New Public Requests for Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations

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

Federal Register Volume 81, Issue 35 (February 23, 2016)

Page Range8963-8966
FR Document2016-03703

This notice announces the dates, time, and location of the Healthcare Common Procedure Coding System (HCPCS) public meetings to be held in calendar year 2016 to discuss our preliminary coding and payment determinations for all new public requests for revisions to the HCPCS. These meetings provide a forum for interested parties to make oral presentations or to submit written comments in response to preliminary coding and payment determinations. The discussion will be focused on responses to our specific preliminary recommendations and will include all items on the public meeting agenda. As indicated in this notice, we are reorganizing public meeting content under two main headings: (1) Drugs/Biologics, Radiopharmaceuticals/Radiologic Imaging Agents, and (2) Durable Medical Equipment (DME) and Accessories; Orthotics and Prosthetics (O & P); Supplies and Other.

Federal Register, Volume 81 Issue 35 (Tuesday, February 23, 2016)
[Federal Register Volume 81, Number 35 (Tuesday, February 23, 2016)]
[Notices]
[Pages 8963-8966]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-03703]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1637-N]


Medicare Program; Public Meetings in Calendar Year 2016 for All 
New Public Requests for Revisions to the Healthcare Common Procedure 
Coding System (HCPCS) Coding and Payment Determinations

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

ACTION: Notice.

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

SUMMARY: This notice announces the dates, time, and location of the 
Healthcare Common Procedure Coding System (HCPCS) public meetings to be 
held in calendar year 2016 to discuss our preliminary coding and 
payment determinations for all new public requests for revisions to the 
HCPCS. These meetings provide a forum for interested parties to make 
oral presentations or to submit written comments in response to 
preliminary coding and payment determinations. The discussion will be 
focused on responses to our specific preliminary recommendations and 
will include all items on the public meeting agenda. As indicated in 
this notice, we are reorganizing public meeting content under two main 
headings: (1) Drugs/Biologics, Radiopharmaceuticals/Radiologic Imaging 
Agents, and (2) Durable Medical Equipment (DME) and Accessories; 
Orthotics and Prosthetics (O & P); Supplies and Other.

DATES: Meeting Dates: The following are the 2016 HCPCS public meeting 
dates:
    1. Tuesday, May 17, 2016, 9:00 a.m. to 5:00 p.m., eastern daylight 
time (e.d.t.) (Drugs/Biologicals, Radiopharmaceuticals/Radiologic 
Imaging Agents).
    2. Wednesday, May 18, 2016, 9:00 a.m. to 5:00 p.m., e.d.t. (Drugs/
Biologicals, Radiopharmaceuticals/Radiologic Imaging Agents).
    3. Thursday, May 19, 2016, 9:00 a.m. to 5:00 p.m., e.d.t. (Drugs/
Biologicals, Radiopharmaceuticals/Radiologic Imaging Agents).
    4. Wednesday, June 1, 2016, 9:00 a.m. to 5:00 p.m., e.d.t. (Durable 
Medical Equipment (DME) and Accessories; Orthotics and Prosthetics (O & 
P); Supplies and Other).
    5. Thursday, June 2, 2016, 9:00 a.m. to 5:00 p.m., e.d.t. (Durable 
Medical Equipment (DME) and Accessories; Orthotics and Prosthetics (O & 
P); Supplies and Other).
    Deadlines for Primary Speaker Registration and Presentation 
Materials: The deadline for registering to be a primary speaker and 
submitting materials and writings that will be used in support of an 
oral presentation are as follows:
     May 3, 2016 for the May 17, 2016, May 18, 2016 and May 19, 
2016 public meetings.
     May 18, 2016 for the June 1, 2016 and June 2, 2016 public 
meetings.
    Registration Deadline for Attendees that are Foreign Nationals: All 
Foreign National visitors must present a valid passport as proof of 
identification. Attendees that are foreign nationals (as described in 
section IV. of this notice) are required to identify themselves as 
such, and provide the necessary information for security clearance (as 
described in section IV. of this notice) to the public meeting 
coordinator at least 21 business days in advance of the date of the 
public meeting the individual plans to attend. Therefore, the 
registration deadlines for attendees that are foreign nationals are as 
follows:
     April 28, 2016 for the May 17, 2016, May 18, 2016 and May 
19, 2016 public meetings.
     May 12, 2016 for the June 1, 2016 and June 2, 2016 public 
meetings.
    Registration Deadlines for all Other Attendees: All individuals who 
are not foreign nationals who plan to enter the building to attend the 
public meeting must register for each date that they plan on attending. 
The registration

[[Page 8964]]

deadlines are different for each meeting. Registration deadlines are as 
follows:
     May 10, 2016 for the May 17, 2016, May 18, 2016 and May 
19, 2016 public meetings.
     May 24, 2016 for the June 1, 2016 and June 2, 2016 public 
meeting dates.
    Deadlines for Requesting Special Accommodations: Individuals who 
plan to attend the public meetings and require sign-language 
interpretation or other special assistance must request these services 
at least two weeks in advance of the meeting date, by the following 
deadlines:
     May 3, 2016 for the May 17, 2016, May 18, 2016 and May 19, 
2016 public meetings.
     May 18, 2016 for the June 1, 2016 and June 2, 2016 public 
meetings.
    Requests for Special Accommodation may be made within the on-line 
registration located at www.cms.hhs.gov/medhcpcsgeninfo or by 
contacting Judi Wallace at (410) 786-3197 or [email protected] or 
Nathan Helman at (410) 786-4602 or [email protected].
    When a request for Special Accommodations is made separate from the 
on-line registration, it is also necessary to complete the online 
registration to gain access to the facility.
    Deadline for Submission of Written Comments: Written comments and 
other documentation in response to a preliminary coding or payment 
determination that are received by no later than the date of the public 
meeting at which the code request is scheduled for discussion, will be 
considered in formulating a final coding decision.

ADDRESSES:
    Meeting Location: The public meetings will be held in the main 
auditorium of the central building of the Centers for Medicare & 
Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    Submission of Written Comments: Written comments may either be 
emailed to [email protected] or [email protected] or sent 
via regular mail to Judi Wallace or Nathan Helman, HCPCS Public Meeting 
Coordinators, Centers for Medicare & Medicaid Services, 7500 Security 
Boulevard, Mail Stop C5-09-14, Baltimore, MD 21244-1850.

FOR FURTHER INFORMATION CONTACT: Judi Wallace at (410)786-3197 or 
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    On December 21, 2000, the Congress passed the Medicare, Medicaid, 
and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Pub. 
L. 106-554). Section 531(b) of BIPA mandated that we establish 
procedures that permit public consultation for coding and payment 
determinations for new durable medical equipment (DME) under Medicare 
Part B of title XVIII of the Social Security Act (the Act). In the 
November 23, 2001 Federal Register (66 FR 58743), we published a notice 
providing information regarding the establishment of the public meeting 
process for DME. The procedures and public meetings announced in this 
notice for new DME are in response to the mandate of section 531(b) of 
BIPA. As part of HCPCS reform, we expanded the public meeting forum to 
include all public requests as of the 2005-2006 coding cycle (70 FR 
15340, March 25, 2005).
    It is our intent to distribute any materials submitted to us to the 
HCPCS workgroup members for their consideration. CMS and the HCPCS 
workgroup members require sufficient preparation time to review all 
relevant materials. Therefore, we are implementing a 10-page submission 
limit and firm deadlines for receipt of any presentation materials a 
meeting speaker wishes us to consider. For this reason, our HCPCS 
Public Meeting Coordinator will only accept and review presentation 
materials received by the deadline for each public meeting, as 
specified in the DATES section of this notice.

II. Meeting Registration

A. Required Information for Registration

    The following information must be provided when registering:
     Name.
     Company name and address.
     Direct-dial telephone and fax numbers.
     Email address.
     Special needs information.
    A CMS staff member will confirm your registration by email.

B. Registration Process

1. Primary Speakers
    Individuals must also indicate whether they are the ``primary 
speaker'' for an agenda item. Primary speakers must be designated by 
the entity that submitted the HCPCS coding request. When registering, 
primary speakers must provide a brief written statement regarding the 
nature of the information they intend to provide, and advise the HCPCS 
Public Meeting Coordinator regarding needs for audio/visual support. To 
avoid disruption of the meeting and ensure compatibility with our 
systems, tapes and disk files are tested and arranged in speaker 
sequence well in advance of the meeting. We will accept tapes and disk 
files that are received by the deadline for submissions for each public 
meeting as specified in the DATES section of this notice. Late 
submissions and updates of electronic materials after our deadline 
cannot be accommodated.
    Please note CMS' page limit for primary speaker presentation 
materials. The sum of all presentation materials and additional 
supporting documentation may not exceed 10 pages (each side of a page 
counts as 1 page). An exception will be made to the 10-page limit only 
for relevant studies newly published between the application deadline 
and the public meeting date, in which case, we would like a copy of the 
complete publication as soon as possible. This exception applies only 
to the page limit and not the submission deadline.
    The materials may be emailed or delivered by regular mail to the 
HCPCS Public Meeting Coordinators as specified in the ADDRESSES section 
of this notice. The materials must be emailed or postmarked no later 
than the deadline specified in the DATES section of this notice. 
Individuals will need to provide 35 copies if materials are delivered 
by mail.
2. ``5-Minute Speakers''
    To afford the same opportunity to all attendees, 5-minute speakers 
are not required to register as primary speakers. However, 5-minute 
speakers must still register as attendees by the deadline set forth 
under ``Registration Deadlines for all Other Attendees'' in the DATES 
section of this notice. Attendees can sign up only on the day of the 
meeting to do a presentation of up to 5 minutes. Individuals must 
provide their name, company name and address, contact information as 
specified on the sign-up sheet, and identify the specific agenda item 
that they will address.

C. Additional Meeting/Registration Information

    Please note that all of the CMS' 2016 HCPCS public meetings will 
begin at 9:00 a.m. each day as noted in the DATES section of this 
notice.
    The product category reported in the HCPCS code application by the 
applicant may not be the same as that assigned by us. Prior to 
registering to attend a public meeting, all participants are advised to 
review the public meeting agendas at www.cms.hhs.gov/medhcpcsgeninfo 
which identify our category determinations, and the dates each item 
will be discussed. Draft agendas, including a summary of each

[[Page 8965]]

request and our preliminary decision will be posted on our HCPCS Web 
site at www.cms.hhs.gov/medhcpcsgeninfo at least 4 weeks before each 
meeting.
    Additional details regarding the public meeting process for all new 
public requests for revisions to the HCPCS, along with information on 
how to register and guidelines for an effective presentation, will be 
posted at least 4 weeks before the first meeting date on the official 
HCPCS Web site at www.cms.hhs.gov/medhcpcsgeninfo. The document titled 
``Guidelines for Participation in Public Meetings for All New Public 
Requests for Revisions to the Healthcare Common Procedure Coding System 
(HCPCS)'' will be made available on the HCPCS Web site at least 4 weeks 
before the first public meeting in 2016 for all new public requests for 
revisions to the HCPCS. Individuals who intend to provide a 
presentation at a public meeting need to familiarize themselves with 
the HCPCS Web site and the valuable information it provides to 
prospective registrants. The HCPCS Web site also contains a document 
titled ``Healthcare Common Procedure Coding System (HCPCS) Level II 
Coding Procedures,'' which is a description of the HCPCS coding 
process, including a detailed explanation of the procedures used to 
make coding determinations for all the products, supplies, and services 
that are coded in the HCPCS.
    The HCPCS Web site also contains a document titled ``HCPCS Decision 
Tree & Definitions'' which illustrates, in flow diagram format, HCPCS 
coding standards as described in our Coding Procedures document.
    A summary of each public meeting will be posted on the HCPCS Web 
site by the end of August 2016.

III. Presentations and Comment Format

    We can only estimate the amount of meeting time that will be needed 
since it is difficult to anticipate the total number of speakers that 
will register for each meeting. Meeting participants should arrive 
early to allow time to clear security and sign-in. Each meeting is 
expected to begin promptly as scheduled. Meetings may end earlier than 
the stated ending time.

A. Oral Presentation Procedures

    All primary speakers must register as provided under the section 
titled ``Meeting Registration.'' Materials and writings that will be 
used in support of an oral presentation should be submitted to the 
HCPCS Public Meeting Coordinator.
    The materials may be emailed or delivered by regular mail to the 
HCPCS Public Meeting Coordinator as specified in the ADDRESSES section 
of this notice. The materials must be emailed or postmarked no later 
than the deadline specified in the DATES section of this notice. 
Individuals will need to include 35 copies if materials are delivered 
by mail.

B. Primary Speaker Presentations

    The individual or entity requesting revisions to the HCPCS coding 
system for a particular agenda item may designate one ``primary 
speaker'' to make a presentation for a maximum of 15 minutes. Fifteen 
minutes is the total time interval for the presentation, and the 
presentation must incorporate any demonstration, set-up, and 
distribution of material. In establishing the public meeting agenda, we 
may group multiple, related requests under the same agenda item. In 
that case, we will decide whether additional time will be allotted, and 
may opt to increase the amount of time allotted to the speaker by 
increments of less than 15 minutes.
    Individuals designated to be the primary speaker must register to 
attend the meeting using the registration procedures described under 
the ``Meeting Registration'' section of this notice and contact one of 
the HCPCS Public Meeting Coordinators, specified in the ADDRESSES 
section. Primary speakers must also separately register as primary 
speakers by the date specified in the DATES section of this notice.

C. ``5-Minute'' Speaker Presentations

    Meeting attendees can sign up at the meeting, on a first-come, 
first-served basis, to make presentations for up to 5 minutes on 
individual agenda items. Based on the number of items on the agenda and 
the progress of the meeting, a determination will be made at the 
meeting by the meeting coordinator and the meeting moderator regarding 
how many ``5-minute speakers'' can be accommodated and/or whether the 
5-minute time allocation would be reduced, to accommodate the number of 
speakers.

D. Speaker Declaration

    On the day of the meeting, before the end of the meeting, all 
primary speakers and 5-minute speakers must provide a brief written 
summary of their comments and conclusions to the HCPCS Public Meeting 
Coordinator.
    Every primary speaker and 5-minute speaker must declare at the 
beginning of their presentation at the meeting, as well as in their 
written summary, whether they have any financial involvement with the 
manufacturers or competitors of any items being discussed; this 
includes any payment, salary, remuneration, or benefit provided to that 
speaker by the manufacturer or the manufacturer's representatives.

E. Written Comments From Meeting Attendees

    Written comments will be accepted from the general public and 
meeting registrants anytime up to the date of the public meeting at 
which a request is discussed. Comments must be sent to the address 
listed in the ADDRESSES section of this notice.
    Meeting attendees may also submit their written comments at the 
meeting. Due to the close timing of the public meetings, subsequent 
workgroup reconsiderations, and final decisions, we are able to 
consider only those comments received in writing by the close of the 
public meeting at which the request is discussed.

IV. Security, Building, and Parking Guidelines

    The meetings are held within the CMS Complex which is not open to 
the general public. Visitors to the complex are required to show a 
valid Government issued photo identification at the time of entry. As 
of October, 10, 2015, visitors seeking access to federal agency 
facilities using their state-issued driver's license or identification 
cards must present proper identification issued by a state that is 
compliant with the REAL ID Act of 2005, (Pub. L. 109-13, 119 Statute 
302, enacted on May 11, 2005), or a state that has received an 
extension. What constitutes proper identification and whether a 
driver's license is acceptable identification for accessing a federal 
facility may vary, based on which state issued the driver's license. 
For detailed information, please refer to the Department of Homeland 
Security (DHS) Web site at http://www.dhs.gov. When planning to visit a 
federal facility, visitors who have further questions about acceptable 
forms of identification are encouraged to contact the facility to 
determine acceptable identification. In addition, all Foreign National 
visitors must present a valid passport as proof of identification.
    Visitors will also be subject to a vehicle security inspection 
before access to the complex is granted. Participants not in possession 
of a valid identification or who are in possession of prohibited items 
will be denied access to the complex. Prohibited items on federal 
property include but are not limited to, alcoholic beverages, illegal 
narcotics, explosives, firearms or other dangerous weapons (including 
pocket knives), dogs or other animals except

[[Page 8966]]

service animals. Once cleared for entry to the complex participants 
will be directed to visitor parking by a security officer.
    To ensure expedited entry into the building it is recommended that 
participants have their government ID and a copy of their written 
meeting registration confirmation readily available and that they do 
not bring large/bulky items into the building. Participants are 
reminded that photography on the CMS complex is prohibited. CMS has 
also been declared a tobacco free campus and violators are subject to 
legal action. In planning arrival time, we recommend allowing 
additional time to clear security. Individuals who are not registered 
in advance will not be permitted to enter the building and will be 
unable to attend the meeting. The invited guests may not enter the 
building earlier than 45 minutes before the convening of the meeting 
each day.
    Guest access to the complex is limited to the meeting area, the 
main entrance lobby, and the cafeteria. If a visitor is found outside 
of those areas without proper escort they may be escorted off of the 
premises. Also be mindful that there will be an opportunity for 
everyone to speak and we request that everyone waits for the 
appropriate time to present their product or opinions. Disruptive 
behavior will not be tolerated and may result in removal from the 
meetings and escort from the complex. No visitor is allowed to attach 
USB cables, thumb drives or any other equipment to any CMS information 
technology (IT) system or hardware for any purpose at any time. 
Additionally, CMS staff is prohibited from taking such actions on 
behalf of a visitor or utilizing any removable media provided by a 
visitor.
    We cannot assume responsibility for coordinating the receipt, 
transfer, transport, storage, set-up, safety, or timely arrival of any 
personal belongings or items used for demonstration or to support a 
presentation. Special arrangements and approvals are required at least 
2 weeks prior to each public meeting to bring pieces of equipment or 
medical devices. These arrangements need to be made with the public 
meeting coordinator. It is possible that certain requests made in 
advance of the public meeting could be denied because of unique safety, 
security or handling issues related to the equipment. A minimum of 2 
weeks is required for approvals and security procedures. Any request 
not submitted at least 2 weeks in advance of the public meeting will be 
denied.
    Foreign National Visitors are defined as Non-US Citizens, and non-
lawful permanent residents, non-resident aliens or non-green-card 
holders.
    Attendees that are foreign nationals must identify themselves as 
such, and provide the following information for security clearance to 
the public meeting coordinator by the date specified in the DATES 
section of this notice:
     Building to Visit/Destination.
     Visit start date, start time, end date, end time.
     Visitor full name.
     Gender.
     Visitor Title.
     Visitor Organization/Employer.
     Citizenship.
     Birth Place (City, Country).
     Date of Birth.
     ID Type (Passport or State Department ID).
     Passport issued by Country.
     ID (passport) Number.
     ID (passport) issue date.
     ID (passport) expiration date.
     Visa Type.
     Visa Number.
     Purpose of Visit.

    Dated: February 2, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2016-03703 Filed 2-22-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                     Federal Register / Vol. 81, No. 35 / Tuesday, February 23, 2016 / Notices                                                            8963

                                                  number. Each participant will receive                              interactive features will not be stored in                      objective and quantifiable measure that
                                                  up to two survey reminders starting one                            the system. The database only collects                          tracks and records participants’
                                                  week after the initial survey link is sent,                        web analytics data about page visits and                        exposure to Crush. This study
                                                  for two consecutive weeks. There are                               duration of each visit by User                                  component does not entail any response
                                                  minor differences in survey content for                            Identification (ID) and Internet Protocol                       burden to participants.
                                                  the control and intervention groups.                               (IP) address. Web analytics will only be                           Findings will be used to inform the
                                                    Each participant will create a profile                           collected from participants navigating
                                                  in the database upon enrollment. This                                                                                              development and delivery of effective
                                                                                                                     Crush and only when they are logged in                          health communications.
                                                  database will collect initial
                                                                                                                     as users. Web analytics are generated for                          OMB approval is requested for one
                                                  demographic and contact information,
                                                                                                                     any Web site and are a standard                                 year. Participation is voluntary and
                                                  informed consent signatures, and
                                                  information about the participant’s                                evaluation mechanism for assessing the                          there are no costs to respondents other
                                                  navigation pattern through Crush. Any                              traffic patterns on Web pages. This                             than their time. The total estimated
                                                  information entered directly into Crush                            technology permits development of an                            annualized burden hours are 802.
                                                                                                                    ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                      Number of     Avg. burden
                                                                                                                                                                                     Number of
                                                                   Type of respondents                                                    Form name                                                 responses per   per response
                                                                                                                                                                                    respondents       respondent      (in hrs.)

                                                  Girls 14–18 years old ......................................      Screener Questions .......................................             3,000                1           1/60
                                                                                                                    Enrollment Questions .....................................             1,200                1           5/60
                                                  Intervention Group ..........................................     Baseline Survey .............................................            600                1          15/60
                                                                                                                    3-Month Survey ..............................................            480                1          10/60
                                                                                                                    6-Month Survey ..............................................            384                1          15/60
                                                  Control Group .................................................   Baseline Survey .............................................            600                1          15/60
                                                                                                                    3-Month Survey ..............................................            480                1          10/60
                                                                                                                    6-Month Survey ..............................................            384                1          15/60



                                                  Leroy A. Richardson,                                               coding and payment determinations.                                Deadlines for Primary Speaker
                                                  Chief, Information Collection Review Office,                       The discussion will be focused on                               Registration and Presentation Materials:
                                                  Office of Scientific Integrity, Office of the                      responses to our specific preliminary                           The deadline for registering to be a
                                                  Associate Director for Science, Office of the                      recommendations and will include all                            primary speaker and submitting
                                                  Director, Centers for Disease Control and                          items on the public meeting agenda. As                          materials and writings that will be used
                                                  Prevention.
                                                                                                                     indicated in this notice, we are                                in support of an oral presentation are as
                                                  [FR Doc. 2016–03687 Filed 2–22–16; 8:45 am]
                                                                                                                     reorganizing public meeting content                             follows:
                                                  BILLING CODE 4163–18–P                                             under two main headings: (1) Drugs/                               • May 3, 2016 for the May 17, 2016,
                                                                                                                     Biologics, Radiopharmaceuticals/                                May 18, 2016 and May 19, 2016 public
                                                                                                                     Radiologic Imaging Agents, and (2)                              meetings.
                                                  DEPARTMENT OF HEALTH AND                                                                                                             • May 18, 2016 for the June 1, 2016
                                                                                                                     Durable Medical Equipment (DME) and
                                                  HUMAN SERVICES                                                                                                                     and June 2, 2016 public meetings.
                                                                                                                     Accessories; Orthotics and Prosthetics
                                                  Centers for Medicare & Medicaid                                    (O & P); Supplies and Other.                                      Registration Deadline for Attendees
                                                  Services                                                           DATES: Meeting Dates: The following are
                                                                                                                                                                                     that are Foreign Nationals: All Foreign
                                                                                                                     the 2016 HCPCS public meeting dates:                            National visitors must present a valid
                                                  [CMS–1637–N]                                                                                                                       passport as proof of identification.
                                                                                                                        1. Tuesday, May 17, 2016, 9:00 a.m.
                                                                                                                                                                                     Attendees that are foreign nationals (as
                                                  Medicare Program; Public Meetings in                               to 5:00 p.m., eastern daylight time
                                                                                                                                                                                     described in section IV. of this notice)
                                                  Calendar Year 2016 for All New Public                              (e.d.t.) (Drugs/Biologicals,
                                                                                                                                                                                     are required to identify themselves as
                                                  Requests for Revisions to the                                      Radiopharmaceuticals/Radiologic
                                                                                                                                                                                     such, and provide the necessary
                                                  Healthcare Common Procedure Coding                                 Imaging Agents).
                                                                                                                                                                                     information for security clearance (as
                                                  System (HCPCS) Coding and Payment                                     2. Wednesday, May 18, 2016, 9:00                             described in section IV. of this notice)
                                                  Determinations                                                     a.m. to 5:00 p.m., e.d.t. (Drugs/                               to the public meeting coordinator at
                                                                                                                     Biologicals, Radiopharmaceuticals/                              least 21 business days in advance of the
                                                  AGENCY: Centers for Medicare &
                                                                                                                     Radiologic Imaging Agents).                                     date of the public meeting the
                                                  Medicaid Services (CMS), HHS.
                                                                                                                        3. Thursday, May 19, 2016, 9:00 a.m.                         individual plans to attend. Therefore,
                                                  ACTION: Notice.
                                                                                                                     to 5:00 p.m., e.d.t. (Drugs/Biologicals,                        the registration deadlines for attendees
                                                  SUMMARY:   This notice announces the                               Radiopharmaceuticals/Radiologic                                 that are foreign nationals are as follows:
                                                  dates, time, and location of the                                   Imaging Agents).                                                  • April 28, 2016 for the May 17, 2016,
                                                  Healthcare Common Procedure Coding                                    4. Wednesday, June 1, 2016, 9:00 a.m.                        May 18, 2016 and May 19, 2016 public
                                                  System (HCPCS) public meetings to be                               to 5:00 p.m., e.d.t. (Durable Medical                           meetings.
                                                                                                                     Equipment (DME) and Accessories;                                  • May 12, 2016 for the June 1, 2016
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                                                  held in calendar year 2016 to discuss
                                                  our preliminary coding and payment                                 Orthotics and Prosthetics (O & P);                              and June 2, 2016 public meetings.
                                                  determinations for all new public                                  Supplies and Other).                                              Registration Deadlines for all Other
                                                  requests for revisions to the HCPCS.                                  5. Thursday, June 2, 2016, 9:00 a.m.                         Attendees: All individuals who are not
                                                  These meetings provide a forum for                                 to 5:00 p.m., e.d.t. (Durable Medical                           foreign nationals who plan to enter the
                                                  interested parties to make oral                                    Equipment (DME) and Accessories;                                building to attend the public meeting
                                                  presentations or to submit written                                 Orthotics and Prosthetics (O & P);                              must register for each date that they
                                                  comments in response to preliminary                                Supplies and Other).                                            plan on attending. The registration


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                                                  8964                        Federal Register / Vol. 81, No. 35 / Tuesday, February 23, 2016 / Notices

                                                  deadlines are different for each meeting.               Protection Act of 2000 (BIPA) (Pub. L.                tested and arranged in speaker sequence
                                                  Registration deadlines are as follows:                  106–554). Section 531(b) of BIPA                      well in advance of the meeting. We will
                                                     • May 10, 2016 for the May 17, 2016,                 mandated that we establish procedures                 accept tapes and disk files that are
                                                  May 18, 2016 and May 19, 2016 public                    that permit public consultation for                   received by the deadline for
                                                  meetings.                                               coding and payment determinations for                 submissions for each public meeting as
                                                     • May 24, 2016 for the June 1, 2016                  new durable medical equipment (DME)                   specified in the DATES section of this
                                                  and June 2, 2016 public meeting dates.                  under Medicare Part B of title XVIII of               notice. Late submissions and updates of
                                                     Deadlines for Requesting Special                     the Social Security Act (the Act). In the             electronic materials after our deadline
                                                  Accommodations: Individuals who plan                    November 23, 2001 Federal Register (66                cannot be accommodated.
                                                  to attend the public meetings and                       FR 58743), we published a notice                         Please note CMS’ page limit for
                                                  require sign-language interpretation or                 providing information regarding the                   primary speaker presentation materials.
                                                  other special assistance must request                   establishment of the public meeting                   The sum of all presentation materials
                                                  these services at least two weeks in                    process for DME. The procedures and                   and additional supporting
                                                  advance of the meeting date, by the                     public meetings announced in this                     documentation may not exceed 10
                                                  following deadlines:                                    notice for new DME are in response to                 pages (each side of a page counts as 1
                                                     • May 3, 2016 for the May 17, 2016,                  the mandate of section 531(b) of BIPA.                page). An exception will be made to the
                                                  May 18, 2016 and May 19, 2016 public                    As part of HCPCS reform, we expanded                  10-page limit only for relevant studies
                                                  meetings.                                               the public meeting forum to include all               newly published between the
                                                     • May 18, 2016 for the June 1, 2016                  public requests as of the 2005–2006                   application deadline and the public
                                                  and June 2, 2016 public meetings.                       coding cycle (70 FR 15340, March 25,                  meeting date, in which case, we would
                                                     Requests for Special Accommodation                   2005).                                                like a copy of the complete publication
                                                  may be made within the on-line                            It is our intent to distribute any                  as soon as possible. This exception
                                                  registration located at                                 materials submitted to us to the HCPCS                applies only to the page limit and not
                                                  www.cms.hhs.gov/medhcpcsgeninfo or                      workgroup members for their                           the submission deadline.
                                                  by contacting Judi Wallace at (410) 786–                consideration. CMS and the HCPCS                         The materials may be emailed or
                                                  3197 or JudiWallace@cms.hhs.gov or                      workgroup members require sufficient                  delivered by regular mail to the HCPCS
                                                  Nathan Helman at (410) 786–4602 or                      preparation time to review all relevant               Public Meeting Coordinators as
                                                  NathanHelman@cms.hhs.gov.                               materials. Therefore, we are                          specified in the ADDRESSES section of
                                                     When a request for Special                           implementing a 10-page submission                     this notice. The materials must be
                                                  Accommodations is made separate from                    limit and firm deadlines for receipt of               emailed or postmarked no later than the
                                                  the on-line registration, it is also                    any presentation materials a meeting                  deadline specified in the DATES section
                                                  necessary to complete the online                        speaker wishes us to consider. For this               of this notice. Individuals will need to
                                                  registration to gain access to the facility.            reason, our HCPCS Public Meeting                      provide 35 copies if materials are
                                                     Deadline for Submission of Written                   Coordinator will only accept and review               delivered by mail.
                                                  Comments: Written comments and other                    presentation materials received by the                2. ‘‘5-Minute Speakers’’
                                                  documentation in response to a                          deadline for each public meeting, as
                                                  preliminary coding or payment                           specified in the DATES section of this                   To afford the same opportunity to all
                                                  determination that are received by no                                                                         attendees, 5-minute speakers are not
                                                                                                          notice.
                                                  later than the date of the public meeting                                                                     required to register as primary speakers.
                                                  at which the code request is scheduled                  II. Meeting Registration                              However, 5-minute speakers must still
                                                  for discussion, will be considered in                                                                         register as attendees by the deadline set
                                                                                                          A. Required Information for Registration
                                                  formulating a final coding decision.                                                                          forth under ‘‘Registration Deadlines for
                                                                                                            The following information must be                   all Other Attendees’’ in the DATES
                                                  ADDRESSES:                                              provided when registering:                            section of this notice. Attendees can
                                                     Meeting Location: The public                           • Name.                                             sign up only on the day of the meeting
                                                  meetings will be held in the main                         • Company name and address.                         to do a presentation of up to 5 minutes.
                                                  auditorium of the central building of the                 • Direct-dial telephone and fax                     Individuals must provide their name,
                                                  Centers for Medicare & Medicaid                         numbers.                                              company name and address, contact
                                                  Services, 7500 Security Boulevard,                        • Email address.
                                                                                                            • Special needs information.                        information as specified on the sign-up
                                                  Baltimore, MD 21244–1850.
                                                                                                            A CMS staff member will confirm                     sheet, and identify the specific agenda
                                                     Submission of Written Comments:
                                                                                                          your registration by email.                           item that they will address.
                                                  Written comments may either be
                                                  emailed to JudiWallace@cms.hhs.gov or                   B. Registration Process                               C. Additional Meeting/Registration
                                                  NathanHelman@cms.hhs.gov or sent via                                                                          Information
                                                  regular mail to Judi Wallace or Nathan                  1. Primary Speakers                                      Please note that all of the CMS’ 2016
                                                  Helman, HCPCS Public Meeting                               Individuals must also indicate                     HCPCS public meetings will begin at
                                                  Coordinators, Centers for Medicare &                    whether they are the ‘‘primary speaker’’              9:00 a.m. each day as noted in the DATES
                                                  Medicaid Services, 7500 Security                        for an agenda item. Primary speakers                  section of this notice.
                                                  Boulevard, Mail Stop C5–09–14,                          must be designated by the entity that                    The product category reported in the
                                                  Baltimore, MD 21244–1850.                               submitted the HCPCS coding request.                   HCPCS code application by the
                                                  FOR FURTHER INFORMATION CONTACT: Judi                   When registering, primary speakers                    applicant may not be the same as that
                                                  Wallace at (410)786–3197 or
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                                                                                                          must provide a brief written statement                assigned by us. Prior to registering to
                                                  JudiWallace@cms.hhs.gov.                                regarding the nature of the information               attend a public meeting, all participants
                                                  SUPPLEMENTARY INFORMATION:                              they intend to provide, and advise the                are advised to review the public meeting
                                                                                                          HCPCS Public Meeting Coordinator                      agendas at www.cms.hhs.gov/
                                                  I. Background                                           regarding needs for audio/visual                      medhcpcsgeninfo which identify our
                                                    On December 21, 2000, the Congress                    support. To avoid disruption of the                   category determinations, and the dates
                                                  passed the Medicare, Medicaid, and                      meeting and ensure compatibility with                 each item will be discussed. Draft
                                                  SCHIP Benefits Improvement and                          our systems, tapes and disk files are                 agendas, including a summary of each


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                                                                              Federal Register / Vol. 81, No. 35 / Tuesday, February 23, 2016 / Notices                                            8965

                                                  request and our preliminary decision                    in the ADDRESSES section of this notice.              salary, remuneration, or benefit
                                                  will be posted on our HCPCS Web site                    The materials must be emailed or                      provided to that speaker by the
                                                  at www.cms.hhs.gov/medhcpcsgeninfo                      postmarked no later than the deadline                 manufacturer or the manufacturer’s
                                                  at least 4 weeks before each meeting.                   specified in the DATES section of this                representatives.
                                                     Additional details regarding the                     notice. Individuals will need to include
                                                  public meeting process for all new                                                                            E. Written Comments From Meeting
                                                                                                          35 copies if materials are delivered by
                                                  public requests for revisions to the                                                                          Attendees
                                                                                                          mail.
                                                  HCPCS, along with information on how                                                                             Written comments will be accepted
                                                  to register and guidelines for an                       B. Primary Speaker Presentations                      from the general public and meeting
                                                  effective presentation, will be posted at                  The individual or entity requesting                registrants anytime up to the date of the
                                                  least 4 weeks before the first meeting                  revisions to the HCPCS coding system                  public meeting at which a request is
                                                  date on the official HCPCS Web site at                  for a particular agenda item may                      discussed. Comments must be sent to
                                                  www.cms.hhs.gov/medhcpcsgeninfo.                        designate one ‘‘primary speaker’’ to                  the address listed in the ADDRESSES
                                                  The document titled ‘‘Guidelines for                    make a presentation for a maximum of                  section of this notice.
                                                  Participation in Public Meetings for All                15 minutes. Fifteen minutes is the total                 Meeting attendees may also submit
                                                  New Public Requests for Revisions to                    time interval for the presentation, and               their written comments at the meeting.
                                                  the Healthcare Common Procedure                         the presentation must incorporate any                 Due to the close timing of the public
                                                  Coding System (HCPCS)’’ will be made                    demonstration, set-up, and distribution               meetings, subsequent workgroup
                                                  available on the HCPCS Web site at least                of material. In establishing the public               reconsiderations, and final decisions,
                                                  4 weeks before the first public meeting                 meeting agenda, we may group                          we are able to consider only those
                                                  in 2016 for all new public requests for                 multiple, related requests under the                  comments received in writing by the
                                                  revisions to the HCPCS. Individuals                     same agenda item. In that case, we will               close of the public meeting at which the
                                                  who intend to provide a presentation at                 decide whether additional time will be                request is discussed.
                                                  a public meeting need to familiarize                    allotted, and may opt to increase the                 IV. Security, Building, and Parking
                                                  themselves with the HCPCS Web site                      amount of time allotted to the speaker                Guidelines
                                                  and the valuable information it provides                by increments of less than 15 minutes.
                                                                                                             Individuals designated to be the                      The meetings are held within the
                                                  to prospective registrants. The HCPCS
                                                                                                          primary speaker must register to attend               CMS Complex which is not open to the
                                                  Web site also contains a document titled
                                                                                                          the meeting using the registration                    general public. Visitors to the complex
                                                  ‘‘Healthcare Common Procedure Coding
                                                                                                          procedures described under the                        are required to show a valid
                                                  System (HCPCS) Level II Coding
                                                                                                          ‘‘Meeting Registration’’ section of this              Government issued photo identification
                                                  Procedures,’’ which is a description of                                                                       at the time of entry. As of October, 10,
                                                  the HCPCS coding process, including a                   notice and contact one of the HCPCS
                                                                                                          Public Meeting Coordinators, specified                2015, visitors seeking access to federal
                                                  detailed explanation of the procedures                                                                        agency facilities using their state-issued
                                                  used to make coding determinations for                  in the ADDRESSES section. Primary
                                                                                                          speakers must also separately register as             driver’s license or identification cards
                                                  all the products, supplies, and services                                                                      must present proper identification
                                                  that are coded in the HCPCS.                            primary speakers by the date specified
                                                                                                          in the DATES section of this notice.                  issued by a state that is compliant with
                                                     The HCPCS Web site also contains a
                                                                                                                                                                the REAL ID Act of 2005, (Pub. L. 109–
                                                  document titled ‘‘HCPCS Decision Tree                   C. ‘‘5-Minute’’ Speaker Presentations                 13, 119 Statute 302, enacted on May 11,
                                                  & Definitions’’ which illustrates, in flow
                                                                                                            Meeting attendees can sign up at the                2005), or a state that has received an
                                                  diagram format, HCPCS coding
                                                                                                          meeting, on a first-come, first-served                extension. What constitutes proper
                                                  standards as described in our Coding
                                                                                                          basis, to make presentations for up to 5              identification and whether a driver’s
                                                  Procedures document.
                                                     A summary of each public meeting                     minutes on individual agenda items.                   license is acceptable identification for
                                                  will be posted on the HCPCS Web site                    Based on the number of items on the                   accessing a federal facility may vary,
                                                  by the end of August 2016.                              agenda and the progress of the meeting,               based on which state issued the driver’s
                                                                                                          a determination will be made at the                   license. For detailed information, please
                                                  III. Presentations and Comment Format                   meeting by the meeting coordinator and                refer to the Department of Homeland
                                                     We can only estimate the amount of                   the meeting moderator regarding how                   Security (DHS) Web site at http://
                                                  meeting time that will be needed since                  many ‘‘5-minute speakers’’ can be                     www.dhs.gov. When planning to visit a
                                                  it is difficult to anticipate the total                 accommodated and/or whether the 5-                    federal facility, visitors who have
                                                  number of speakers that will register for               minute time allocation would be                       further questions about acceptable forms
                                                  each meeting. Meeting participants                      reduced, to accommodate the number of                 of identification are encouraged to
                                                  should arrive early to allow time to clear              speakers.                                             contact the facility to determine
                                                  security and sign-in. Each meeting is                                                                         acceptable identification. In addition,
                                                                                                          D. Speaker Declaration                                all Foreign National visitors must
                                                  expected to begin promptly as
                                                  scheduled. Meetings may end earlier                       On the day of the meeting, before the               present a valid passport as proof of
                                                  than the stated ending time.                            end of the meeting, all primary speakers              identification.
                                                                                                          and 5-minute speakers must provide a                     Visitors will also be subject to a
                                                  A. Oral Presentation Procedures                         brief written summary of their                        vehicle security inspection before access
                                                    All primary speakers must register as                 comments and conclusions to the                       to the complex is granted. Participants
                                                  provided under the section titled                       HCPCS Public Meeting Coordinator.                     not in possession of a valid
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                                                  ‘‘Meeting Registration.’’ Materials and                   Every primary speaker and 5-minute                  identification or who are in possession
                                                  writings that will be used in support of                speaker must declare at the beginning of              of prohibited items will be denied
                                                  an oral presentation should be                          their presentation at the meeting, as                 access to the complex. Prohibited items
                                                  submitted to the HCPCS Public Meeting                   well as in their written summary,                     on federal property include but are not
                                                  Coordinator.                                            whether they have any financial                       limited to, alcoholic beverages, illegal
                                                    The materials may be emailed or                       involvement with the manufacturers or                 narcotics, explosives, firearms or other
                                                  delivered by regular mail to the HCPCS                  competitors of any items being                        dangerous weapons (including pocket
                                                  Public Meeting Coordinator as specified                 discussed; this includes any payment,                 knives), dogs or other animals except


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                                                  8966                        Federal Register / Vol. 81, No. 35 / Tuesday, February 23, 2016 / Notices

                                                  service animals. Once cleared for entry                    Foreign National Visitors are defined              FDA is extending the draft guidance’s
                                                  to the complex participants will be                     as Non-US Citizens, and non-lawful                    comment period by 30 days in response
                                                  directed to visitor parking by a security               permanent residents, non-resident                     to requests for an extension to allow
                                                  officer.                                                aliens or non-green-card holders.                     interested persons additional time to
                                                     To ensure expedited entry into the                      Attendees that are foreign nationals               submit comments.
                                                  building it is recommended that                         must identify themselves as such, and                 DATES: FDA is extending the comment
                                                  participants have their government ID                   provide the following information for                 period for the draft guidance ‘‘Design
                                                  and a copy of their written meeting                     security clearance to the public meeting              Considerations and Premarket
                                                  registration confirmation readily                       coordinator by the date specified in the              Submission Recommendations for
                                                  available and that they do not bring                    DATES section of this notice:                         Interoperable Medical Devices’’
                                                  large/bulky items into the building.                      • Building to Visit/Destination.                    published on January 26, 2016 (81 FR
                                                  Participants are reminded that                            • Visit start date, start time, end date,           4303), by an additional 30 days.
                                                  photography on the CMS complex is                       end time.                                             Although you can comment on any
                                                  prohibited. CMS has also been declared                    • Visitor full name.                                guidance at any time (see 21 CFR
                                                  a tobacco free campus and violators are                   • Gender.                                           10.115(g)(5)), to ensure that the Agency
                                                  subject to legal action. In planning                      • Visitor Title.                                    considers your comment of this draft
                                                  arrival time, we recommend allowing                       • Visitor Organization/Employer.
                                                                                                                                                                guidance before it begins work on the
                                                  additional time to clear security.                        • Citizenship.
                                                                                                            • Birth Place (City, Country).                      final version of the guidance, submit
                                                  Individuals who are not registered in                                                                         either electronic or written comments
                                                                                                            • Date of Birth.
                                                  advance will not be permitted to enter                                                                        on the draft guidance by April 28, 2016.
                                                                                                            • ID Type (Passport or State
                                                  the building and will be unable to                                                                            ADDRESSES: You may submit comments
                                                                                                          Department ID).
                                                  attend the meeting. The invited guests
                                                                                                            • Passport issued by Country.                       as follows:
                                                  may not enter the building earlier than                   • ID (passport) Number.
                                                  45 minutes before the convening of the                                                                        Electronic Submissions
                                                                                                            • ID (passport) issue date.
                                                  meeting each day.                                         • ID (passport) expiration date.                      Submit electronic comments in the
                                                     Guest access to the complex is limited                 • Visa Type.                                        following way:
                                                  to the meeting area, the main entrance                    • Visa Number.                                        • Federal eRulemaking Portal: http://
                                                  lobby, and the cafeteria. If a visitor is                 • Purpose of Visit.                                 www.regulations.gov. Follow the
                                                  found outside of those areas without                                                                          instructions for submitting comments.
                                                                                                            Dated: February 2, 2016.
                                                  proper escort they may be escorted off                                                                        Comments submitted electronically,
                                                                                                          Andrew M. Slavitt,
                                                  of the premises. Also be mindful that                                                                         including attachments, to http://
                                                  there will be an opportunity for                        Acting Administrator, Centers for Medicare
                                                                                                          & Medicaid Services.                                  www.regulations.gov will be posted to
                                                  everyone to speak and we request that                                                                         the docket unchanged. Because your
                                                  everyone waits for the appropriate time                 [FR Doc. 2016–03703 Filed 2–22–16; 8:45 am]
                                                                                                                                                                comment will be made public, you are
                                                  to present their product or opinions.                   BILLING CODE 4120–01–P
                                                                                                                                                                solely responsible for ensuring that your
                                                  Disruptive behavior will not be tolerated                                                                     comment does not include any
                                                  and may result in removal from the                                                                            confidential information that you or a
                                                  meetings and escort from the complex.                   DEPARTMENT OF HEALTH AND
                                                                                                          HUMAN SERVICES                                        third party may not wish to be posted,
                                                  No visitor is allowed to attach USB                                                                           such as medical information, your or
                                                  cables, thumb drives or any other                       Food and Drug Administration                          anyone else’s Social Security number, or
                                                  equipment to any CMS information                                                                              confidential business information, such
                                                  technology (IT) system or hardware for                  [Docket No. FDA–2015–D–4852]                          as a manufacturing process. Please note
                                                  any purpose at any time. Additionally,                                                                        that if you include your name, contact
                                                  CMS staff is prohibited from taking such                Design Considerations and Premarket
                                                                                                                                                                information, or other information that
                                                  actions on behalf of a visitor or utilizing             Submission Recommendations for
                                                                                                                                                                identifies you in the body of your
                                                  any removable media provided by a                       Interoperable Medical Devices; Draft
                                                                                                                                                                comments, that information will be
                                                  visitor.                                                Guidance for Industry and Food and
                                                                                                                                                                posted on http://www.regulations.gov.
                                                                                                          Drug Administration Staff; Extension
                                                     We cannot assume responsibility for                                                                          • If you want to submit a comment
                                                  coordinating the receipt, transfer,                     of Comment Period
                                                                                                                                                                with confidential information that you
                                                  transport, storage, set-up, safety, or                  AGENCY:    Food and Drug Administration,              do not wish to be made available to the
                                                  timely arrival of any personal                          HHS.                                                  public, submit the comment as a
                                                  belongings or items used for                            ACTION:   Notice; extension of comment                written/paper submission and in the
                                                  demonstration or to support a                           period.                                               manner detailed (see ‘‘Written/Paper
                                                  presentation. Special arrangements and                                                                        Submissions’’ and ‘‘Instructions’’).
                                                  approvals are required at least 2 weeks                 SUMMARY:   The Food and Drug
                                                  prior to each public meeting to bring                   Administration (FDA or Agency) is                     Written/Paper Submissions
                                                  pieces of equipment or medical devices.                 extending the comment period provided                   Submit written/paper submissions as
                                                  These arrangements need to be made                      in the notice entitled ‘‘Design                       follows:
                                                  with the public meeting coordinator. It                 Considerations and Pre-market                           • Mail/Hand delivery/Courier (for
                                                  is possible that certain requests made in               Submission Recommendations for                        written/paper submissions): Division of
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                                                  advance of the public meeting could be                  Interoperable Medical Devices; Draft                  Dockets Management (HFA–305), Food
                                                  denied because of unique safety,                        Guidance for Industry and Food and                    and Drug Administration, 5630 Fishers
                                                  security or handling issues related to the              Drug Administration Staff; Availability’’             Lane, Rm. 1061, Rockville, MD 20852.
                                                  equipment. A minimum of 2 weeks is                      that appeared in the Federal Register of                • For written/paper comments
                                                  required for approvals and security                     January 26, 2016. That notice                         submitted to the Division of Dockets
                                                  procedures. Any request not submitted                   announced the availability of a draft                 Management, FDA will post your
                                                  at least 2 weeks in advance of the public               guidance for industry and FDA staff and               comment, as well as any attachments,
                                                  meeting will be denied.                                 requested comments by March 28, 2016.                 except for information submitted,


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Document Created: 2018-02-02 14:33:20
Document Modified: 2018-02-02 14:33:20
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesMeeting Dates: The following are the 2016 HCPCS public meeting dates:
ContactJudi Wallace at (410)786-3197 or [email protected]
FR Citation81 FR 8963 

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